
TPA Contract Compliance Manager
- Los Angeles, CA
- $77,000-82,000 per year
- Permanent
- Full-time
- The Quality Assurance Manager for The Third Party Administrator (TPA) project develops and oversees a network of community-based organizations and non-profits as subrecipient Grantees for Care First, Community Investments Funds (CFCI). This position audits fidelity to awarded Grantees , service quantity and quality, licensure, certification, physical facility conditions, staff qualifications, and staff-to-client ratios as specified in individual subcontracts. This position collaborates with the Project Director and Leadership members to ensure quality improvement/compliance, establish contracts with Grantees and optimize the utilization of CFCI and Non-CFCI funds and comply with funding parameters.
- Develop network of subcontracted Grantees.
- · Monitor subcontracted Grantees and activities to ensure compliance with administrative and fiscal regulations in accordance with contract provisions.
- · The Contractor shall ensure the Grantees design, development of, and implementation of programs that are evidence-based, gender-responsive, trauma-informed, culturally competent, family-focused, and strength-based, while utilizing motivational interviewing techniques.
- · Work with network of community bases organizations to establish ongoing quality assurance monitoring processes and reviews (CAN's and/or PIP's).
- · Conducts sites visits and reviews site monitoring tools of Grantees, and supervision implementation of corrective action notice to ensure high quality services are provided under CFCI Grants.
- · Provide guidance for JCOD management team on matters relating to contract compliance.
- · Develop, initiate, maintain, revise policies and procedures/obtain Amity management policy and procedure approval for the general operation of the compliance program.
- · Respond to alleged violations of rules, regulations, policies, and standards of conduct by initiating investigative strategies with guidance from the JCOD and management team.
- · Reports on a regular basis, and as directed or requested to keep the Project Director and senior management informed on the operation and progress of compliance efforts.
- · Maintain collaborative relationships with Amity Departments, and Community Partners.
- · Ensures all contract and compliance requirements are being followed and implemented by Amity Foundation and Grantees.
- · Prepare and maintain all compliance folders related to Grantees performance, CAN's, PIP's and terminations.
- · Plan, organize and implement effective training and technical assistance series (webinars or in-person) for TPA subrecipients on a variety of topics, which may include but is not limited to contract compliance, fidelity to modality services, how to address and enter data for reporting, developing pre- and post-surveys, hiring and background checks, financial documentation, writing and implementing COVID policies, how to manage a budget, IT infrastructure and security, quarterly reporting, milestone adjustment, how to request a budget amendment, assessment tools such as tracking stories, public relations, publicity, board development, measuring success, contract review, policies and procedures resources, personnel practices, OMB Circulars, audit preparation, HIPAA, and FERPA.
- · Supervises and monitors a team of Quality Assurance Specialist.
- Minimum (2) year AA degree (or higher) and two (2) years of administrative quality assurance/improvement related experience, OR a Minimum of a High School Diploma or equivalent and four (4) years' experience administrative quality assurance/improvement related experience
- Third party administrator operational and organizational experience or similar experience.
- · Experience working in a substance abuse program with criminal justice offenders
- Within specified contract timeframes, personnel file shall document evidence of participation in the following trainings:
- New Employee Orientation (Organizational and Programmatic Orientation)
- Participation in mandatory Grantee Orientation
- Motivational Interviewing
- Monthly Training
- Additional training topics relevant to the delivery of treatment services may include:
- Required Curriculum (if applicable)
- Agency and project-specific case management and record keeping requirements
- Appropriate, required individualized treatment/action plan documentation
- Working with participant in a secure facility setting
- Professional ethics and overfamiliarity
- Confidentiality (Title 42 Code of Federal Regulations (CFR) Part 2)
- Process group and cognitive skills group
- Counseling and other skills necessary to develop a treatment community within a prison setting
- Therapeutic community concepts
- Trauma-Informed Care
- Criminal justice treatment
- Gender responsive treatment
- Criminality
- Impact of trauma on SUD and criminality
- Treatment of trauma
- Treatment within a diverse offender population
- Issues impacting SUD and criminality
- Cultural Competency Training
- CPR Certification, First Aid Certification and an annual Tuberculosis (TB) test
- Sexual Harassment Prevention
- Emergency Procedures
- Health Insurance Portability Accountability Act (Title 45 CFR Part 164)
- Signed acknowledgement of Drug Free Workplace policy
- Signed CDCR Prison Rape Elimination Policy (PREA) form
- Participate in monthly, block, cross-training, curriculum trainings, technical assistance training or other training as appropriate.
- Highly competent in organizational leadership and contract compliance.
- · Ability to integrate, disseminate, and implement requirements, reporting timeframes and/or procedure changes.
- · Excellent interpersonal and communications skills and the ability to work effectively with a wide range of constituencies in the community and within the organization.
- · Ability to integrate budgetary and service utilization data, to forecast expenditures, and respond to ensure both effective provider utilization and budget compliance.
- · Ability to multi-task, identify problems, provide recommendations to management teams, and implement any applicable systems.
- · Ability to integrate and align subcontractor interests and funding limitations.
- · Ability to work constructively with diverse people and with parties that may have divergent perspectives and interests.
- · Ability to clearly express concepts and direction, both orally and in writing, and to prepare complex reports, policies, and procedures.