Job Information
Northeast Michigan Community Service Agency Compliance and Quality Director in Alpena, Michigan
Join a mission-driven team dedicated to improving community-based care across Northeast Michigan. The Compliance & Quality Director leads our provider network strategy---strengthening partnerships, ensuring service excellence, and safeguarding program integrity for the MI Choice Waiver and other aging services programs.
What You'll Do:
Build & Support Our Provider Network
- Develop strong relationships with service providers and respond proactively to needs.
- Recruit, evaluate, and onboard new providers to expand long-term care options for participants.
- Lead provider communications, meetings, and collaborative quality-improvement efforts.
Lead Contracting & Program Standards
- Manage contracting processes, renewals, and compliance requirements.
- Ensure alignment with state and federal regulations, Medicaid standards, and OIG expectations.
- Oversee the self-determination program, supporting workers, fiscal intermediaries, and staff.
Monitor Quality & Performance
- Conduct provider reviews, on-site visits, billing checks, and service audits.
- Provide training and technical support to help providers meet service standards.
- Investigate issues, respond to complaints, and report findings to agency leadership.
Serve as MI Choice Waiver Compliance Officer
- Lead agency-wide compliance efforts, including training, risk assessments, and policy updates.
- Chair the Executive Compliance Committee and provide routine updates to leadership and the Board.
- Oversee the Special Investigations Unit to address fraud, waste, and abuse concerns.
- Maintain required OIG reporting and stay current on regulatory changes.
Provide Operational & Privacy Oversight
- Maintain provider databases and support staff workflows.
- Represent the agency in state meetings and internal committees.
- Serve as the HIPAA Privacy Officer, managing privacy policies and incident follow-up.
- Contribute to NCQA quality-improvement activities.
Why This Role Matters:
You'll be at the center of ensuring safe, high-quality care for older adults and adults with disabilities---driving improvements, strengthening provider relationships, and empowering our region's long-term care network.
Requirements
What We'll Love About You!
We're excited to meet someone who brings both passion and professionalism to this role---and who's ready to help us make a meaningful impact in our Area Agency on Aging Division.
Education & Experience
Bachelor's degree in business, Health Care Administration, Human Services, or a related field required. Master's degree in business administration, Health Care Administration, or a related discipline preferred. Compensation based on education level and experience.
Prior experience as a Compliance Officer or related certification (compliance, auditing, privacy, etc.) preferred.
Demonstrated experience in relationship developme