Quality and Compliance Supervisor

POSITION SUMMARY

The Quality and Compliance Supervisor will support the organization's quality assurance and compliance initiatives by supervising day-to-day quality and compliance operations, monitoring contractual and regulatory requirements, and supporting continuous improvement efforts across programs and departments. This role serves as a liaison between Quality and Compliance leadership, Operations teams, and Program leadership to ensure organizational adherence to Medicaid, State, Federal, and contractual requirements.

The Quality and Compliance Supervisor is responsible for overseeing audits, investigations, corrective action planning, reporting, staff support, and compliance tracking activities while promoting a culture of accountability, quality improvement, and operational excellence. This position requires strong analytical, organizational, project management, and leadership skills, as well as the ability to manage multiple priorities in a fast-paced environment.

ROLE AND ESSENTIAL FUNCTIONS

* Supervise and support Quality and Compliance team members in daily operations, workload management, and professional development

* Conduct routine coaching and performance evaluations with staff

* Support corrective action plans and development planning with staff

* Assist with onboarding and training team members

* Establish clear expectations and ensure adherence to the score card measurements

* Maintain detailed understanding of all current AFA contracts, provider manuals, policies, and applicable State and Federal regulations

* Serve as a subject matter resource regarding contract compliance, program requirements, and quality assurance processes

* Act as a liaison between Program Managers, Executive Directors, Operations teams, and other departments to resolve compliance concerns, contractual issues, audit findings, and operational risks

* Assist with the implementation and oversight of quality assurance and compliance programs, systems, and initiatives across the organization

* Coordinate and oversee internal and external audits, Requests for Information (RFI), subpoenas, surveys, and regulatory reviews

* Facilitate cross-department collaboration to compile accurate and timely audit documentation while maintaining compliance with HIPAA and contractual requirements

* Review audit findings, identify trends and risks, and provide recommendations to leadership to support quality improvement initiatives

* Monitor and oversee complaint tracking, investigations, trending analysis, and escalation processes

* Support departments in developing and implementing corrective and preventative action plans to resolve compliance and quality concerns

* Research, analyze, and communicate changes in legislation, regulations, contracts, and program requirements that may impact operations or organizational compliance

* Assist in the development, implementation, and maintenance of policies, procedures, forms, reporting tools, and internal controls to support compliance objectives

* Develop and maintain reports, metrics, dashboards, and tracking systems to measure organizational performance and compliance outcomes

* Lead or support quality improvement initiatives utilizing structured problem-solving and process improvement methodologies

* Assist with the development and delivery of staff trainings related to quality assurance, compliance requirements, audits, and contractual obligations

* Monitor completion of required trainings and compliance activities to ensure contractual and regulatory standards are met

* Communicate key risks, audit results, and compliance concerns to leadership to support informed decision-making and operational improvements

* Independently manage and prioritize multiple projects and assignments while meeting strict deadlines

* Occasionally work evenings or weekends as needed to support audits, deadlines, or high-volume demands

* Perform other work-related duties as assigned