dir policy administration

The Director of Policy Administration and Implementation serve as the regulatory intelligence hub and operational bridge between policy, practice, and performance. This leader does not simply interpret regulations; theyanticipate them, monitor them, translate them, and operationalize them across the twelve states, ensuring that RHD programs remainaudit-ready, rate-ready, and regulation-ready always. The role ensures that policies are not theoretical; they are lived.

Section 3: Major Responsibilities

• Monitoring, analyzing, and reporting new and emerging regulations
• Tracking Medicaid waivers, CMS changes, ODP updates, licensing rules, rate adjustments, accreditation updates (CARF, Joint Commission)
• Translating regulatory shifts into actionable policy guidance
• Leading implementation, ensuring practice aligns with regulation
• Development/review of all RHD policies and procedures to support the organizational functions and align with Apis.
• Partner with the training department to develop competency-based training to align with priority regulatory/organizational requirements.
• Review/audit training plans in Relias for all RHD policies to ensure they align with State Funder/Regulator requirements.

Policy Leadership & Regulatory Interpretation

• Lead the development, harmonization, and implementation of policies across all RHD service states and service lines (IDD, BHH, Day and Employment Programs, Homelessness, Drug and Alcohol).
• Monitor changes in federal and state regulations (CMS, ODP, CARF, Joint Commission, OADS, HUD, DBHDS, TennCare, MO DHSS, etc.) and translate them into clear practice standards.
• Serve as primary liaison to state agencies for policy clarification, design, and alignment.
• Maintain a national policy matrix tracking implementation variances across 12 states.

Program Implementation & Fidelity

• Ensure that policies do not remain on paper but are translated into daily, measurable, auditable practice.
• Lead cross-functional implementation planning with Operations, Quality, Compliance, Training, HR, and Finance to support unified practice rollout.
• Monitor implementation fidelity and corrective action effectiveness using HRST, EIM data, incident trends, staff training records, ODP licensing reports, and CARF outcomes.
• Support program leaders with structured implementation plans, timelines, and compliance scorecards.

Audit & Compliance Readiness

• Lead multi-state readiness initiatives for CARF, ODP 6400/6100, CMS, DHS licensing, DBHDS, and Managed Care audits.
• Build proactive compliance dashboards, risk heatmaps, and self-survey schedules.
• Recommend and support corrective action planning (CAP), including training, documentation remediation, and operational restructuring.

Cross-System Leadership

• Partner with Operations on program redesign, staffing models, and regional rollout of enhanced clinical models (DayLight, DayWorks, Dual Diagnosis, Behavioral Stabilization).
• Collaborate with Finance on rate justification and acuity-driven staffing models informed by HRST, SIS, and structured risk assessments.
• Coordinate with HR on policy-driven training, credentialing, and competency-based supervision.

Strategic Advisory & Organizational Alignment

• Serve as a policy advisor to the Executive Leadership Team, contributing to strategic planning, funder relations, and risk mitigation strategy.
• Support Executive Director, Quality & Compliance, COO, and CEO in regulatory positioning and enterprise risk decisions.
• Present policy impacts and regulatory trends to Boards, state funders, and Executive Leadership.

Job Qualifications

Required:

• Bachelor's degree plus 7–10 years progressive leadership experience in compliance, behavioral health, IDD administration, or healthcare policy.
• Deep working knowledge of Medicaid waiver programs, HCBS, ODP, CMS, CARF, accreditation, and licensing systems across multiple states.
• Demonstrated success translating regulatory requirements into operational practice and measurable outcomes.

Preferred:

• Master's degree in Social Work, Public Administration, Law, Healthcare Management, or related field or a law degree.
• Experience in rate-setting justification, risk scoring tools (HRST, SIS, EIM), incident management, or corrective action planning.

Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment.

Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.