Quality & Compliance Specialist

Description

ABOUT THE COMPANY

Acumen, LLC. is one of the nation's leading fiscal agents offering a portfolio of innovative financial management services backed by superior customer service. Our passion is to help people lead independent lives through exceptional participant-directed programs. Acumen is a great place to work. Our employees make a positive difference in our clients lives by what they do. Among many benefits to working here, we offer medical, dental and vision coverage, generous paid time off, and incentive bonuses to those who qualify.

OVERVIEW AND ESSENTIAL JOB FUNCTIONS

The Quality and Compliance (QC) Specialist must maintain a detailed understanding of all current AFA contracts, as well as a basic understanding of all functions within Operations in order to assist with high priority issues and projects that require a quick turnaround. They must have the ability to gather information and research contract compliance issues in order to support Quality and Compliance, Program Managers, and Operations teams. The QC Specialist will assist the Quality and Compliance Department with responding to internal and external requests for information, audits, subpoenas, complaints, and surveys. This person must have excellent project management skills, and be able to foster a cohesive company-wide-team approach to quality improvement.

• Maintain detailed understanding of all current AFA contracts and provider manuals, acting as a contract/manual subject matter expert
• Act as a liaison between the Program Managers/ Executive Directors and Operations teams, communicating and helping to resolve any issues concerning contract /legislative changes, contract deliverables, quality concerns, and other various issues that may directly impact the customer or Acumen, Inc.
• Serve as contract administrator, focusing on successful completion/implementation of all contract deliverables, including: state audits; emergency management, internal trainings on state and program requirements/business rules, internal reporting of survey results and implementation of any corrective action plans, and coordination with appropriate state/program on Requests for Information and other communications.
• Document management, including forms, program communication, manual updates, and fact sheet updates.
• Identify and develop action plans and/or efficiencies in response to trends and risks across states and programs
• Independently manage and prioritize multiple projects at once and makes decisions about their relative priority at any given time
• Facilitate cross-department participation to compile accurate documentation needed for timely responses to Audits, Subpoenas and
• RFI, while maintaining detailed records as they relate to the request in compliance with HIPAA and contract requirements
• Package audit results, identify trends and provide feedback for internal quality improvement projects
• Oversee the complaint process for tracking and trending purposes and conduct reviews of quality issues and client concerns for trends
• Assist departments with the development of corrective and preventatives actions necessary to resolve further issues
• Research, develop, and maintain systems to ensure the organization complies with all policy, process, contract, and regulatory requirements
• Lead quality improvement and compliance endeavors with a disciplined and structured problem solving approach that aligns to business priorities
• Develop project plans and schedules
• Develop internal and external audits and surveys, then analyze and report results to measure organizational success and establish future goals to improve customer satisfaction
• Provide staff training and tracking in support of meeting contractual training requirements as needed/requested
• Occasionally work late or on weekends as needed to ensure deadlines and/or high volume demands are met
• Perform other work-related duties as assigned
• ALL Acumen employees will be vigilant to support the positive compliant cybersecurity company posture by familiarizing themselves with all policies, procedures, standards, and guidelines and act accordingly

Qualifications

MINIMUM QUALIFICATIONS

• Valid drivers license within state of residence.
• Valid automobile insurance.
• Ability to communicate both orally and in writing.
• Accuracy and the ability to handle responsibility with limited supervision.
• High standards of integrity and honesty.
• Demonstrate excellent organizational skills, attention to detail, time management, task oriented, good interpersonal skills, patience, perseverance, and follow through skills.
• Knowledge of basic computer skills to include Microsoft Word, Excel and internet e-mail experience.
• Must participate in training necessary to learn and become proficient in all Acumen specific programs (i.e. Laserfische/AFA DCI)

PREFERRED QUALIFICATIONS

• Bachelors degree in Social Sciences or other related field, or equivalent years of experience in social services, financial management or human resources.

Acumen is an Equal Employment Opportunity (EEO) employer. We embrace diversity in all its form. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

If you require reasonable accommodation for any part of the application process or hiring process, please submit your request through one of the following methods listed below:

(a) Dedicated fax 866-268-8885
(b) Dedicated email hrdept@riseservicesinc.org DISABILITY ACCOMMODATION REQUESTS ONLY
(c) US mail - 4554 E Inverness Ave Mesa, AZ 85206- Attn Human Resources
(d) Dedicated phone 1-866-242-2714 Option 1 (Employment Opportunities) DISABILITY ACCOMMODATION REQUESTS ONLY