Quality and Compliance Specialist

Key Responsibilities

• Collect, analyze, and report quality, compliance, and performance improvement data.
• Monitor quality metrics, maintain scorecards, and identify trends requiring corrective action.
• Develop, implement, and track performance improvement and corrective action plans.
• Conduct audits of clinical and operational processes to ensure regulatory compliance and survey readiness.
• Support regulatory surveys and maintain compliance with CMS, state, federal, and organizational requirements.
• Monitor grievance and appeals processes to ensure regulatory compliance and participant satisfaction.
• Collaborate with interdisciplinary teams to conduct root cause analyses and process evaluations.
• Prepare and submit required quality, compliance, and regulatory reports, including HPMS reporting.
• Coordinate Quality Committee meetings, including agendas, minutes, and supporting materials.
• Monitor infection control and immunization data and support infection prevention initiatives.
• Review and update policies and procedures to ensure ongoing compliance.
• Cook up emergency preparedness, fire drill tracking, and business continuity planning.
• Coordinate with contracted providers and PACE program sites for audits.

Qualifications

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, Quality Management, or a related field preferred.
• Two (2) years of quality, compliance, performance improvement, or healthcare experience preferred.
• Experience working with frail or elderly populations preferred.
• Strong analytical, problem-solving, organizational, and communication skills.
• Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
• Knowledge of quality improvement principles, regulatory requirements, auditing processes, and data reporting.
• Ability to manage multiple priorities, work independently, and collaborate effectively across teams.
• Limited travel (less than 10%) within the service region may be required.

Position Highlights and Benefits

Comprehensive benefits package, including Day 1 medical coverage, dental, vision, paid time off, 403(b), and educational assistance.

Opportunity to earn incentives through the Employee Referral Program.

Warm, supportive environment with a strong participant-centered focus.

Comprehensive orientation and ongoing professional development opportunities.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.