VP of Quality Systems, Risk & Compliance

Department:Quality Systems Risk & Compliance

Reports To: Chief Operating Officer (dotted line to Chief Medical Officer; CEO for Human Rights matters)

Location: Brockton MA (local travel required)

Hours: 40 per week

Salary Range:$130000 - $160000

Who We Are:
BAMSI has been bringing people and services together since 1975. We are a mission-driven nonprofit organization providing critical health and human services across Massachusetts. As a combined agency we are committed to a unified framework of quality compliance risk and human rights that ensures the highest standards of care for every individual we serve.

Why This Role Matters:
The Vice President of Quality Systems Risk & Compliance is the enterprise leader responsible for designing implementing and sustaining a unified quality compliance risk and human rights framework across the combined agency. The role provides executive oversight of the Quality Management System regulatory readiness incident management investigations human rights governance performance improvement policy governance and quality analytics. Working in close partnership with the COO CMO CEO operations leaders and clinical leadership the Vice President ensures that quality systems are not only defined but consistently executed measured and enforced across all service lines.

What Youll Do:

• Own and continuously improve the enterprise Quality Management System (QMS) ensuring a single disciplined framework for regulatory readiness quality assurance risk oversight performance improvement and corrective action across the merged organization.
• Direct the agencys quality and compliance strategy to ensure full alignment with Massachusetts and federal regulatory expectations. This includes maintaining primary oversight for DDS DMH DPH MassHealth BSAS & HUD standards and leading the organization through successful CARF accreditation and rigorous HIPAA audits.
• Oversee enterprise incident management investigations internal audits corrective action planning and follow-up processes to ensure timeliness consistency independence and defensible documentation.
• Maintain executive oversight of Human Rights and Client Relations functions ensuring protection of the Human Rights Independence Clause and strong family and stakeholder engagement.
• Develop and implement comprehensive quality improvement programs to enhance service delivery and client outcomes.
• Oversee the organizations privacy program to ensure compliance with HIPAA and other privacy regulations.
• Develop and maintain policies and procedures that align with best practices in quality compliance and privacy.
• Provide training and guidance to staff on quality improvement regulatory requirements and privacy standards.
• Monitor and evaluate program outcomes identifying opportunities for process improvements.
• Lead timely audits investigations and corrective action plans to address compliance concerns.
• Collaborate with leadership to develop and implement performance metrics for continuous improvement.
• Serve as the primary point of contact for external audits regulatory bodies and accreditation organizations.
• Provide leadership in promoting a culture of quality accountability and continuous improvement.
• Design and lead a comprehensive Risk Management framework that anticipates and actively manages strategic operational and reputational risks.
• Partner with leadership in leading developing and executing a comprehensive PBS Action Plan that spans all service tiers (Universal Targeted and Intensive) to foster a stable proactive environment for all people in our services.
• Identify internal and external talent for key open positions and help direct reports build a strong talent pipeline and succession planning through internal and external recruitment.
• Build strong teams within their function and create an environment that fosters employee engagement through regular recognition employee appreciation and people development.
• Participate in the Strategic Planning process including committee and sub-committee participation and/or management and developing and implementing plans that meet strategic goals.
• Cultivate an environment where the core philosophy of Universal Supports is embraced and promoted across all teams.
• Oversee medication occurrence monitoring infection prevention coordination health and safety-related quality trends and alignment with clinical leadership on system-level risk reduction strategies.

What We Offer:

• Executive Compensation: A competitive salary commensurate with this leadership role.
• Comprehensive Benefits: Full benefits package including generous PTO health/dental/vision insurance life insurance and a 403(b).
• Enterprise Impact: The opportunity to shape quality risk and compliance systems across a combined agency.
• Mission-Driven Culture: The satisfaction of knowing your leadership directly enhances the safety rights and outcomes for thousands of individuals.

What You Bring (Requirements):

• Education: Masters degree in Healthcare Administration Public Health or a related field preferred.
• Experience: Minimum of 7-10 years of progressive leadership experience in quality compliance risk human rights or related oversight functions within healthcare behavioral health developmental disability services or human services.
• Clinical Experience:A minimum of 3 years of clinical experience.
• Regulatory Expertise: Demonstrated experience leading audits regulatory surveys incident management investigations corrective action planning and enterprise quality systems.
• Change Leadership: Demonstrated success leading cross-functional change standardizing processes and strengthening accountability across multiple service lines or sites.
• Skills: Strong leadership presence with the ability to influence across service lines and hold teams accountable to enterprise standards. Excellent judgment integrity and discretion when managing sensitive incidents investigations complaints and rights-related matters.
• Analytical Capability: Strong analytical capability including use of data dashboards and trend analysis to drive decisions and improvement.
• Communication: Excellent verbal and written communication skills including the ability to communicate clearly with executives funders families and community partners.
• Technical Proficiency: Proficiency with Microsoft Office eHana and relevant documentation reporting and data systems.
• Requirements: Must have a current US drivers license and one year of driving experience. Must be able to travel off-site complete First Aid/CPR and PABC and occasionally climb stairs or lift up to 25 pounds.

Competencies Skills & Abilities:

• Strong conflict resolution collaboration and cross-functional problem-solving capability.
• Strong project management and process discipline with the ability to move complex initiatives from design through implementation and sustainability.

Physical Demands & Work Environment:
The physical demands described here are representative of those that must be met to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these functions.

• Prolonged periods sitting at a desk and working on a computer.
• Typing picking pinching or otherwise working with fingers.
• Regular driving required.
• Must be able to travel off-site and occasionally climb stairs or lift up to 25 pounds.