Director of PACE Quality and Compliance
About The Position
As the Director of PACE Quality and Compliance, you will lead the development, implementation, and oversight of quality improvement and compliance programs. You’ll ensure regulatory excellence while driving meaningful improvements in participant care and organizational performance. This role is a key member of the PACE Leadership Team and involves developing policies, procedures, and operational infrastructure for program readiness and expansion. The Director will represent the organization in quality and compliance matters with CMS and the National PACE Association, and support cross-functional leadership, including providing backup support to the PACE Center Director.
Requirements
- Bachelor’s or Master’s degree in healthcare administration, nursing, or related field
- Minimum 5 years of healthcare experience required
- At least 3 years of experience in quality and/or compliance
- Strong leadership, analytical, and problem-solving skills
- Deep understanding of healthcare quality improvement and compliance frameworks
- Ability to manage multiple priorities in a dynamic, fast-paced environment
- Excellent communication and relationship-building skills
- Experience working collaboratively across interdisciplinary teams
- High level of integrity and commitment to ethical standards
Nice To Haves
- Prior leadership or management experience preferred
- Experience with PACE programs or elderly populations preferred
- Knowledge of HIPAA, CMS regulations, and healthcare compliance standards strongly preferred
- Certification in Healthcare Compliance (CHC) preferred
Responsibilities
- Serve as a key member of the PACE Leadership Team
- Lead development of policies, procedures, and operational infrastructure for program readiness and expansion
- Represent the organization in quality and compliance matters with CMS and the National PACE Association
- Support cross-functional leadership, including providing backup support to the PACE Center Director
- Oversee all aspects of the PACE Quality Program, including data collection, analysis, and reporting
- Develop and monitor quality indicators to improve participant outcomes
- Lead Quality Improvement Committee (QIC) and related subcommittees
- Conduct root cause analyses and implement corrective action plans
- Manage participant satisfaction initiatives and survey processes
- Collaborate with interdisciplinary teams to drive continuous improvement
- Ensure compliance with all state and federal regulations, including CMS and Illinois HFS requirements
- Lead audit preparation, execution, and follow-up activities
- Oversee incident reporting, grievance processes, and compliance investigations
- Partner with Compliance leadership to implement and monitor the PACE Compliance Program
- Maintain oversight of HIPAA training, risk assessments, and fraud, waste, and abuse (FWA) prevention
- Analyze trends and translate data into actionable insights
- Prepare reports and presentations for leadership and Board review
- Develop and deliver staff training on quality, compliance, and regulatory standards
- Foster a culture of compliance, accountability, and continuous learning
Benefits
- Competitive salary and comprehensive benefits package
- BCBS Medical PPO Plans
- Ameritas Dental & Eye Med Vision Coverage
- Tuition Reimbursement (up to $5,000/year)
- 10 Paid Holidays + 21 Days of Paid Time Off
- Opportunities for leadership impact and organizational growth
- A collaborative, mission-focused culture
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What This Job Offers
Job Type
Full-time
Career Level
Director
