Quality and Compliance Specialist, ONSITE

Trinity Health • Mercy Life, Montgomery County, MD

21h • Onsite

About The Position

The Quality and Compliance Specialist at PACE Mercy Life in Norristown oversees quality assurance, performance improvement, and compliance activities. Working closely with the Quality and Compliance Director, this role helps ensure adherence to regulatory standards and supports a culture of continuous improvement across medical services, home care, and contracted services. The position is full-time and onsite, with a day shift schedule.

Requirements

• Experience with performance improvement tools and Lean Six Sigma.
• Experience with project management.
• Strong analytical and problem-solving skills, including proficiency in data analysis and report preparation.
• Excellent interpersonal, communication, and presentation skills, with the ability to collaborate effectively across teams.
• Proficiency with Microsoft Office and ability to adapt to various software platforms.
• Highly organized, able to prioritize tasks and manage conflicts, and able to work independently with minimal supervision.
• Willingness to travel occasionally within the geographic region.

Nice To Haves

• Bachelor's degree and two years of quality/compliance or performance improvement experience preferred.
• Healthcare experience, with at least one year working with a frail or elderly population preferred.

Responsibilities

• Coordinate data collection and analysis and develop action plans to improve processes and outcomes.
• Lead performance improvement initiatives and develop corrective action plans as needed.
• Manage project requests related to quality and patient safety data and performance improvement activities.
• Collect, aggregate, analyze, and review utilization data to identify improvement opportunities.
• Support organizational safety event review and analysis, including intensive case analysis and Root Cause Analysis (RCA) practices.
• Guide the interdisciplinary team on CMS regulations and survey readiness.
• Maintain survey readiness and ensure reporting requirements are met.
• Collaborate with the Quality and Compliance Director on regulatory surveys and monitoring activities.
• Facilitate the selection and conduct of proactive risk assessments, including Failure Mode and Effects Analysis.
• Facilitate the grievance and appeals process in compliance with CMS regulations.
• Develop and implement audit tools for clinical processes and utilization.
• Monitor infection control data and ensure compliance with regulatory requirements.
• Prepare and submit monthly quality metrics reporting to CMS and Trinity Health PACE.

Benefits

• Competitive compensation package with opportunities for professional development.
• Medical, dental, and vision coverage.
• Career advancement and ongoing learning opportunities.

What This Job Offers

• Job Type: Full-time