Head of Quality & Compliance

Who we are:

At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever.

We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose. 

If you’re looking to roll up your sleeves and meet hard challenges head-on, then we’re looking for you.

The role:

We are seeking a Head of Quality and Compliance. In this role you will have oversight of the overall compliance and quality-improvement program for Better Life Partners. You will be accountable for tracking changes in regulations nationally and  in our states and ensuring that our policies and procedures are appropriately adherent. You will lead our quality improvement program, helping to identify opportunities and providing oversight for quality improvement plans and execution. You will oversee the process by which we codify our essential policies and procedures.

This is a hybrid position. About 3 days per month, you may be expected to work from our shared workspaces in New York, NY;  Boston, MA; Fayetteville, North Carolina, or Manchester, NH. When not in the shared workspaces, you’ll work from home. Candidates must reside in one of the following states: Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, Vermont, Connecticut, District of Columbia, Virginia, or Georgia.

• Leads the compliance and quality department including developing and maintaining relevant policies and procedures, and resource requirements
• Acts as key point of contact for  any and all audits, inspections or investigations relating to grievances, privacy issues, and other compliance issues
• Reviews all contracts and develops auditing instruments based on contractual and regulatory requirements, as well as works closely with Payor Development team to identify incoming requirements
• Conducts regular internal clinical audits of member records, ensuring compliance with all contractual, regulatory and documentation requirements
• Audits programs, policies and procedures, ensuring corporate and programmatic compliance with their contract requirements  
• Provides training and education on compliance and other areas as identified through auditing and other quality improvement processes including drafting with appropriate teams any corrective action plans
• Maintains adherence to current regulations and communicates regulatory changes to programs as needed, working with programs on incorporating any identified changes  
• Facilitates regular Compliance meetings and participates in other various meetings as necessary
• Collaborates with Key Stakeholders  on new program initiatives, helping to ensure compliance with regulatory guidelines as well as payor contracts
• Works with current program and State Leadership on licensing processes, ensuring that contractual, accreditation and regulatory requirements are followed
• Create corrective action plans for detected deficiencies and oversee the completion of plans
• Supervise the Medical Records Department
• Serves as Privacy Officer
• Chair the Policy Committee and oversee the lifecycle of all company policies and procedures
• Additional responsibilities as assigned

• Previous experience in Payor Clinical Audits, including Medicaid and Medicare
• Prior experience leading audits for a healthcare organization
• A Bachelors degree
• Experience working in a fast-paced environment
• Experience building a compliance and quality infrastructure

• A degree in nursing or another healthcare field
• A masters degree
• Certification in Healthcare Compliance (CHC)
• Experience leading audits and accreditation renewals including but not limited to CARF is strongly preferred 
• Experience as a Program Integrity Officer at a plan, managed care organization, or state program preferred
• Worked as an auditor for a payor or healthcare accrediting body

• BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they’re located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs. 

• Must have reliable internet service with a fast upload/download ability
• Ability to ensure any protected health or proprietary data/information is not visible (or audible)  to others in any work location
• Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions

In addition to a competitive compensation package, we’re offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose.

We’re a recovery-friendly workplace that values family life, diversity, equity, and inclusion.