Vice President of Quality & Compliance

Catholic Charities Archdiocese of New Orleans•New Orleans, LA

9d•Remote

About The Position

The Vice President of Quality & Compliance provides executive leadership, strategic direction, and operational oversight for quality improvement, regulatory compliance, audit readiness, and risk mitigation across the PACE centers. The role ensures adherence to CMS and state PACE, ADHC, Home Care, and Medicaid regulations; strengthens participant safety systems; and promotes accountability, transparency, and continuous improvement. The VP serves as the PACE organization's senior compliance authority and is a member of the executive leadership team. The position leads the enterprise compliance program and the organization's Quality Improvement Program, oversees audits and corrective actions, monitors quality and performance indicators, and develops reporting systems for executive leadership and the Board. It also leads and mentors the quality and compliance department, supports organizational strategy and expansion, and collaborates with operations, clinical leadership, legal, and IT. This is a remote leadership role with occasional on-site travel as needed. The position operates in a fast-paced, highly regulated environment with competing priorities.

Requirements

Bachelor's degree or equivalent years of experience.
Minimum 10 years of progressive leadership in healthcare compliance, quality improvement, or regulatory oversight.
Extensive experience with CMS, Medicaid, managed care, long-term care, or PACE regulatory frameworks.
Demonstrated success leading multi-site or multi-state compliance and quality programs.
Experience managing audits, corrective action plans, and regulatory investigations.
Deep understanding of PACE regulations, CMS audit protocols, and state oversight requirements.
Strong analytical, communication, and executive leadership skills.
Ability to build relationships, influence leaders, and drive organizational change.
Skill in developing dashboards, reporting systems, and performance metrics.
Commitment to participant safety, ethical conduct, and mission-driven care.
Ability to work in a fast-paced, highly regulated environment with competing priorities.

Nice To Haves

Registered Nurse or advanced clinical degree.
Healthcare compliance certification such as CHC or CHPC.

Responsibilities

Direct the enterprise compliance program, including annual work plans, monitoring systems, and risk mitigation strategies.
Interpret CMS and state PACE regulations, state Medicaid requirements, and sub-regulatory guidance, and ensure consistent implementation across centers.
Serve as the primary liaison to CMS, state agencies, external auditors, and regulatory partners.
Oversee policy development, regulatory updates, and organization-wide communication of compliance expectations.
Provide organization-wide education on regulatory expectations and compliance strategies.
Lead internal and external audit preparation and execution, and corrective action planning.
Ensure timely reporting, documentation integrity, and adherence to federal and state requirements.
Lead the design, implementation, and evaluation of the organization's Quality Improvement Program.
Oversee participant safety initiatives, incident management, root cause analysis, and performance improvement projects.
Monitor quality indicators, clinical outcomes, operational performance, and participant experience metrics.
Ensure alignment with PACE quality standards for interdisciplinary team functioning, care planning, utilization management, and service delivery.
Develop enterprise dashboards, scorecards, and reporting systems for executive leadership and the Board.
Direct audit management across PACE centers, including documentation review, mock audits, and readiness assessments.
Identify emerging compliance risks and lead system-level strategies to address them.
Oversee facility oversight, environmental safety, and operational compliance monitoring.
Implement corrective action plans and track resolution of compliance gaps.
Ensure consistent audit practices, documentation standards, and regulatory interpretation across sites.
Lead and mentor the quality and compliance department.
Establish departmental priorities, annual goals, budgets, and performance metrics.
Promote a culture of compliance, ethical behavior, and participant-centered care.
Represent Quality & Compliance in executive leadership forums and strategic planning discussions.
Provide education, training, and capacity-building for operational leaders and interdisciplinary teams.
Assess regulatory and policy changes and guide organizational response strategies.
Develop tools, resources, and best practices to strengthen compliance and quality performance across PACE centers.
Collaborate with operations, clinical leadership, legal, and IT to integrate compliance and quality systems.
Support business development, new site openings, and expansion activities with compliance and quality expertise.