Quality Assurance, Risk and Compliance Specialist

Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty and addictions. We hire people that are skilled and passionate to meet our mission to end homelessness through outcome-based strategies which support personal and community transformation.

The QARC Specialist is responsible for supporting the QARC Department in operating systems, completing projects, and supporting compliance for a broad range of services including behavioral health, medical services, employment, housing, and other support services. The QARC Specialist is responsible for assisting QARC activities related to contractual requirements and federal, state, and local government regulations. This position demands strong organizational skills, attention to detail, and the ability to manage confidential information with the utmost integrity. This position also requires the ability to evaluate options, make key decisions, and act independently.

Schedule: Monday - Friday, (8:30am - 5:00pm)

Location: Administration (232 NW 6th Ave, Portland, OR 97209)

Compensation: $62,025.60-$80,641.60/annually *This range is influenced by professional experience*

REQUIRED QUALIFICATIONS:

• Bachelor's degree in social sciences, business or public administration, a health-care related field or another relevant field of study.
• 2 years of experience in a social services, healthcare, professional office worker, or comparable role.
• Demonstrated history and capability in completing high-risk, confidential, detail oriented work with a high degree of accountability and reliability.
• High degree of computer literacy required, including ability to learn new software and systems.
• Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
• Ability to adhere to Central City Concern's drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Workplace Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliations, cultural backgrounds, lifestyles, and sexual orientations and treat each individual with respect and dignity.

PREFERRED QUALIFICATIONS:

• Knowledge of health care systems, particularly knowledge of primary care, mental health and substance abuse, community health care, and/or Federally Qualified Health Center regulations.
• Familiarity with a variety of the quality, risk, and compliance field's concepts, practices, and procedures, especially the elements of an effective compliance program.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Independently assess incoming reports and make decisions about what constitutes appropriate action based on independent judgment related to knowledge of department and company legal requirements. Direct other CCC staff in appropriate action, assess compliance with direction and document staff performance related to expectation, independently determine whether compliance meets expected standard or whether disciplinary action or remediation is necessary, and communicate recommendations for disciplinary or remediation steps to management.
• Work with the QARC team support the management and continuous improvement of operating systems to support QARC projects, filings, and initiatives as assigned by the QARC leadership team.
• Collaborate with supervisor and senior staff, analyze qualitative and quantitative data to identify trends, disparities, and opportunities for improvement. Assist with the development and presentation of recommendations to leadership based on results of analyses.
• Work with supervisors and senior staff, assist with the development and implementation of quality assurance, risk, and compliance improvement projects and quality assurance, risk, and compliance project coordination.
• Work with the QARC team, including assisting with special projects and tasks such as document drafting and data entry.
• As a member of the QARC operations team, hold regular daily responsibility to independently manage multiple data systems owned by QARC and essential to the business operations of CCC, including, but not limited to, IR, LCA desk, Modio database, and the Safety 101 data system. Perform routine data entry of highly technical information and perform continuous self-assessment of work to catch and correct errors.
• Manage regularly scheduled trainings regarding key areas of compliance, such as HIPAA, 42 CFR part 2, Medicare/Medicaid fraud, waste, and abuse, records release, and other compliance obligations.
• Communicate regularly and persuasively with a wide range of company staff to collect needed information, ensure action items are completed, and advance ongoing projects. Respond to program queries about QARC issues as assigned.
• Demonstrate personal attentiveness, responsiveness, and prompt follow-up to all internal and external stakeholders.
• Support administrative departments in a variety of compliance related tasks as assigned.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners' and outside providers' patient confidentiality agreements, including privacy and security requirements for EMR access. This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee.
• Participate in professional development activities and attend all mandatory CCC trainings in a timely manner.
• Perform other duties as assigned.

SKILLS AND ABILITIES:

• Ability to handle sensitive and confidential information on a daily and ongoing basis.
• Ability to exercise professional discretion in performance of job duties.
• Proficiency in balancing numerous tasks and priorities while meeting deadlines.
• Ability to work effectively in high-pressure situations.
• Ability to act independently within scope of role and provide great customer service to stakeholders.
• Sound decision-making skills and excellent professional judgment.
• Ability to effectively facilitate groups and individuals through influence and collaboration.
• Ability to communicate clearly and concisely both orally and in writing, including technical writing, interpersonal skills, and speaking to groups of employees.
• Ability to display a non-judgmental attitude and show diplomacy and tact. Ability to work courteously and communicate effectively with clients, co-workers, program staff, and the public at large.
• Ability to learn new skills.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Ability to manage time and meet deadlines.
• Ability to maintain accurate records and necessary paperwork.
• Ability to plan, coordinate, organize, train, and implement.
• Ability to work with a wide range of constituencies in a diverse community.
• Ability to manage time, work independently, and meet deadlines.

Benefits at Central City Concern

We offer incredible benefits to our employees, including an extensive total rewards package, competitive compensation, medical, dental, vision, Student loan repayment options, and retirement savings matching plans!

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year! Accrual amount/rate increases with longevity.
• Up to 11 recognized Holidays and 2 personal holidays (dependent on work shift schedule)
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer-Paid Life, Short-Term Disability, & Long-Term Disability Insurance!
• Sabbatical Program offering extended time off at years 7, 14, and 21.

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required for the position.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, and pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.

Central City Concern is a second-chance employer and complies with applicable laws regarding the consideration of criminal background for employment purposes. Government regulations, contractual requirements, or the duties of this particular job may require CCC to conduct a background check and take appropriate action to address prior criminal convictions.