Q&C Assurance Advisor

Alivia Health•Guaynabo, PR

2d•Onsite

About The Position

The Q&C Assurance Advisor for Alivia Health’s Quality and Compliance Department is responsible for conducting quality reviews and validating compliance with established standards, regulatory requirements, and internal processes to ensure operational effectiveness and regulatory adherence. Gathers findings and works with other internal quality and compliance team members to ensure the proper execution of corrective actions to reach established control levels.

Requirements

Bachelor’s degree (B.A.) in Business Administration, Industrial Engineering, Risk Management, Healthcare Administration or related area from a four-year accredited college or university.
3-5 years of experience in healthcare quality, quality assurance, clinical operations, compliance, accreditation, risk management, patient safety, or a related healthcare function
Experience in managing various internal clients’ requests across various business units.
Excellent oral & written communication skills in English and Spanish, negotiation, and interpersonal abilities.
Ability to interpret guidelines and regulations to determine cases where non-compliance is exhibited and corrective actions are required.
Strong project management skills with the ability to lead end-to-end corrective action initiatives.
Excellent communication skills, both written and verbal (English/Spanish), with the ability to document effective corrective & preventive action plans.

Responsibilities

Performs quality assurance examinations, audits, and reviews, serving as the primary liaison with internal business units, internal auditors, and other Q&C unit specialists.
Conduct quality assurance reviews and monitoring activities focused on accreditation requirements across the organization's lines of business and accreditation programs.
Validates adherence to quality standards, accreditation requirements and internal policies and procedures.
Identifies, documents, and communicates findings, observations, compliance gaps and supporting evidence, partnering with business areas to support corrective and preventive action plans.
Escalate recurring quality risks and support quality improvement plans.
Reviews actual findings against established quality and accreditation metrics, identifies trends, performs root cause analysis, and recommends actions to achieve desired performance and compliance levels.
Conducts the review, analysis, and preparation of accreditation-related performance measures, and supporting documentation for the quarterly meeting presentation of the Patient First Committee (PFC).
Supports accreditation readiness activities, including the preparation, coordination, and facilitation of accrediting organization surveys, audits, and site visits.
Serves as a subject matter resource on accreditation standards and compliance expectations, providing guidance and support to operational and business teams.
Collaborates with cross-functional stakeholders to promote continuous quality improvement, accreditation readiness, and ongoing compliance with organizational objectives.