HAWP Quality and Compliance Analyst

Join the ICHS Team! Discover how you can make a difference in people’s lives and help strengthen communities. International Community Health Services (ICHS) is a nationally recognized community health center. For over 50 years, we have provided medical, dental, and wellness care to individuals and families from all regions and all walks of life—many of whom face significant barriers to receiving the care they need. We believe that quality health care supports stronger families, healthier communities, and a more just society. At ICHS, we are proud of our team-based approach and the shared commitment that drives our work. We value respect, collaboration, and compassion in everything we do.

About the role

Under the supervision of the HAWP Quality and Compliance Officer, the Quality and Compliance Analyst assists in developing, maintaining, and providing daily oversight of the Quality and Compliance Program for the Healthy Aging and Wellness Program (HAWP), which consists of the Program of All-Inclusive Care for the Elderly (PACE) and Assisted Living. This position leads audit readiness initiatives, coordinates internal and external compliance and quality audits, and develops, coordinates, tracks, and monitors corrective action plans (CAPs) and performance improvement plans (PIPs). The Analyst provides recommendations to the Quality and Compliance Officer regarding approval, effectiveness, and closure of CAPs and PIPs.

They assist in the development and maintenance of HIPAA/Privacy policies and lead HIPAA/Privacy case investigations; fraud, waste, and abuse (FWA) reporting, exclusion screening oversight, and contract monitoring. The Analyst supports the PACE Quality Improvement Committee (QIC) and Assisted Living Quality Assurance (QA) Committee, gathers community input on ethical decision-making and end-of-life issues as required under 42 CFR 460.138, and coordinates and facilitates Quality of Care (QoC) communications and Root Cause Analysis (RCA) meetings with contracted providers.

This role ensures compliance with regulatory and contractual requirements, policies and procedures, and employment laws and regulations, and serves as the primary coordinator between Quality, Compliance, and Operations on related projects. This role is an integral part of the Quality and Compliance team and will coordinate with leaders across the organization. The position requires effective communication, initiative, and teamwork.

Responsibilities

• Develop, maintain, and provide daily oversight of the Quality and Compliance Program for the Healthy Aging and Wellness Program (HAWP), including PACE and Assisted Living.
• Lead audit readiness initiatives and coordinate internal and external compliance and quality audits.
• Develop, coordinate, track, and monitor corrective action plans (CAPs) and performance improvement plans (PIPs); provide recommendations for approval, effectiveness, and closure.
• Assist in the development and maintenance of HIPAA/Privacy policies and lead HIPAA/Privacy case investigations.
• Oversee fraud, waste, and abuse (FWA) reporting, exclusion screening, and contract monitoring.
• Support the PACE Quality Improvement Committee (QIC) and Assisted Living Quality Assurance (QA) Committee.
• Gather community input on ethical decision-making and end-of-life issues as required under 42 CFR 460.138.
• Coordinate and facilitate Quality of Care (QoC) communications and Root Cause Analysis (RCA) meetings with contracted providers.
• Ensure compliance with regulatory and contractual requirements, policies and procedures, and employment laws and regulations.
• Serve as the primary coordinator between Quality, Compliance, and Operations on related projects.

Requirements

• Bachelor’s Degree in Health Administration, Nursing, Public Health, Business Administration, Healthcare Management, or other related field required. Master's Degree preferred. Four (4) years of relevant work experience may be substituted for the required degree.
• Three (3) to five (5) years of progressively responsible experience in healthcare compliance, auditing, quality improvement, regulatory affairs, risk management, healthcare operations, or a related field.
• Experience conducting audits, investigations, risk assessments, corrective action planning, monitoring activities, and data analysis.
• Experience with healthcare regulatory requirements, including Medicare and Medicaid preferred.
• Experience in a Program of All-Inclusive Care for the Elderly (PACE), managed care, long-term care, senior services, or other healthcare setting preferred.
• Familiarity with CMS audits, healthcare compliance programs, quality improvement activities, or interdisciplinary care models preferred.
• Position is primarily in-office, with the possibility of remote work based on business needs and management approval.

Skills

• Professional certifications including Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC), Healthcare Research Compliance (CHRC), and/or Healthcare Quality (CPHQ) preferred.
• Effective communication, initiative, and teamwork.

Benefits

• Competitive salary for the Seattle/Puget Sound region.
• “Share the success” bonuses.
• Insurance premiums 100% paid by ICHS.
• Paid time off accrual up to 200 hours annually with up to 320 hours rollover year to year.
• Automatic 4% retirement contribution.
• 9 paid holidays a year, including 2 personal holidays.
• Reimbursement for professional licensure.