Clinical Compliance and Operations Auditor
Not Disclosed•Full-TimeOn-site
location_onRotunda Drive, Dearborn, Wayne County, Michigan, 48126, United States
About the Role
The Clinical Compliance and Operations Auditor serves as a critical frontline evaluator for Centria, ensuring that our centers maintain the highest standards of operational and clinical integrity. In this role, you will conduct rigorous onsite evaluations, including unannounced "surprise" audits, to observe real-time operations and verify adherence to regulatory protocols. You will act as a bridge between complex regulatory documentation and our child-led, compassionate care model, preparing local staff for external reviews from payors and accreditation bodies like JCAHO and BHCOE.
Your work involves more than just checking boxes; you will leverage compliance frameworks to solve complex business problems and drive continuous improvement across our national provider network. By providing data-driven feedback to leadership, you will help forecast risks and ensure consistency in care and compliance across all regions.
Day in the Life
You will spend a significant portion of your time traveling to regional centers within your assigned territory to perform comprehensive facility walk-throughs and interview clinical and operational staff. Your day will involve reviewing client records and clinical documentation to ensure alignment with Medicaid, OIG, and private payor practices. Following each visit, you will compile detailed audit reports, logging findings in real-time to support executive-level trend analysis. You will also lead initiatives to monitor adherence to Corrective Action Plans and mobilize Subject Matter Experts to resolve multifaceted organizational challenges.
Hiring Process
Candidates selected for this position will undergo a rigorous selection process designed to assess both technical expertise and cultural fit. The process typically includes:
- Initial Screening: A review of your qualifications, including your Master's or Doctorate degree and BCBA certification.
- Interview Rounds: Discussions with hiring managers and leadership to evaluate your experience in senior clinical compliance roles and your strategic mindset.
- Technical Assessment: A deep dive into your ability to navigate complex regulatory environments and design robust operational processes.
- Final Review: A final interview to discuss alignment with Centria's mission and values.
Our Culture and Commitment
Centria is an equal opportunity employer that values diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. We are committed to fostering an environment where all employees can thrive while upholding the highest ethical standards through our Code of Conduct and adherence to Federal and State laws.
Work location
Work model: On-site
Rotunda Drive, Dearborn, Wayne County, Michigan, 48126, United States
Dearborn, Michigan
Key Responsibilities
- check_circleConduct unannounced onsite reviews to observe live operations and ensure compliance
- check_circleInterview clinical and operational staff to assess adherence to regulatory protocols
- check_circleReview client records and clinical documentation to ensure payor and regulatory compliance
- check_circlePrepare center staff to respond effectively to external payor and accreditation evaluations
- check_circleCompile and generate detailed audit reports summarizing findings for internal stakeholders
- check_circleMonitor adherence to clinical quality elements of payor Corrective Action Plans
- check_circleGenerate quantitative audit reports to support executive-level trend analysis and risk forecasting
- check_circleReport violations of company policies or the Code of Conduct to appropriate leaders
- check_circleLead initiatives to sustain industry-leading quality standards and align stakeholders on benchmarks
- check_circleLog audit details and progress in a real-time trackable format for leadership monitoring
- check_circleFollow up on reported concerns to ensure investigation, decision making, and resolution
- check_circlePerform comprehensive facility walk-throughs to verify physical site and safety standards
Requirements
- verifiedMaster's degree required
- verifiedBCBA certification
- verifiedMinimum of 10 years of experience as a BCBA or higher
- verifiedMinimum of 3 years of experience in a senior leadership role overseeing clinical compliance
- verifiedProficiency in Microsoft Suite
- verifiedProficiency in G Suite
- verifiedAbility to travel up to 80% of the time
Nice to Have
Doctorate degree. BCBA-D certification. Experience in compliance or operational auditing.
