Director, Quality & Compliance
About The Position
Colorado PACE has an immediate opening for a Director of Quality & Compliance. This role oversees the quality and compliance programs for the Program of All-Inclusive Care for the Elderly (PACE) programs. The Director is accountable for these programs, ensuring adherence to current regulatory requirements and providing oversight of Quality programs for PACE. This includes ensuring 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. The position also oversees PACE QAPI initiatives, leads the Enterprise’s PACE compliance program and risk management activities, and collaborates with various departments and directors in preparation for, during, and in response to regulatory site visits and surveys. Additionally, the role supports the effectiveness of professional development/education activities and provides direction, support, and collaboration to the PACE HIM team to ensure confidential clinical records meet regulatory standards.
Requirements
- Minimum Education: 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.
- Minimum Experience: Five (5) years progressively responsible experience in leadership, management and supervision in the health care industry.
- Required License: 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 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
- Welcoming and supportive care to our patients and a work environment where all team members feel respected and valued.
- Culture of work-life balance
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Director
