Senior QA Specialist/Investigator - QAS016 - Mon-Fri 9AM-5PM

       About WellLife Network:

WellLife Network is a leading health and human services organization dedicated to supporting individuals and families across New York City and Long Island. Recognized as a 2023 top-rated nonprofit, WellLife Network empowers people to overcome life’s challenges and achieve greater independence, well-being, and inclusion. We offer a comprehensive suite of programs spanning mental health, developmental disabilities, substance abuse, housing, and employment support, all grounded in a commitment to compassionate, high-quality care. Central to our mission is an unwavering dedication to diversity, equity, inclusion, and belonging (DEIB) within our organization and in the communities we serve. As a trusted community partner, WellLife Network fosters a nurturing environment where everyone has the opportunity to thrive and realize their fullest potential.

Position Summary:  As a Senior QA Specialist/Investigator with WellLife Network, you’ll play a critical role in safeguarding both our organization and the people we serve. Your responsibilities include conducting objective investigations into incidents and alleged misconduct involving individuals served, as well as WellLife Network employees and contractors. You will assess program compliance with Federal and State regulations, including OPWDD, OMH, DOH, and CMS standards, along with agency policies and procedures. Additionally, you’ll provide training and technical assistance in incident management and quality assurance, conduct investigations into reportable incidents such as abuse and neglect, and prepare thorough, timely investigation reports. Working across all service areas, you’ll uphold WellLife Network’s mission, core values, and code of ethics.  Additionally as a Senior QA Specialist/Investigator, you will ensure that we adhere to deadlines enforced by oversight agencies.  You will act as a resource for all QA Specialists/Investigators and assist the Director of Quality Assurance and VP of Quality Assurance and Corporate Compliance with investigation reviews and reporting as needed.

Essential Accountabilities:

1. Regulatory Compliance: Conduct site visits, provide training, and review documentation to ensure compliance with federal, state, and agency policies.
2. Incident Management: Investigate incidents thoroughly, meeting regulatory timelines to uphold safety and adherence to policy.
3. Site Standards: Support programs in maintaining clean, well-managed environments that meet federal, state, and agency standards.
4. Training Verification: Regularly review training records to confirm all staff have completed required training and are well-prepared.
5. Quality Audits and Review Participation: Conduct internal audits and program site reviews as needed, ensuring compliance with regulatory mandates. Perform follow-up audits to confirm corrective actions are effective. Develop and refine audit tools and draft written reports summarizing findings.
6. Team Collaboration: Partner with program staff, management, and leadership to share findings from site visits, address issues, and implement solutions effectively.
7. Developmental Training: Deliver training and technical support to enhance program compliance and elevate service quality.
8. Cross-Site Engagement: Travel as needed to support multiple program sites, fostering a cohesive, high-quality care environment.
9. Effective Communication: Maintain clear, consistent communication with teams to facilitate growth and uphold service standards.
10. Case Reviews: Conduct 1^st review of all investigative reports, editing, and providing feedback to Specialists regarding necessary content improvements.
11. Shadowing: Accompany new team members in fieldwork to support their education and understanding of the investigative process.

Bachelor’s degree preferred; excellent platform and communication skills. Experience in conducting investigations. Experience in conducting quality audits in a Medicaid funded environment. Knowledge of OPWDD/OMH/DOH/CMS regulations and all aspects of incident management. Must have access to a vehicle and a valid NYS driver’s license. Must be able to travel in 5 boroughs and Long Island.

BENEFITS AND PERKS: At WellLife Network, we prioritize our employees' growth and well-being with a comprehensive benefits package that includes medical, vision, and dental insurance, 401(k) matching, and flexible spending accounts. Enjoy perks like Summer Fridays, gym passes, and life insurance options. Our commitment to career advancement includes tuition assistance, mentorship, leadership training, and more. As a qualifying employer for Public Service Loan Forgiveness, WellLife Network supports your career and financial goals while helping you make a meaningful community impact. Join us to experience a workplace that invests in your success and well-being!