Director of Quality, Compliance, & Accreditation

Job Description

Job Description

Location: Springfield, MA

Program: Administration

Hours: Full-Time 40hrs/wk

Pay Range: $85K- $90K/year

Responsibilities

Job Summary - The Director of Quality, Compliance & Accreditation provides strategic leadership for MCS's compliance, accreditation, licensing, and quality management programs. This position ensures organizational compliance with federal, state, payer, and accreditation requirements while fostering a culture of continuous quality improvement, accountability, and operational excellence.

JOB SPECIFIC RESPONSIBILITIES

*Develop and oversee MCS's organization-wide compliance and quality management programs to ensure compliance with applicable federal, state, payer, licensing, and accreditation requirements.

*Interpret regulatory standards and translate them into organizational policies, procedures, and operational practices.

*Maintain continuous readiness for MassHealth, CARF, DDS, BHCOE, and other regulatory reviews through ongoing monitoring, auditing, and quality assurance activities.

*Monitor regulatory changes and ensure organizational compliance across all MCS service lines.

*Track quality indicators, compliance metrics, and performance outcomes to identify trends and improvement opportunities.

*Coordinate accreditation, licensing, and regulatory surveys, audits, and corrective action plans.

*Conduct compliance investigations, organizational risk assessments, and incident trend analyses to mitigate risk.

*Analyze client outcomes, satisfaction data, workforce metrics, and quality indicators to drive continuous improvement.

*Prepare and present compliance, quality, and risk reports to executive leadership and governing bodies.

*Collaborate with leadership on emergency preparedness, risk management, and organizational performance initiatives.

*Develop and deliver compliance, accreditation, and quality improvement training for employees at all levels.

*Serve as the primary liaison with regulatory agencies, accreditation organizations, auditors, and licensing authorities.

JOB COMPETENCIES REQUIRED

The Director of Compliance & Quality Assurance must demonstrate exceptional leadership, collaboration, and communication skills, with the ability to partner effectively with executive leadership, program directors, clinical leaders, and operational teams to ensure regulatory compliance, accreditation readiness, risk mitigation, and high-quality service outcomes. The Director of Compliance & Quality Assurance will possess strong strategic and analytical abilities, with expertise in compliance management, quality improvement, performance measurement, policy development, incident management, and accreditation oversight. This individual must be capable of leading and mentoring compliance and quality personnel while fostering a culture of accountability, continuous improvement, and organizational excellence across all MCS programs and services.

Required Qualifications, Skills, and Training

• Master’s degree preferred in Healthcare Administration, Public Administration, Behavioral Health, Social Work, Psychology, Applied Behavior Analysis, Nursing, Business Administration, Law, or a related field; or a bachelor’s degree with a minimum of ten (10) years of progressively responsible experience in healthcare compliance, quality management, accreditation, risk management, or regulatory affairs.
• Minimum of seven (7) years of leadership experience in healthcare, behavioral health, human services, developmental disability services, or related field.
• At least five (5) years of experience leading compliance, accreditation, licensing, quality assurance, or regulatory oversight activities.
• Demonstrated knowledge of Massachusetts DDS licensing and Office of Quality Enhancement (OQE) requirements. Experience with CARF, Behavioral Health Center of Excellence (BHCOE), Medicaid, and other payer or accreditation standards is strongly preferred.
• Proven experience leading regulatory audits, corrective action planning, organizational quality improvement initiatives, performance measurement systems, and multi-site compliance efforts.