Develops, implements, and maintains programs and systems which foster and support high quality programs that operate in compliance with applicable laws, regulations, accreditation standards, policies, and best practices with the goal of creating positive service outcomes for persons served.

The essential job duties/responsibilities of the position include but are not limited to the information listed
below:

Quality Assurance Responsibilities:

• Works closely with Program Leadership to develop and implement performance standards for the Behavioral Health & Integrated Care Divisions.
• Accountable for preparing programs for initial, routine and follow-up regulatory and licensing review; works in collaboration with the Executive Director of CBHC, VP of Behavioral Health and Director of Compliance.
• Conducts or oversees routine audits of program records or workflows aligned with regulatory requirements and performance improvement initiatives.
• Partners with Program Leadership to communicate quality standards, processes and improvement objectives to program staff.
• Maintains records, reports, and correspondence in conjunction with all internal and external regulatory standards and processes. Tracks and monitors program licenses, and deficiency statements. Writes management reports as needed.

• Assists in the development, review and revision of Policy and Procedures as directed by operations leadership and compliance division.

• When needed, conducts investigations; ensures quality of documentation for incidents reporting, internal reviews, and investigations; consults on issues related to reviews and investigations.
• Delivers presentations and conducts training related to quality standards and quality improvement, as needed.

Quality Improvement Responsibilities:

• Consults and collaborates with operations leaders and teams to design and implement effective quality improvement projects that achieve goals.
• Creates and contributes to culture of continuous quality improvement within BH and Integrated Care divisions
• Day to day project management responsibilities for projects outlined in our CBHC CQIEP plan and health equity strategy, as well as payer-based quality improvement projects for care coordination
• Researches and recommends alternative methods, processes, and procedures to solve problems and improve in areas that need improvement.
• Contributes meaningfully to implementation of quality improvement initiatives, including conducting root cause analyses, developing workflows, or measuring progress of tests of change.
• Supports operations leaders to plan for and execute change management initiatives including developing communication plans, planning for and understanding resistance to change, and engaging with key stakeholders to support the overall objectives.

• Provides consultation to programs and management on systems improvement and data interpretation.
• Manages specific and ad hoc projects designed to improve the quality of Vinfen systems, effective processes, customer service and outcomes.

• Chairs the BH and integrated care CQI Meetings.

 Quality Team:

• Directs and manages the activities of Quality Improvement Specialists. Hires; provides direction, training, and coaching; and evaluates their performance. Utilizes staff appropriately with the goal   of optimizing effort and achieving operational and financial goals.

• Works cross-functionally with Quality, Analytics, IT, Compliance, BH and Integrated Care teams to meet requirements
• Attends and participates in internal and external meetings consistent with the responsibilities of this position, including the CBHC Advisory Group, the IDC meeting, meetings with State regulators.

• Performs other related duties, as required.

Knowledge and Skills:

• Experiencing managing complex quality improvement projects in highly regulated environments to achieve goals
• Strong project management skills
• Strong organizational, analytical, presentation and communication skills; ability to organize and lead diverse teams
• Ability to manage multiple large-scale projects and competing priorities, demonstrating leadership, self-direction and flexibility
• Experience working in locations licensed by DMH, DPH and/or BSAS or awareness of regulatory frameworks for behavioral health clinics preferred
• Experience reviewing and understanding regulatory guidelines and translating to workflows or actions
• Knowledge of or experience applying established quality improvement processes (LEAN, PDSA, Six Sigma, 5S, Kaizen, etc)
• Knowledge about Massachusetts behavioral health reform, community behavioral health centers and care coordination programs
• Ability to provide leadership and team management to staff.
• Attention to detail.
• Sensitivity to cultural, religious, racial, disability, and gender issues
• Knowledge of quality improvement procedures and practices; personal computer applications and equipment; statistics and evaluation techniques; national accreditation standards; funding source regulations and requirements; program specifications, operations and best practices and use of participatory planning processes

Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,500 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in over 550 sites throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers.

My Job. My Community. My Vinfen.

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Typical Requirements:

• 7 years’ experience in Human Services, Behavioral Health, or Healthcare of which at least three years have been in a Quality focused role.
• Access to reliable vehicle for local travel for program site visits or meetings.
• This is a hybrid position, which will require being on-site in Lowell approximately 3 days per week.

Preferred /Required Education:

Bachelor's degree required. Master’s degree in public health, human services, quality, business administration, or related field preferred.