Director of Compliance & Quality

Andwell Health Partners • City of Niagara Falls, NY

4d • $95,981 - $144,608 • Onsite

About The Position

Andwell Health Partners is seeking an experienced Director of Quality & Compliance to provide strategic leadership for their organization-wide quality management, regulatory compliance, risk management, accreditation, and privacy programs. This is a key leadership position that partners closely with executive leadership and serves as a member of the Senior Management Team. The Director drives a culture of continuous quality improvement, patient safety, survey readiness, and regulatory excellence across all service lines while supporting exceptional patient outcomes and operational performance.

Requirements

• Bachelor's degree in Healthcare Administration, Nursing, Public Health, Physical Therapy, or a related healthcare field required.
• Minimum 3-5 years of progressive healthcare quality, compliance, risk management, or regulatory experience required.
• At least 3 years of leadership or management experience required.
• Direct experience with CMS, ACHC, and State regulatory survey processes required.
• Extensive knowledge of healthcare quality and performance improvement methodologies, including QAPI
• Strong understanding of CMS Conditions of Participation, ACHC standards, HIPAA regulations, and healthcare compliance requirements
• Ability to interpret and apply complex federal and state healthcare regulations
• Exceptional leadership, coaching, and team development skills
• Strong analytical and problem-solving capabilities
• Experience with audit management and regulatory compliance monitoring
• Excellent written, presentation, and communication skills
• Strong project management and organizational abilities
• High level of integrity, professionalism, and attention to detail
• Proficiency with electronic health record (EHR) systems and Microsoft Office applications

Nice To Haves

• Master's degree in Healthcare Administration, Nursing, Business Administration, Physical Therapy, or a related discipline preferred.
• Certified Professional in Healthcare Quality (CPHQ)
• Certified in Healthcare Compliance (CHC)
• Other related quality, compliance, or risk management credentials
• Experience in home health, hospice, palliative care, behavioral health, or other post-acute care settings strongly preferred.
• Knowledge of hospice, home health, palliative care, behavioral health, and post-acute healthcare operations

Responsibilities

• Lead and oversee the organization's Quality Assessment and Performance Improvement (QAPI) program.
• Develop, implement, and monitor organization-wide quality initiatives.
• Analyze performance data, identify trends, and implement improvement strategies.
• Lead corrective action planning and monitoring resulting from audits, investigations, and surveys.
• Oversee patient, family, and customer experience improvement efforts.
• Ensure compliance with CMS, ACHC, OIG, HIPAA, State of Maine, and other regulatory requirements.
• Maintain continuous accreditation and survey readiness across all service lines.
• Serve as organizational lead during regulatory and accreditation surveys.
• Coordinate plans of correction and monitor ongoing compliance activities.
• Provide compliance reporting and updates to executive leadership, Board Committees, and the Corporate Board.
• Oversee enterprise risk management and incident reporting programs.
• Lead investigations, risk assessments, mitigation planning, and follow-up activities.
• Identify organizational risk trends and develop preventative strategies.
• Ensure compliance-related risks are escalated appropriately.
• Serve as the organization's Privacy Officer.
• Oversee HIPAA compliance and privacy program governance.
• Lead privacy risk assessments, breach investigations, and required notifications.
• Develop and maintain privacy policies, procedures, and education programs.
• Partner with Information Technology leadership to align privacy and security initiatives.
• Serve as a member of the Senior Management Team.
• Provide leadership, education, and guidance regarding quality, compliance, privacy, and risk management.
• Collaborate with clinical and operational leaders to achieve organizational goals.
• Participate in key committees, including Compliance, HIPAA, Risk Management, Emergency Preparedness, and Professional Advisory Committees.
• Promote a culture of accountability, integrity, safety, and continuous improvement.

Benefits

• Competitive salary
• Comprehensive medical, dental, and vision insurance
• Generous paid time off and holiday pay
• Retirement savings plan with employer contribution
• Employer-paid life insurance
• Employee Assistance Program (EAP)
• Professional development and continuing education opportunities
• Supportive and collaborative leadership environment
• Opportunity to make a meaningful impact across healthcare services throughout Maine

What This Job Offers

• Job Type: Full-time
• Career Level: Manager