Provider Compliance Manager

The mission of the Department of Developmental Services (DDS) is to create, in partnership with others, innovative and genuine opportunities for individuals with intellectual and developmental disabilities to participate full and meaningfully in, and contribute to, their communities as valued members.

The Provider Compliance Manager (Manager) works in the Department’s Office of Quality Management (OQM) under the supervision of the Assistant Commissioner of Quality Management. OQM is specifically dedicated to developing, implementing and refining all aspects of the Department’s quality management and improvement system. OQM approaches quality from three perspectives: individual, provider, and system. OQM oversees risk management, human rights, medication administration, health equity, clinical consultations, mortality reviews, and licensure/certification. There are many systems and processes of oversight to address quality at the individual level. Similarly, licensure/certification addresses overall quality at the level of the provider and its systems. The Provider Compliance Manager will be charged with the oversight of the specific settings, locations, and sites of providers, monitoring the ongoing quality of providers at a site level. Specifically, the Manager will use data analytics to identify provider compliance issues and concerns about service provision which presents risks to the health, safety, and welfare of service recipients.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

The Provider Compliance Manager will oversee the development and implementation of a data analytic system that synthesizes and summarizes incident report data, DPPC allegation and investigation data, restraint reports, medication occurrence reports, information from health care records, and information from DDS field staff at a site and provider level. The Manager will then use this system to identify patterns and trends that may indicate issues and challenges at sites and/or providers. Once identified, the Manager will communicate these patterns and trends with the Areas and Regions impacted. The Manager will coordinate with the Areas and Regions (including the Administrative Review Managers) and other appropriate DDS staff through regularly scheduled meetings. During these meetings, the Manager will guide the staff to determine action plans and next steps to mitigate, improve, or otherwise solve the issues/challenges reported. The Manager will review action plans and next steps for appropriateness and completeness given the issues/challenges reported and will assure that responsible parties are identified and engaged. The Manager will monitor the progress of the action plans and next steps through the regularly scheduled meetings and through documentation.

The Manager will indirectly supervise 4 regional Administrative Review Managers. This will include participation in the hiring, training, and supervision of these staff. The Manager will coordinate the activities of the Regional Administrative Review Managers, providing guidance, training, and oversight of action plan activities which are tasked to them. This will include organizing and facilitating regular statewide meetings of the group of these managers.

The Manager will utilize interns on a regular basis. The Manager will assess OQM needs and make recommendations to engage in the hiring of interns to assist with discrete projects as needed. The Manager will directly supervise these interns. This will include participation in the hiring, training, and supervision of these staff. 

The Manager will lead day-to-day efforts to ensure that DDS has the tools and data it needs to conduct monitoring and oversight operations as well as report to DDS and EOHHS senior lea