Compliance Manager

The Compliance Manager leads quality improvement initiatives, and ensures program compliance with all applicable regulations including incident management, standards of care, and internal policies etc. This role fosters a culture of continuous improvement, manages incident reporting and investigations, and facilitates monthly Incident Review Committee (IRC) meetings. The position requires collaboration across departments, including program heads, administrators, supervisors, and direct service staff.

Essential duties of Compliance Manager

Oversee incident reporting and management, including monthly IRC reviews.

Lead internal investigations into client-related incidents.

Serve as a liaison with oversight agencies (e.g., OCFS, NYSED, OMH, JC).

Conduct internal audits and risk assessments to identify and mitigate compliance risks.

Perform billing compliance and quality assurance reviews.

Track incident trends and ensure data accuracy for leadership and IRC reporting.

Maintain comprehensive records of CQI and compliance activities.

Assist with the development and implementation of CQI strategies and frameworks across departments.

Lead cross-functional teams to identify performance gaps and recommend improvement plans.

Ensure compliance with laws, regulations, and accreditation standards.

Help maintain compliance policies, procedures, and training programs as needed.

Conduct root cause analyses, assist with preventive and improvement plans.

Monitor corrective actions and improvement plan implementation and effectiveness.

Prepare reports for CQI leadership, regulatory bodies, or state oversight agencies.

Document incidents promptly using standardized forms or digital systems.

Ensure incidents are properly categorized by severity, type, and potential impact.

Track key performance indicators (KPIs) and quality metrics.

Support health records management and data analytics related to compliance.

Assess and help address potential risks, health hazards, and safety concerns.

Help with accreditation renewal processes.

Uphold the organization’s core values and strategic goals.

Essential Qualifications of Compliance Manager

Key qualifications include but are not limited to:

Bachelor's degree in healthcare administration, Public Health, Business, or related field (Master’s preferred).

5+ years of experience in quality improvement and compliance roles.

Knowledge of compliance and incident management in Human Services.

Strong analytical skills and ability to interpret data.

Familiarity with regulatory frameworks (e.g., HIPAA, CMS, ISO).

Excellent communication and project management skills.

Proficiency in Microsoft Office Suite and electronic health record systems.

Ability to learn new software and systems.

Effective verbal and written communication in English.

Ability to access and use the ADP app on a smartphone or other device.

Core Competencies of Compliance Manager

Ethical Judgment

Process Improvement

Risk Management

Collaboration & Leadership

Data-Driven Decision Making

Benefits of Compliance Manager

Generous PTO: 4 weeks of vacation, personal and sick time

Health Insurance

Dental Insurance

Vision Benefits

401(k) Employer Contributions

Tuition Reimbursement

Flex Spending Accounts

Employer Paid STD, LTD and Life Insurance

Professional Development

Physical/Travel Requirements

Must be able to ambulate, sit, stand, see, speak, climb stairs and carry up to 30lbs.

Disclaimer

This job description does not restrict Andrus’ right to modify duties or responsibilities at any time, with or without notice.

EEO Statement

Andrus is an equal opportunity employer.

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