Director of Quality and Compliance

ShareHouse•Fargo, ND

About The Position

The Director of Quality & Compliance provides strategic leadership and oversight for the organization's quality management, regulatory compliance, accreditation, performance improvement, data analytics, policy management, and electronic health record (EHR) systems. The role ensures compliance with federal, state, payer, licensing, contractual, and accreditation requirements while fostering continuous improvement, accountability, and data-informed decision-making. The Director develops and maintains systems to monitor organizational performance, quality outcomes, operational effectiveness, and compliance readiness. In collaboration with executive leadership and department leaders, the position supports strategic planning, performance measurement, risk management, audit readiness, policy governance, EHR optimization, and organizational excellence. The Director is a key resource for quality improvement, compliance oversight, accreditation activities, performance analytics, and regulatory readiness. The Director supervises the Business Data Coordinator.

Requirements

Bachelor’s degree in a human services-related field, such as psychology, social work, criminal justice, or a similar area of study.
Seven years of progressively responsible experience in quality management, compliance, healthcare operations, or a related field; alternatively, a related master’s degree and five years of work-related experience are specified.
Knowledge of healthcare, behavioral health, and substance use disorder regulations, accreditation standards, compliance requirements, quality improvement methodologies, data analytics, and electronic health record systems.
Strong leadership, project management, and organizational development skills.
Ability to analyze complex data, develop performance metrics and dashboards, and translate findings into actionable recommendations.
Strong communication, facilitation, problem-solving, and relationship-building skills.
Ability to lead quality, compliance, performance improvement, and organizational change initiatives across multiple departments.
Ability to manage competing priorities, influence stakeholders, and foster accountability, continuous improvement, and data-informed decision-making.
Ability to maintain confidentiality, exercise sound judgment, and represent the organization effectively with regulators, accrediting bodies, auditors, and external stakeholders.
Must possess a valid driver’s license and have a driving record that allows company insurance coverage.
May be required to hold CPR and First Aid certifications, depending on staffing levels.

Nice To Haves

Master’s degree in a related area of study.
Mission-driven outlook and motivation by meaningful work.
Openness to change and feedback as opportunities.
Interest in personal and professional growth alongside peers.
Value for teamwork and open communication.
Enjoyment of a collaborative, mission-driven environment.
Positive attitude and willingness to foster encouragement and respect.

Responsibilities

Lead the organization's quality management, compliance, and performance improvement programs.
Ensure compliance with federal, state, payer, licensing, contractual, and accreditation requirements.
Monitor regulatory changes and coordinate organizational responses to maintain compliance.
Lead CARF accreditation readiness, surveys, corrective actions, and continuous compliance efforts.
Oversee internal compliance reviews, audits, and quality assurance activities.
Coordinate external audits, inspections, licensing reviews, and accreditation surveys.
Investigate compliance concerns and support organizational risk mitigation efforts.
Establish and monitor organizational key performance indicators (KPIs), scorecards, and performance measures.
Lead organization-wide performance improvement and continuous quality improvement initiatives.
Analyze operational, clinical, quality, utilization, and organizational data to identify trends and opportunities.
Develop and maintain dashboards, reports, and business intelligence tools to support decision-making.
Provide leadership with actionable insights, recommendations, and performance reporting.
Serve as organizational lead and primary liaison for the electronic health record (EHR) system and related technologies.
Oversee EHR optimization, reporting, workflow improvements, user support, and training initiatives.
Ensure data integrity, documentation standards, and effective use of organizational information systems.
Maintain organization-wide policy, procedure, and forms management processes to ensure regulatory and operational compliance.
Oversee corrective action planning and monitoring to ensure timely resolution of identified issues.
Serve as primary liaison with regulatory agencies, accreditation bodies, auditors, payers, and external oversight organizations.
Provide leadership, consultation, education, and support to leaders and staff regarding quality, compliance, performance improvement, and data-driven decision-making.
Facilitate committees, workgroups, strategic initiatives, and other activities that support organizational excellence and continuous improvement.
Supervise the Business Data Coordinator.