Salary: $90,000/year - $100,000/year
Position Summary
The Director of Compliance & Quality Assurance provides strategic leadership and oversight of the agency’s compliance, quality assurance (QA), and continuous quality improvement (QI) programs across medical, dental, care management, and behavioral health services delivered in school-based and community clinic settings throughout New York City.
The Director ensures full compliance with New York State Department of Health (NYSDOH) and New York State Office of Mental Health (OMH) regulatory requirements for Article 28 Diagnostic and Treatment Centers, Article 29I Health Facilities, and Article 31 Mental Health Clinics, as well as federal requirements under Title X and Patient-Centered Medical Home (PCMH), while advancing a culture of quality, patient safety, and continuous improvement. This role partners closely with clinical leadership, operations, compliance, and data teams to translate regulatory requirements into effective practice, strengthen clinical quality and outcomes, and prepare the agency for audits, surveys, and licensing reviews.
Reporting to the Vice President of Health Services, the Director of Compliance & Quality Assurance is accountable for regulatory compliance, accreditation readiness, quality improvement initiatives, risk mitigation, performance monitoring, and the development of systems that promote high-quality, safe, and effective patient care across all Health Services programs.
Children’s Aid Mission
To help children in poverty to succeed and thrive. We do this by providing comprehensive support to children and their families in targeted high-needs New York City neighborhoods. Children’s Aid annually serves children and their families at over 40 sites in New York, as well as through three national program models. Children’s Aid is concentrating its efforts on creating cradle-through-college pathways in high-need neighborhoods, with a focus on children’s health, family stability, education, and social and emotional development.
Culture and Values
We put children, youth, and families first: We listen to and incorporate the voices of children, youth and families in all that we do.
We seek equity and transformation in our communities: We courageously work within and outside systems to create opportunities for children, youth and families.
We strive for excellence: We hold ourselves to the highest standards and are committed to continuous learning and improvement.
We are powered by collaboration: Our work is stronger when we trust, partner, and respect each other and the communities we serve.
We are driven by compassion: We lead with kindness, care, and empathy and believe in the endless potential of the people we serve and our team.
Essential Duties and Responsibilities
Regulatory Compliance & Oversight
- Provide agency-wide support for compliance with NYSDOH and OMH regulations governing Article 28, Article 29I, Title X and Article 31 licensure, including all applicable state, federal, and Medicaid requirements.
- Serve as the primary subject matter expert on clinical regulatory standards impacting medical, dental, and behavioral health programs in school-based and community settings.
- Coordinate and support preparation for, response to, and follow-up from external audits, licensure surveys, and regulatory reviews conducted by NYSDOH, OMH, managed care organizations, and other oversight entities.
- Collaborate with agency Compliance, Legal, and Risk Management functions to ensure alignment with agency-wide compliance programs.
Quality Assurance & Continuous Quality Improvement
- Design, implement, and oversee a comprehensive Quality Assurance and Continuous Quality Improvement (CQI) programthat aligns regulatory requirements with national standards of care and agency priorities.
- Supportsthe development, implementation, and annual evaluation of the agency’s Quality Improvement Plan, including clinical, operational, and patient experience measures.
- Lead CQI committees and subcommittees, ensuring regular review of quality indicators, audit findings, incident trends, patient complaints, and clinical outcomes across disciplines.
- Promote the use of data driven improvement methodologies to improve quality, safety, access, and equity in care delivery.
Clinical Quality & Patient Safety
- Partner with Medical, Dental, and Behavioral Health leadership to monitor clinical quality metrics, adherence to evidence-based practices, and outcomes across service lines.
- Ensure effective systems for incident reporting, root cause analysis, corrective and preventive action planning, and follow-up.
- Oversee infection control, patient safety, and risk mitigation activities across all clinic sites.
Policies, Procedures & Training
- Lead the development, review, and maintenance of clinical and quality related policies and procedures to ensure consistency with regulatory standards and best practices.
- Develop and deliver training and technical assistance for clinical, operational, and leadership staff on compliance, quality, documentation, and regulatory readiness.
- Support a culture of accountability, transparency, and continuous learning across multidisciplinary teams.
Data, Reporting & Performance Monitoring
- Collaborate with data teams to define quality measures, dashboards, and reporting structures to support regulatory reporting and internal oversight.
- Analyze trends in performance data and prepare reports for executive leadership, governing bodies, and external stakeholders.
Ensure documentation systems and medical records support compliance, quality monitoring, and audit readiness.
Minimum Qualifications
- Master’s degree in Public Health, Health Administration, Nursing, Social Work, Psychology, or a related health or human services field preferred.
- Minimum 7–10 years of progressively responsible experience in healthcare compliance, quality assurance, or quality improvement within regulated healthcare settings.
- Demonstrated experience with NYSDOH and/or OMH regulatory environments, including Article 28, Article 29I, Title X and/or Article 31 licensure.
- Experience overseeing quality programs in community health centers, school-based health programs, or nonprofit healthcare organizations strongly preferred.
It is the policy of Children's Aid to provide equal employment opportunity to all employees and applicants for employment and is dedicated to maintaining a work environment that is free from harassment and discrimination. Children's Aid will not tolerate discrimination, harassment, or retaliation on any basis, including race, creed, color, national origin, ethnicity, alienage or citizenship status, gender/sex (including pregnancy), disability, religion, source of income, sexual orientation, gender identity or expression, age, familial status, caregiver status, military status, marital or partnership status, status as a victim of domestic violence, sexual violence or stalking, predisposing genetic characteristics, arrest or conviction record, credit history, unemployment status or any other characteristic protected by federal, state or local law. Children’s Aid is committed to complying with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Children’s Aid will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner and will take appropriate corrective action, if and where warranted. Children’s Aid prohibits retaliation against employees who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy.
The incumbent is expected to work a schedule, whether in-person or hybrid, as determined by the department's needs to facilitate effective collaboration with the team. This flexibility is essential for maintaining seamless communication, fostering teamwork, and ensuring the smooth operation of the department's processes. The position's requirements are subject to periodic review and adjustment based on organizational needs and changes in work dynamics.
Required
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7 - 10 years: Experience in healthcare compliance, quality assurance, or quality improvement within regulated healthcare settings
Required
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Bachelors or better in Health Services Administration or related field
Preferred
Preferred
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Functional Expert: Considered a thought leader on a subject
Preferred
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Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
