The Chief Quality Officer is a top tier executive at Juneau Youth Services overseeing all compliance, quality, utilization, productivity and privacy concerns of the organization.
Reports to: Executive Director
Supervises: Compliance and Quality auditors and Medical Records staff.
The Chief Quality Officer is responsible for establishing standards and implementing procedures for the JYS Quality, Compliance and Privacy programs.
As the Quality leader, the CQO ensures that systems are in place to measure, evaluate and improve quality across programs, services and operations. The duties and responsibilities include but are not limited to:
- Communicating and implementing the organization’s vision, mission, values and strategic plan.
- Ensuring that corporate-wide quality management systems effectively measure, evaluate and improve the quality and performance of JYS programs and operations.
- Fostering a collaborative, internal and external customer focused, solution-oriented environment that supports JYS’s mission, core values, and strategic direction.
- Responsible for preparing the organization for ongoing change and developing innovative initiatives to enhance internal efficiency and effectiveness.
- Ensuring constant preparedness for licensing and/or accreditation surveys and/or investigations.
- Chair the continuous quality improvement team.
The CQO is responsible for establishing standards and implementing procedures to ensure that the organization’s compliance program is effective and efficient in identifying, preventing, detecting and correcting noncompliance with applicable laws and regulations. This may include, but is not limited to:
- Developing and administering an effective compliance program.
- Developing the annual compliance work plan including development of the annual auditing and monitoring plan
- Providing guidance, advice, and/or training and educational programs, to improve business’ understanding of related laws and regulatory requirements.
- Providing strategic direction to the executive and leadership teams on compliance.
- Preparing and presenting clear and concise compliance reports to the Board.
- Interacting with regulators on compliance issues.
- Coordinating efforts related to audits, reviews, and examinations.
- Developing policies and programs that encourage managers and employees to report suspected fraud and other improprieties, without fear of retaliation.
- Independently investigating and acting on matters related to compliance.
- Monitoring external review processes.
Serves as the organization’s privacy officer ensuring compliance with 45 CFR (HIPAA) and 42 CFR part 2.
Ability to establish strong, productive and trusting relationships with internal staff and external customers, partners, donors and supporters.
Ability to maintain professional boundaries at all times, remaining objective when providing recommendations and performing investigations.
Ability to remain calm and focused during stressful events.
Use discretion at all times in communications with JYS staff and colleagues, in particular with regards to investigations, suspected or actual violations and regulatory concerns. The CQO should be able to manage accountability while maintaining the dignity of colleagues at all times.
Demonstrates effective problem solving skills and active listening.
Ability to communicate effectively, both orally and in writing.
Organize and engage in multiple, complicated, simultaneous projects.
Ability to delegate while holding staff and colleagues accountable.
Ability to find and analyze trends in behavioral health and assist the organization in staying relevant and vibrant.
Engage staff and colleagues in preparing for an unknown future, while remaining focused on delivery of legal and quality-based services.
Public speaking skills are encouraged.
Knowledge and Experience
The CQO must know where and how to obtain guidance and regulatory change notices.
The CQO must have working knowledge of the seven elements of compliance.
The CQO must be able to utilize and communicate using concepts of basic statistics.
Use of excel spreadsheets and development of charts and graphs to communicate high level conceptual analytics to lay staff.
Concepts of high risk and high reliability. Ideas about applying high reliability concepts in a behavioral health environment.
Training in health care compliance, and/or health care quality. Certification in compliance (CHC) or quality (CPHQ) preferred. MA in behavioral health or related field desired.
Proficient use of Microsoft Office software.
Clearance of state and federal background checks.
Completion of required trainings according to established timelines and per job class and program assignment.
NOTE: JYS is a dynamic organization changing as needed to best address its goals. This job description is representative of duties at a moment in time and is intended as a “living document” updated periodically to reflect changes in job responsibilities and/or emphasis. It is not intended or implied to be an employment contract but is a communication tool to explain the responsibilities, advertise the job and identify performance measures and potential training needs.