Head of Quality and Compliance

In compliance with regulatory bodies and company wide policy for current staff, all future employees of BLP must provide proof of COVID-19 vaccination prior to employee start date.

Better Life Partners has a specific mission—to help any underserved individual achieve a healthier life filled with belonging, love, and purpose. We do this by working alongside community-based organizations and delivering high-quality care directly to our members. We run a highly agile and mobile organization focused on innovating healthcare while staying true to our values.

Our Headquarters team is seeking a Head of Quality and Compliance (remote) to oversee compliance activities for substance use treatment services with a high focus on clinical and corporate compliance. 

Responsibilities for the Head of Quality and Compliance include, but not limited to:

• Establishes the compliance and quality department including a plan, relevant policies and procedures, and resource requirements
• Leads and maintains Compliance email, and coordinating any and all audits, inspections or investigations relating to compliance issues
• Reviews all contracts and develops auditing instruments based on contractual and regulatory requirements, as well as works closely with Payor Development team to identify incoming requirements
• Conducts regular internal clinical audits of member records, ensuring compliance with all contractual, regulatory and documentation requirements
• Audits programs, policies and procedures, ensuring corporate and programmatic compliance with their contract requirements
• Identifies areas of needed improvement, reviews findings and recommendations for improvement with other management and oversees initiatives to make those improvements
• Provides education on compliance and other areas as identified through auditing and other quality improvement processes including drafting with appropriate teams any corrective action plans
• Maintains adherence to current regulations and communicates regulatory changes to programs as needed, working with programs on incorporating any identified changes
• Acts as a resource and consultant to staff and management in regulatory requirements and policies as necessary
• Facilitates regular Compliance meetings and participates in other various meetings as necessary
• Collaborates with the Implementation and Execution Team on new program initiatives, helping to ensure compliance with regulatory guidelines as well as payor contracts
• Works with current program and State Leadership on licensing processes, ensuring that contractual, accreditation and regulatory requirements are followed
• Demonstrates the ability to prioritize tasks and responsibilities and complete duties in the allotted time
• Additional responsibilities as assigned

Qualifications:

• Experience in Payor Clinical Audits, including Medicaid and Medicare
• Experience as a Program Integrity Officer at a plan, managed care organization, or state program preferred

Better Life Partners facilitates the treatment of behavioral health conditions including addiction medicine. Better Life Partners Inc. is an Equal Opportunity Employer and qualified applicants will not be discriminated against on the basis of race, color, religion, sex, sexual orientation, gender preference, national origin, disability, or veteran status. We are also a recovery friendly workplace.