HAWP Quality and Compliance Analyst

International Community Health Services • Seattle, WA

2d • Hybrid

About The Position

Under the supervision of the HAWP Quality and Compliance Officer, the Quality and Compliance Analyst assists in developing, maintaining, and providing daily oversight of the Quality and Compliance Program for the Healthy Aging and Wellness Program (HAWP), which consists of the Program of AllInclusive Care for the Elderly (PACE) and Assisted Living. This position leads audit readiness initiatives, coordinates internal and external compliance and quality audits, and develops, coordinates, tracks, and monitors corrective action plans (CAPs) and performance improvement plans (PIPs) and provides recommendations to the Quality and Compliance Officer regarding approval, effectiveness, and closure. They assist in the development and maintenance of HIPAA/Privacy policies and leads HIPAA/Privacy case investigations; fraud, waste, and abuse (FWA) reporting, exclusion screening oversight, and contract monitoring. The Analyst supports the PACE Quality Improvement Committee (QIC) and Assisted Living Quality Assurance (QA) Committee, gathers community input on ethical decision-making and end-of-life issues as required under 42 CFR §460.138, and coordinates and facilitates Quality of Care (QoC) communications and Root Cause Analysis (RCA) meetings with contracted providers. This role ensures compliance with regulatory and contractual requirements, policies and procedures, and employment laws and regulations, and serves as the primary coordinator between Quality, Compliance, and Operations on related projects. This role is an integral part of the Quality and Compliance team and will coordinate with leaders across the organization, and must be able to communicate effectively, have initiative, and be a team player.

Requirements

• Bachelor’s Degree in Health Administration, Nursing, Public Health, Business Administration, Healthcare Management, or other related field required.
• Three (3) to five (5) years of progressively responsible experience in healthcare compliance, auditing, quality improvement, regulatory affairs, risk management, healthcare operations, or a related field required.
• Experience conducting audits, investigations, risk assessments, corrective action planning, monitoring activities, and data analysis required.
• Must be able to communicate effectively, have initiative, and be a team player.

Nice To Haves

• Master's Degree preferred.
• Four (4) years of relevant work experience may be substituted for the required degree.
• Experience with healthcare regulatory requirements, including Medicare and Medicaid preferred.
• Experience in a Program of All-Inclusive Care for the Elderly (PACE), managed care, long-term care, senior services, or other healthcare setting preferred.
• Familiarity with CMS audits, healthcare compliance programs, quality improvement activities, or interdisciplinary care models preferred.
• Professional certifications including Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC), Healthcare Research Compliance (CHRC), and/or Healthcare Quality (CPHQ) preferred.

Responsibilities

• Assists in developing, maintaining, and providing daily oversight of the Quality and Compliance Program for HAWP (PACE and Assisted Living).
• Leads audit readiness initiatives.
• Coordinates internal and external compliance and quality audits.
• Develops, coordinates, tracks, and monitors corrective action plans (CAPs) and performance improvement plans (PIPs).
• Provides recommendations to the Quality and Compliance Officer regarding approval, effectiveness, and closure of CAPs and PIPs.
• Assists in the development and maintenance of HIPAA/Privacy policies.
• Leads HIPAA/Privacy case investigations.
• Oversees fraud, waste, and abuse (FWA) reporting and exclusion screening.
• Conducts contract monitoring.
• Supports the PACE Quality Improvement Committee (QIC) and Assisted Living Quality Assurance (QA) Committee.
• Gathers community input on ethical decision-making and end-of-life issues.
• Coordinates and facilitates Quality of Care (QoC) communications and Root Cause Analysis (RCA) meetings with contracted providers.
• Ensures compliance with regulatory and contractual requirements, policies and procedures, and employment laws and regulations.
• Serves as the primary coordinator between Quality, Compliance, and Operations on related projects.
• Coordinates with leaders across the organization.

Benefits

• Competitive salary for the Seattle/Puget Sound region
• “Share the success” bonuses
• Insurance premiums 100% paid by ICHS
• Paid time off accrual up to 200 hours annually with up to 320 hours rollover year to year
• Automatic 4% retirement contribution
• 9 paid holidays a year, including 2 personal holidays
• Reimbursement for professional licensure

What This Job Offers

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