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About the Role

This position is responsible for the quality assurance and compliance functions of agency program operations and leads the agency’s accreditation readiness efforts, including the Council on Accreditation (COA) process. The position ensures compliance with accreditation standards, licensure requirements, contractual obligations, applicable laws and regulations, and internal policies.

Responsibilities

Identify compliance risks, coordinate internal audits and corrective actions, and develop compliance training.
Support continuous quality improvement and communicate with agency leadership, outside funders, regulators, and accrediting organizations.
Support internal investigations.
Interact with clients, staff, and community members with respect and courtesy.
Collaborate with executive staff, directors, program managers, and other agency leaders.
Represent the agency in interactions with outside funders, regulators, and accrediting organizations.
Maintain client and staff confidentiality.
Maintain working knowledge of accreditation, regulatory, licensure, and contractual standards.
Lead and oversee the agency’s COA accreditation process and other assigned accreditation activities.
Coordinate accreditation planning, standards review, gap assessments, evidence development, and corrective actions.
Serve as the agency Prison Rape Elimination Act (PREA) Coordinator.
Coordinate PREA compliance efforts and audits.
Conduct or coordinate investigations as required.
Complete the annual PREA report for publication.
Prepare and distribute continuous quality improvement reports by collecting, analyzing, and summarizing information and trends.
Draft policy and procedures in accordance with accreditation standards, licensure requirements, contract obligations, or changes in law.
Ensure manuals, client handbooks, and intake packets are updated and distributed annually.
Ensure adherence to accreditation standards, licensure requirements, contract obligations, or changes in law through development of a quality assurance plan.
Ensure compliance through monthly inspections of licensed, accredited, and contracted programs.
Develop and maintain an evidence of compliance binder for all applicable programs.
Create corrective action plans for programs failing standards.
Develop and maintain a compliance calendar for staff credentials and clearances.
Serve as Corporate Compliance Officer.
Prepare annual report to CEO and Board of Directors of all efforts related to corporate compliance.
Arrange, participate in, and implement, as directed, conferences and committee meetings.
Perform assigned duties as it relates to Volunteers of America chartering standards.
Complete and maintain OSHA 300 logs.
Monitor and assist on incident reporting and root cause analyses.
Support internal investigations while maintaining clear role boundaries.
Lead program-related investigations when appropriate.
Perform other duties as assigned.

Requirements

Valid driver’s license and ability to meet agency driving standards.
Ability and willingness to obtain required or agency-designated accreditation and compliance certifications within the first year of employment.
Ability to maintain confidentiality, exercise sound judgment, manage competing priorities, and coordinate complex compliance and quality-improvement activities.
Excellent written and verbal communication, analytical, organizational, project management, and computer skills.
Ability to work effectively with executive staff, directors, program managers, outside funders, regulators, accrediting organizations, and employees across programs and departments.
Experience interpreting and applying accreditation standards, regulatory requirements, contractual obligations, and organizational policies, preferred.
Associates degree from an accredited college and at least four years of related experience in compliance, quality assurance, accreditation, program administration, human resources, human services, or a related field, required.

Skills

Quality assurance
Compliance
Accreditation readiness
Council on Accreditation (COA) process
Licensure requirements
Contractual obligations
Laws and regulations
Internal policies
Compliance risks identification
Internal audits
Corrective actions
Compliance training development
Continuous quality improvement
Communication with leadership, funders, regulators, and accrediting organizations
Internal investigations support
Client interaction
Staff interaction
Community member interaction
Executive staff collaboration
Director collaboration
Program manager collaboration
Agency leader collaboration
Outside funder representation
Regulator representation
Accrediting organization representation
Confidentiality maintenance
Working knowledge of accreditation standards
Working knowledge of regulatory requirements
Working knowledge of licensure requirements
Working knowledge of contractual obligations
NAEYC certification
ACA Surveyor certification
PREA Coordinator certification
Accreditation planning
Standards review
Applicability determinations
Gap assessments
Evidence development
Readiness monitoring
Communications with accrediting bodies
Schedule and deliverable coordination
Prison Rape Elimination Act (PREA) compliance
PREA audits
PREA investigations
Annual PREA report preparation
Continuous quality improvement report preparation
Data collection
Data analysis
Information summarization
Trend analysis
Administrative incident report analysis
Client grievance analysis
Policy and procedure drafting
Manual drafting
Client handbook drafting
Intake packet drafting
Quality assurance plan development
Monthly inspections
Evidence of compliance binder development
Corrective action plan creation
Compliance calendar development
Corporate Compliance Officer duties
Annual report preparation for CEO and Board of Directors
Conference participation
Committee meeting participation
OSHA 300 log completion
Incident reporting monitoring
Root cause analysis assistance
Written communication
Verbal communication
Analytical skills
Organizational skills
Project management skills
Computer skills

Location

Rochester, NY

Work Type

Full Time
On-site

Experience Level

4+ years of related experience

Education Level

Associates degree

Salary/Compensations

$80,000-$85,000

About the Company

At Volunteers of America, we are dedicated to restoring hope, dignity, and a sense of belonging for people facing challenges.
Our mission is to foster self-reliance and stability by delivering essential services in housing, education, and health.

Equal Opportunity

All qualified applicants will be afforded equal employment opportunity and will be considered for employment without regard to race, creed, color, national origin, sex, sexual orientation, gender identity, age disability, protected veteran status, or marital status.