A Compliance Officer or Analyst monitors internal compliance with company policies and also company compliance with local, state and federal laws. Reviews company documents, including contracts and marketing materials; communicates with employees and develops training and internal policy materials.
Mobile, AL Job Details Full-time 1 day ago Benefits Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance 403(b) Referral program Qualifications Meeting minutes Collaborate with healthcare professionals Operational analysis Nursing Committee work Fire safety Quality records maintenance Defect resolution root cause analysis Spreadsheets Maintaining patient confidentiality Healthcare Administration CMS Disaster recovery planning (Crisis management methodologies) Corrective and preventive actions (CAPA) Metrics Reporting Mid-level Working with seniors Healthcare infection prevention and control expertise Data summary reports Quality reports Meeting scheduling Quality control data reporting Clinical audit and monitoring CMS regulatory compliance Analysis skills Bachelor's degree Public Health Clinical performance metrics Clinical program monitoring Clinical outcome improvement
Full Job Description Employment Type:
Full time
Shift:
Description:
Position Summary The Quality& Compliance Specialist supports the Quality& Compliance Director in ensuring quality, regulatory compliance, and continuous survey readiness across the PACE program. This role is responsible for quality monitoring, data analysis, regulatory reporting, performance improvement initiatives, infection control tracking, and compliance oversight to improve participant outcomes and operational excellence. Key Responsibilities Collect, analyze, and report quality, compliance, and performance improvement data. Monitor quality metrics, maintain scorecards, and identify trends requiring corrective action. Develop, implement, and track performance improvement and corrective action plans. Conduct audits of clinical and operational processes to ensure regulatory compliance and survey readiness. Support regulatory surveys and maintain compliance with CMS, state, federal, and organizational requirements. Monitor grievance and appeals processes to ensure regulatory compliance and participant satisfaction. Collaborate with interdisciplinary teams to conduct root cause analyses and process evaluations. Prepare and submit required quality, compliance, and regulatory reports, including HPMS reporting. Coordinate Quality Committee meetings, including agendas, minutes, and supporting materials. Monitor infection control and immunization data and support infection prevention initiatives. Review and update policies and procedures to ensure ongoing compliance. Assist with emergency preparedness, fire drill tracking, and business continuity planning. Participate in audits of contracted providers and PACE program sites. Maintain confidentiality of participant information and uphold organizational values and ethical standards. Qualifications Bachelor's degree in Healthcare Administration, Nursing, Public Health, Quality Management, or a related field preferred. Two (2) years of quality, compliance, performance improvement, or healthcare experience preferred. Experience working with frail or elderly populations preferred. Strong analytical, problem-solving, organizational, and communication skills. Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint. Knowledge of quality improvement principles, regulatory requirements, auditing processes, and data reporting. Ability to manage multiple priorities, work independently, and collaborate effectively across teams. Limited travel (less than 10%) within the service region may be required. Position Highlights and Benefits Comprehensive benefits package, includingDay 1 medical coverage, dental, vision, paid time off, 403(b), and educational assistance. Access to earned wages daily throughDailyPay. Opportunity to earn incentives through theEmployee Referral Program. Warm, supportive environment with a strongparticipant-centered focus. Comprehensive orientation and ongoingprofessional development opportunities. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
