Quality and Compliance Manager

Albuquerque Health Care for the Homeless•Albuquerque, NM

About The Position

The Quality and Compliance Manager leads the organization’s quality improvement, quality assurance, and compliance functions within a complex, interdisciplinary healthcare environment. This role is responsible for designing, implementing, monitoring, auditing, and evaluating systems that ensure regulatory compliance, patient safety, and continuous performance improvement. The position provides direct oversight of the Quality & Compliance Team and works collaboratively with organizational leadership to promote a culture of accountability, data-driven decision-making, and operational excellence.

Requirements

Demonstrated ability to thrive in a fast-paced, complex nonprofit, interdisciplinary healthcare setting.
Proven leadership skills, including experience managing teams, mentoring team members, and promoting a culture of quality and accountability.
Strong project management skills, with the ability to prioritize multiple initiatives, meet deadlines, and manage change across departments.
Advanced analytical skills, with the ability to interpret complex data, identify trends, and translate findings into actionable recommendations for leadership and team members.
Knowledge of healthcare regulations, accreditation standards, and quality improvement frameworks, with the ability to apply them to operational and clinical practices.
High level of organization, attention to detail, and commitment to follow-through.
Ability to work collaboratively and effectively with team members across all levels of the organization.
High proficiency in Microsoft Office Suite, particularly Excel, for data analysis, reporting, and performance tracking.
Bachelor’s degree in Business Administration, Health Administration, Nursing, or a related field, or an equivalent combination of education and relevant experience.
Minimum of four (4) years of administrative experience in healthcare, including responsibilities in quality improvement, risk management, compliance, or incident reporting.
Minimum of two (2) years of supervisory or leadership experience in compliance, quality improvement, or risk management.

Nice To Haves

Master’s degree in Business Administration, Health Administration, Public Health, or a related field, or equivalent advanced experience.
Minimum of four (4) years of leadership/supervisory experience managing a compliance, quality improvement, or risk management team in a healthcare setting.
Experience working in a Federally Qualified Health Center (FQHC), community health center, or similar population health-focused organization.
Demonstrated experience developing and delivering group trainings, presentations, and data-driven reports to diverse audiences, including team members, leadership, and boards.
Advanced proficiency with Electronic Health Record (EHR) systems, including reporting, analytics, and quality measure tracking.
Experience leading or participating in organization-wide quality improvement initiatives, using frameworks such as PDSA, Lean, Six Sigma, or root cause analysis.
Strong knowledge of local, state, and federal healthcare regulations, including HIPAA, CMS, HRSA, and accreditation standards.
Experience in risk assessment, mitigation planning, and regulatory audit preparation.
Proven track record of driving change, fostering accountability, and promoting a culture of continuous improvement across multiple departments.

Responsibilities

Provide day-to-day leadership and operational oversight of the Quality & Compliance Department.
Promote a culture of quality, accountability, and continuous improvement across all departments; mentor team members on best practices in compliance and quality management.
Lead and support all activities related to maintaining Patient-Centered Medical Home (PCMH) designation, including audits, documentation, and reporting.
Stay up-to-date on local, state, and federal healthcare regulations, accreditation standards, and payer requirements, and interpret their impact on organizational policies and practices.
Oversee the incident reporting process and, in collaboration with the Chief Operating Officer (COO), conduct investigations and recommend corrective actions.
Participate in local, state, and federal audits, ensuring timely preparation, response, and follow-up.
Develop and deliver organizational HIPAA training and ongoing compliance education for team members and, as appropriate, partner organizations.
Serve as a technical resource to team members for HER reporting, data collection, and quality metrics.
Supervise, train, evaluate, and support the professional development of Quality & Compliance team members.
Collaborate with organizational leadership to develop, implement, and monitor department-specific quality improvement, compliance, and risk management plans.
Lead organization-wide quality improvement initiatives by identifying trends, gaps, and opportunities for improvement; set measurable goals and track progress toward outcomes.
In collaboration with the Data Manager, develop dashboards and reports to monitor compliance, patient safety, and quality metrics; present findings to leadership and committees to drive evidence-based decisions.
Partner with and coach cross-functional teams to apply quality improvement methodologies (e.g., PDSA cycles, root cause analysis, fishbone, lean six sigma) to improve outcomes and processes.
Serve as a liaison with internal and external stakeholders (e.g., regulatory agencies, auditors, community partners) to represent organizational quality and compliance efforts.
Support organizational readiness by participating in emergency preparedness, infection control, and patient safety initiatives; lead efforts as needed.
Work closely with the COO to develop, revise, and implement compliance-related policies and procedures.
Oversee internal auditing activities to ensure adherence to quality standards, regulatory requirements, and organizational policies.
Participate in leadership meetings and serve as a standing member of the Quality Review and Improvement Committee.
Ensure organizational compliance with all policies, procedures, and applicable regulations.

Benefits

Low cost medical, vision, and dental insurance with health club membership
Life insurance and Accidental Death and Dismemberment fully paid for by organization
Long Term Disability fully paid for by organization
Paid Time Off - 24 days in first year of employment
Catastrophic Sick Time accrual
7 Paid holidays
Health Care and Dependent Care Flexible Spending Accounts
401k with employer match
New Mexico State License renewal paid for by organization
Yearly stipend towards CEUs
Student loan forgiveness eligible