Director, Quality & Compliance

Colorado PACE • Aurora, CO

7d • Onsite

About The Position

Colorado PACE has an immediate opening for a Director of Quality & Compliance. The Director of Quality & Compliance oversees the quality and compliance programs for the Program of All-Inclusive Care for the Elderly (PACE) programs. This role ensures adherence to current regulatory requirements, provides oversight of Quality programs for PACE, and ensures a continuum of compliance measures and education to employees and volunteers. The Director is responsible for overseeing PACE QAPI initiatives, implementing publicly-reported industry and/or regulators’ quality benchmark programs, and leading the Enterprise’s PACE compliance program and risk management activities. This includes collaboration with various departments and directors to prepare for and respond to regulatory visits, support organizational preparedness for licensure and certification surveys, and measure the effectiveness of professional development activities. The role also provides direction and support to the PACE HIM team to ensure confidential clinical records meet regulatory standards.

Requirements

• Bachelor’s degree in healthcare, Nursing, Business Administration, Complementary Therapies or related field required with in-depth knowledge in area of specialty related to hospice, palliative care and PACE. In lieu of Bachelor’s degree, relevant experience may be considered.
• Five (5) years progressively responsible experience in leadership, management and supervision in the health care industry.
• Colorado State Driver’s license and proof of auto insurance

Nice To Haves

• Experience in QAPI programs, medical records, and related functions preferred.

Responsibilities

• Oversees the quality and compliance programs for the Program of All-Inclusive Care for the Elderly (PACE) programs.
• Oversees and is accountable for the PACE Programs’ Quality and Compliance programs.
• Ensures adherence to current regulatory requirements and provides oversight of Quality programs for PACE.
• Ensures a continuum of compliance measures and education to employees (and volunteers) on the PACE teams, enabling them to provide quality agency services in accordance with current federal, state and local regulations.
• Oversees the PACE QAPI initiatives to ensure that the development of PACE quality and compliance policies and procedures are current and meet federal, state, and local regulations.
• Responsible for successful implementation of publicly-reported industry and/or regulators’ quality benchmark programs.
• Leads the Enterprise’s PACE compliance program and the risk management activities, which include compliance with Medicare and the State of Colorado Health Care Policy and Financing regulations as well as any other applicable federal, state and local regulations.
• Collaborates with Directors of Clinical Services and Business Development, among others, in preparation for, during and in response to, regulatory site visits and surveys.
• Supports all departments to ensure organizational preparedness for licensure and certification surveys.
• Collaborates with the Care Synergy Directors of Education and Quality to measure effectiveness of professional development/education activities through identification and monitoring of quality indicators, data collection, analysis, and evaluation of learning activities.
• Provides direction, support, and collaboration to the PACE HIM team; ensures confidential clinical records meet regulatory standards for accuracy and completeness of documentation and supports the technical audit process.

Benefits

• Mileage and expense reimbursement (sixty-two and a half cents per mile)
• Relocation Reimbursement
• Two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
• Employer pays over 90% of employee medical premium in some plans
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
• Extensive Paid Time Off (PTO/Vacation Pay): 18 days in the first year for FT team members
• Seven Paid Holidays with an additional Floating Holiday
• 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
• Company-Paid Life and AD&D Insurance
• Career & Logo wear
• Education Reimbursement Program
• Clinical Career Ladders
• Certification Pay
• Generous Discover-a-Star Team Member Referral Program
• Team Member Service Awards
• Early Wage Access
• Legal and Identity Protection
• Robust Leadership Development Training Programs

What This Job Offers

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