Compliance, Quality & Risk Manager

Salary: $72k

Schedule: 8:30a-5p

Position Summary

The Compliance, Quality & Risk Manager is responsible for day-to-day compliance, quality assurance, quality improvement, and risk-management activities for a single substance use disorder (SUD) treatment facility. This is a hands-on manager-level role focused on execution, coordination, and monitoring in close partnership with facility leadership.

Key Responsibilities

• Manage facility-level licensing and regulatory compliance.
• Coordinate incident reporting and investigations.
• Oversee patient grievance and complaint intake, tracking, and resolution.
• Maintain survey readiness documentation and compliance logs.
• Support Joint Commission and state inspections.
• Promote compliance, privacy, and quality training.
• Partner with facility leadership on quality-improvement initiatives.
• Serve as facility-level subject matter expert on policy and procedure
• Review and maintain annual plans and evaluations

Quality Assurance & Quality Improvement Responsibilities

• Support the facility QA/QI and QAPI programs.
• Track, trend, and report quality, incident, and grievance data.
• Monitor performance against KPIs and escalate risks.
• Assist with corrective actions and improvement initiatives.
• Ensure adherence to patient rights and grievance procedures.
• Develop, track, and monitor Plans of Correction for effectiveness

Key Performance Indicators (KPIs)

• 100% on-time completion of licensing renewals and submissions.
• =95% of incidents and grievances addressed within required timelines.
• Demonstrated improvement in facility-level quality KPIs.
• No repeat deficiencies related to documentation or process failures.
• =95% staff completion of compliance and quality training.
• Accurate and timely facility-level reporting.

Qualifications

• Bachelor's degree in healthcare-related field (required).
• 2-4 years of healthcare compliance, quality, or risk-management experience.
• Experience supporting QA/QI or grievance processes preferred.
• Behavioral health or SUD experience preferred.
• Working knowledge of HIPAA, 42 CFR Part 2, and state licensing requirements.