The Quality and Compliance Specialist promotes a culture of continuous improvement within the 4Kids4Families network by monitoring the quality and regulatory compliance of network providers and providers from whom ancillary services are purchased. This position will lead the provider monitoring process, including routine provider audits, and partnering with network providers to develop improvement plans.
Benefits Include:
Medical, dental, vision, and supplemental insurance options, including HSA match for qualifying contributions.
Conducts contract monitoring to ensure services are delivered according to agreements and regulatory requirements.
Provides quality assurance through performance analysis, site visits, and contrastive feedback.
Promotes compliance enforcement by addressing non-compliance issues and escalating as needed.
Facilitates full contract management, from development and renewals to amendments and closeouts.
Provides technical assistance and training for contractors and internal staff.
Maintains advocacy to strengthen provider capacity and support the growth of the provider network.
Facilitates conversations that promote a spirit of collaboration, accountability and continuous improvement.
Supports Quality and Compliance department in the development of performance improvement plans for network providers.
Serves as a primary point of contact for providers.
Facilitates joint monitoring process as applicable.
Conducts investigations of serious incidents, grievances, and complaints as needed.
Maintains and encourages a healthy staff environment and culture.
Conducts reviews, audits, and monitoring of assigned network providers according to the terms of their contract.
Perform all duties within contract, state and federal regulations, company policy, and regulatory agency standards.
May be required to drive vehicles, be insurable with our auto insurance provider, and complete company vehicle training.
Qualifications:
Bachelor’s degree in Human Service, Social Work or related field, a minimum of 2 years of related work experience, and a working knowledge of Minimum Standards for Child-placing agencies and/or General Residential Operations required.
Numbers & Facts
Location
Tyler, Texas
Job Type
Full-time
Skills
Auditingunmatched
Auto Insuranceunmatched
Capacity and Performance Managementunmatched
Continuous Improvementunmatched
Contract Managementunmatched
Corporate Policiesunmatched
Federal Laws and Regulationsunmatched
Network Monitoringunmatched
Network Performance/Analysisunmatched
Performance Analysisunmatched
Performance Managementunmatched
Quality Assuranceunmatched
Quality Monitoringunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Regulatory Requirementsunmatched
Reimbursementunmatched
Retirement Planunmatched
Social Workunmatched
State Laws and Regulationsunmatched
Technical Supportunmatched
Technical Trainingunmatched
Tuition Reimbursementunmatched
Vehicle Drivingunmatched
Vision Planunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.