Associate VP - Quality, Risk & Compliance

Job Purpose: The Associate VP of Quality, Risk & Compliance is responsible for developing, leading, and sustaining a comprehensive compliance, risk, and quality assurance program across the organization. This includes oversight of regulatory audits, contract compliance, HIPAA privacy, records retention, complaint resolution, and continuous quality improvement. This position ensures that organizational practices meet regulatory and accreditation standards while promoting a culture of accountability and improvement.

Essential Job Functions:
(Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.)
• Leads agency-wide compliance and risk management efforts, including contract compliance review and reporting, regulatory audit coordination (e.g., CARF, CLIA, OSHA), and oversight of external audits and accreditation processes.
• Serves as the organization’s HIPAA Privacy Officer and Compliance Officer, identifying areas of compliance risk, leading corrective action planning, and proactively mitigating issues.
• Directs the development, review, and maintenance of agency-wide policies, procedures, handbooks, and work instructions in collaboration with internal stakeholders.
• Chairs the Risk Task Force and serves on the Quality Assurance Committee, coordinating cross-functional efforts to evaluate incidents, trends, and regulatory implications.
• Implements and manages the Continuous Quality Improvement (CQI) framework, including the development of compliance-related dashboards and KPIs.
• Leads the design, testing, and training for Business Continuity and Emergency Response Plans, ensuring organizational preparedness.
• Oversees internal systems for incident reporting, customer complaints, records retention, and employee compliance investigations in partnership with HR and other departments.
• Other duties as assigned
Supervisory Responsibilities:

• Performs human resources responsibilities for employees which includes onboarding, training, coaching on performance, completes performance reviews and overall employee morale. Recommends hiring, terminations, compensation changes, promotions, corrective action decisions and terminations. Reviews and approves accurate report of time.
• Responsible for ensuring that personal actions, and actions of employees supervised, comply with the policies, regulations, and laws applicable to the program funders, contracts, and CFI business.

Required Education, Experience, Certifications, Licensure and Credentials: (Where appropriate, education and/or experience may be substituted)
Minimum Required Education: Bachelor’s degree in business administration, Healthcare Administration, Quality Management, Public Health, or a related field. Master’s degree (MBA, MHA, or equivalent) preferred.
Minimum Required Experience: Minimum of 5 years in healthcare or nonprofit operations, with at least 2 years in a quality, compliance, or risk management leadership role.
Required License/Certification/Registration:
Issued By Governing Body (if applicable):
Travel Type: Less than 10%
Knowledge – Skills – Abilities:
• Must be proficient with Microsoft Office, such as Word, Excel, Outlook, and Teams.
• Familiarity with regulatory and accreditation bodies relevant to healthcare and human services.
• Strong understanding of CQI tools and risk assessment methodologies.
• Excellent analytical, communication and facilitation skills
Physical Requirements, Visual Acuity, and Work Conditions:
Physical Requirements: On occasion, must be able to push/pull/lift/move objects weighing at least 20 pounds. This role will require periods of sitting for completion of desk work. This position may require engagement in some physical tasks that may require repetitive movements, crouching, and bending.
Visual Acuity: The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal.
Working Conditions: This position involves working mostly in a professional office environment and is not substantially exposed to adverse environmental conditions. The work environment is climate-controlled and well-lit.