Associate Director of Program Integrity
At Makom, we are dedicated to supporting and empowering individuals with intellectual and developmental disabilities (IDD) to achieve the quality of life they aspire to live. If you are an enthusiastic professional eager to make a meaningful difference in the IDD community, we want to meet you!
For over 40 years, we have led the delivery of compassionate, innovative services to individuals and families in the IDD community across Maryland and Virginia. Our team of over 450 professionals is united by a shared commitment to fostering a workplace culture that celebrates diversity, equity, inclusion, and belonging. At Makom, you will have the chance to be part of a transformative mission while working in a community that values your individuality, expertise, and aspirations.
The Role:
The Associate Director of Program Integrity leads internal monitoring, regulatory compliance, risk identification, SOP development, and quality assurance across Makom services. This role translates Maryland DDA/OHCQ, Virginia DBHDS/DMAS, Medicaid HCBS, and other requirements into consistent, person-centered practices.
Working with the Director of Innovations and Excellence, Chief Programs Officer, and program leaders, this non-supervisory role analyzes findings, coordinates corrective actions, and advances measurable, sustained improvement.
Reports To: Director of Innovations and Excellence
Responsibilities:
Regulatory Alignment and Program Integrity:
- Translate applicable Maryland, Virginia, Medicaid HCBS, and organizational standards into practical guidance for program leaders and direct support teams.
- Conduct risk-based internal audits, record reviews, site visits, and practice observations; document findings, evidence, and regulatory requirements.
- Monitor waiver assurances, rights, documentation, staff qualifications, health and welfare; support inspections, audits, and timely regulatory submissions.
Corrective Action and Risk Management:
- Identify systemic risks, recurring deficiencies, and overdue actions; assign tracking to accountable owners and escalate material concerns.
- Coordinate plans of correction, verify implementation, and assess whether corrective actions resolve root causes and remain effective.
- Review incident patterns, reporting timeliness, and risk controls; collaborate with Nursing on health and safety root-cause analysis.
Policies, Procedures and Operational Consistency:
- Partner with program leaders and subject matter experts to develop, update, and implement clear SOPs aligned with regulations and actual workflows.
- Maintain document control and review processes; identify duplication, process gaps, and opportunities for consistent practices across service lines.
- Coordinate implementation and training needs with People & Culture and Learning & Development; confirm new practices are applied.
Practice Monitoring and Technical Assistance:
- Conduct site check-ins and staff-practice reviews focused on service quality, documentation, safety, individual rights, and person-centered support.
- Provide objective coaching, technical guidance, and observations to Community Support Leads and program leaders; refer personnel concerns to designated supervisors.
- Review intake, enrollment, and placement practices with accountable teams while maintaining non-supervisory monitoring boundaries.
Quality Assurance and Continuous Improvement:
- Monitor quality indicators, incidents, complaints, audit findings, restrictive interventions, documentation, and individual outcomes.
- Develop dashboards and leadership summaries to identify trends, root causes, improvement priorities, and accountable follow-up.
- Apply CQL Personal Outcome Measures principles to assess choice, relationships, rights, meaningful community participation, and person-defined outcomes.
- Partner with Innovations and Excellence to evaluate whether quality initiatives produce measurable, sustained improvements.
Cross-Functional Collaboration and Reporting:
- Work with Operations, Nursing, People & Culture, Training, Finance, and service leaders to address compliance gaps and coordinate corrective action.
- Maintain confidential records, audit evidence, submission deadlines, assigned owners, and progress reports; communicate unresolved risks promptly.
Rights, Ethics and Accountability:
- Promote HCBS rights, supported decision-making, dignity, inclusion, confidentiality, and culturally responsive support under the NADSP Code of Ethics.
- Confirm required qualifications and competency records align with assigned responsibilities; refer staff performance matters to appropriate supervisors.
- Maintain independence in monitoring; program leaders retain responsibility for service delivery, investigations, personnel actions, and corrective action implementation.
- Perform other duties supporting organizational quality and program integrity within the scope of this non-supervisory role.
Competencies:
- Regulatory Interpretation — Converts complex requirements into practical monitoring and implementation guidance.
- Program Integrity & Risk Management — Identifies deficiencies, systemic risks, and preventive controls.
- Quality Assurance & Improvement — Uses findings, root-cause analysis, and outcomes to evaluate sustained changes.
- Data Analysis & Reporting — Creates actionable dashboards, reports, and measurable priorities.
- Process Improvement & SOPs — Standardizes workflows and strengthens operational consistency.
- Corrective Action & Accountability — Tracks owners, deadlines, evidence, and follow-through.
- Person-Centered Rights & Ethics — Promotes choice, dignity, inclusion, confidentiality, and community participation.
- Cross-Functional Collaboration — Works constructively with leaders while maintaining objective oversight.
- Leading the Makom Way — Demonstrates Self-Determination, Excellence, Inclusion, and Integrity.
Qualifications:
- Bachelor’s degree in human services, healthcare, business, public administration, or related field; equivalent relevant education and experience may be considered.
- Experience in compliance, quality assurance, continuous improvement, risk management, program operations, or project management in human services or nonprofit settings.
- Knowledge of Maryland DDA/OHCQ, Virginia DBHDS/DMAS, Medicaid HCBS, licensing, and waiver requirements preferred.
- Strong analytical, organizational, communication, facilitation, and problem-solving skills; ability to manage priorities and regulatory deadlines.
- Ability to interpret findings, prepare clear reports, maintain confidential records, and coordinate corrective action follow-up across teams.
- Proficiency with Microsoft Office and monitoring, reporting, or tracking systems.
- Ability to work independently, exercise professional judgment, and maintain clear non-supervisory boundaries.
- Valid MD, VA, or DC driver’s license when driving is essential; ability to meet screening, background, and training requirements.
Work Environment and Position Details:
- Physical Demands: Essential physical functions may be performed with reasonable accommodation.
- Work Environment: Office, headquarters, and visits to community living and other service locations.
- Position Type/Expected Hours: Full-time, non-supervisory management-level role; may include evenings, weekends, and urgent circumstances.
- Travel: Local travel within the DC, Maryland, and Virginia region as assigned.
- Other Duties: Duties may change to support organizational quality and program integrity.
Our Culture:
At Makom, we champion a culture rooted in integrity, inclusion, excellence, and self-determination. We celebrate the unique contributions of every team member and strive to build a community where everyone feels valued and empowered to excel. Makom is a place of belonging. A place of support. A place of connection. A place where every individual can continue to grow. We will continuously push the boundaries of what it means for individuals to live meaningful, self-determined lives.
Join Us:
If you are ready to bring your passion, skills, and dedication to an organization committed to making a difference, we invite you to apply and become part of the Makom family. Together, we will continue to innovate, empower, and inspire.
Let us build a brighter future—one life at a time.
Commitment to EEO:
Makom provides equal employment opportunities and prohibits discrimination and harassment based on any characteristics protected by applicable federal, state, or local law.