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Quality and Compliance Coordinator

Apply Job ID QUALI007281 Date posted 02/04/2024 Position Type Full-Time

The Quality and Compliance Coordinator:

  • Responsible for the oversight and administration of the Compliance Program and QI for the assigned PACE Program. This includes compliance with all state and federal program requirements, obtaining and maintaining certification under CMS and any other state or federal laws.
  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
  • In collaboration with Quality and Compliance Manager and Medical Director, initiates, develops, and guides the implementation of the annual Quality Improvement Plan. Timely compiles quarterly and annual reports and presents the reports to the PO leadership, staff, contractors, administration, the Participant Advisory Committee (PAC), and Board of Directors in accordance with the Compliance Plan and the QI.
  • Schedule and lead the Pace Quality Management Committee in collaboration with the Medical Director at assigned PACE Program. Duties include preparation of meeting agenda, preparation of minutes, and assistance with committee correspondence and presentation materials.
  • Communicate the QI to members, staff, contractors, administration, Participant Advisory Committee (PAC), and the Board of Directors..
  • Ensure compliance with CMS regulations. Responsible collaborating with the Health Plan Operations Manager on the Medicare Part D fraud, waste and abuse Compliance Program.
  • Prepare for CMS sites visits, inspections, and all subsequent follow up
  • Other duties assigned 

Position Requirements:

  • Must possess a comprehensive knowledge of healthcare delivery, compliance and management at a level as normally obtained through a Bachelor's Degree in Nursing or other closely related field.
  • Three (3) years of documented experience working in the field of quality and compliance for a healthcare organization preferred.
  • Minimum of one (1) year of documented experience working with a frail or elderly population preferred.

Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network. Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care. In every journey, we are dedicated to achieving comfort, dignity and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services.

Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza is a condition of employment and a requirement for all Empath Health employees.

Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!

EEO is the Law

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You will have the option to create a profile by clicking on Sign in above the Job Details.

We recommend creating a profile which will enable you to check on the status of your application and apply for other positions later on.

You can either Upload an existing cover lettter or Paste/type your cover letter. The cover letter has to be 50 characters minimum to proceed.

To submit a resume you have the option on using the Resume Builder, uploading an existing resume or paste/type your resume below .

We recommend using the Resume Builder if you do not have a digital copy of your resume. With the Resume Builder you can add an Objective (career goals, desired job title), Work Experience, Education Skills, Certifications, Awards and Memberships as well as References.

You can attach up to 3 additional documents to your job application for further consideration.

Resume Tips

  1. Put your name, phone number and email at the top of the resume.
  2. Include a summary (if you have several years of experience) or include an objective.
  3. List all of your relevant work experience, start with your current or most recent employment first.
  4. Give precise employment dates (month and year).
  5. Double-check your resume for accuracy before submitting it.