Job Description Job Description
Job Summary
The Compliance/Quality Officer (CQO), in conjunction with Privacy Officer, is responsible for ensuring the
organization operates in compliance with all laws, regulations and industry standards governing contracts,
including URAC. The CQO oversees the development, deployment, and maintenance of the organization's
Compliance Program and Internal Quality Management System (QMS).
Essential Duties and Responsibilities
Monitor regulatory sources related to Standards and all relevant federal, state and local
regulations related to active contract requirements.
Conduct gap analysis, risk rating and action planning for any regulation changes.
Update Regulatory Tracking Log when new or amended requirements are identified
Update policies and/or procedures and provide training on new/revised regulations as needed
before the effective date.
Oversee the development, deployment, and maintenance of the organization's Compliance
Program components and Internal Quality Management Program (IQMP).
Lead compliance-related audits, assessments, and reporting activities.
Adhere to all required documentation standards and reporting procedures as defined by internal
and external guidelines.
Perform other duties as assigned.
Education and Certifications
Bachelor's degree (Master's preferred) in business management, law, health care administration
or related field.
Certification in Compliance, e.g., CHC (Certified in Healthcare Compliance); CHPC (Certified in
Healthcare Privacy Compliance); OHCC (Officer of Healthcare Compliance) or CPHQ (Certified
Professional in Healthcare Quality).
Experience and Skills
Clinical background a plus, but not required.
Three to five years of experience in roles that have been directly exposed to managing risks and
ensuring compliance with laws and regulations.
Three to five years of experience in roles that have managed organizational quality control and
industry standard quality systems
Deep understanding of relevant laws, regulations, and industry best practices.
Knowledge of URAC standards and other industry-related standards requirements.
Salary
The salary range for this role is TBD and negotiable commensurate with experience, education,
certifications, geographic location and business or organizational needs.
About Us:
Wise Care Counts (WCC) helps government agencies protect and optimize public health benefit programs through clinically informed, data-driven solutions that are impactful, proportionate, and defensible. With nearly 20 years of experience, we support federal and state programs through compassionate workers' compensation case management, payment validation services, and improper payment assessments for programs including FECA, Medicare, and Medicaid.
As a woman-owned small business based in Fairfax, Virginia, we are committed to integrity, sound decision-making, operational excellence, and preserving trust in the public programs that millions rely on. We value professionals who are proactive, adaptable, detail-oriented, and passionate about supporting meaningful work that makes a difference.
WCC is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintain a drug-free workplace.
To apply, please send your resume and a brief introduction outlining your experience and interest in the role.
Company Description
Wise Care Counts (WCC, LLC) helps government agencies protect and optimize public health benefits programs through clinically informed, data-driven solutions that are impactful, proportionate, and defensible. With nearly 20 years of experience, we support federal and state programs through compassionate workers' compensation case management, payment validation services, and improper payment assessments for programs including FECA, Medicare, and Medicaid.
As a woman-owned small business based in Fairfax, Virginia, we are committed to integrity, sound decision-making, operational excellence, and preserving trust in the public programs that millions rely on. We value professionals who are proactive, adaptable, detail-oriented, and passionate about supporting meaningful work that makes a difference.
WCC is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintain a drug-free workplace.
To apply, please send your resume and a brief introduction outlining your experience and interest in the role.
At this time, WCC is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.)
Company Description Wise Care Counts (WCC, LLC) helps government agencies protect and optimize public health benefits programs through clinically informed, data-driven solutions that are impactful, proportionate, and defensible. With nearly 20 years of experience, we support federal and state programs through compassionate workers' compensation case management, payment validation services, and improper payment assessments for programs including FECA, Medicare, and Medicaid. As a woman-owned small business based in Fairfax, Virginia, we are committed to integrity, sound decision-making, operational excellence, and preserving trust in the public programs that millions rely on. We value professionals who are proactive, adaptable, detail-oriented, and passionate about supporting meaningful work that makes a difference. WCC is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintain a drug-free workplace. To apply, please send your resume and a brief introduction outlining your experience and interest in the role. At this time, WCC is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.)
