PACE Director of Quality and Compliance

Vista Community Clinic•Glendale, CA

5d•$124,000 - $183,000

About The Position

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

Requirements

Master’s degree in health-related/business administration field or five years of Quality and Compliance experience in a health-related field preferred.
Five to seven years of demonstrated experience in quality assurance/process improvement activities/compliance activities and have knowledge of Lean processes in a health-related field.
Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes; minimum two years’ driving experience; no more than 2 violations or a single ticket/accident value at more than 1 point on driving record
Thorough knowledge of state and federal regulations on Primary Care Clinics, Adult Day Centers, Home Health, HIPAA, and PACE
Working knowledge of physical, mental and social needs of the frail elderly population
Knowledge of auditing, monitoring, data collection and analysis methods
Strong understanding of QAPI, quality metrics, and performance improvement methodologies.
Knowledge of developing and implementing staff education
Must demonstrate the ability to communicate clearly and concisely in oral and written form.
Competencies needed for this position include strong interpersonal relationship skills, detail oriented, work in collaboration with others, demonstrate a high degree of integrity and personal commitment, possess strong analytical skills, be able to work independently and manage multiple deliverables at the same time.
Ability to function in a matrix environment and demonstrate a passion to succeed, be self- motivated, dependable, committed, and a willingness to see a project through to its conclusion.
Works effectively in multi-disciplinary teams, leading and facilitating, to move the organization to new areas of excellence.
Ability to Partner with Medical Director, Operations, and IDT leaders to improve care delivery and outcomes.

Responsibilities

Lead the development, implementation, and evaluation of the PACE Quality Assurance and Performance Improvement (QAPI) program.
Present quality data and reports to senior leadership, Board, and Quality Committee.
Leads the Quality Improvement Committees in conjunction with Medical Director and serves as a member to all QI subcommittee and workgroups.
Identify trends, gaps, and opportunities; develop corrective action plans.
Facilitate performance improvement projects (PIPs) and Corrective action plans (CAP) and ensure outcomes are measurable and sustained.
Ensure compliance with CMS PACE regulations (42 CFR Part 460), state regulations, and accreditation standards.
Interpret regulatory requirements and translate them into policies, procedures, and operational practices.
Maintain readiness for CMS/state audits and guide the organization through routine and focused audits and act as primary liaison with regulatory agencies.
Conduct internal audits, mock surveys, and compliance reviews.
Manage risk assessment processes and investigate compliance concerns.
Develop incident reporting systems and ensure timely resolution and reporting.
Track and trend grievances, appeals, and reportable events and maintain KPIs
Proactively educates leadership and associates regarding regulatory issues, new statutes/guidelines and safety/compliance/QI activities.
Provides Quality and Compliance support at both the PACE and Corporate level.