RN PACE Quality and Compliance Director
RN PACE Quality and Compliance Director
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Salary Not Disclosed
1 Vacancy
Job Description
Job description
Quality and Compliance Director is responsible for directing evaluating and improving the quality of health care solutions to PACE participants as well as monitoring regulatory compliance.
PRIMARY FUNCTIONS:
Data Collection and interpretation to identify trends develop education and implementation.
Developing and implementing PACE quality projects training education and compliance activities
Understand the evolving healthcare regulatory and policy environment and identify and assess the impacts to PACE.
Provide leadership in identifying trends and emerging PACE compliance issues
Develop routine communication and collaboration with National PACE Association (NPA) as well as other Quality Leaders within the PACE network.
Manage Quality team to include Policy and Regulatory Manager and Quality Associate
Oversee PartD regulatory compliance as well as Medicare Fraud Waste and Abuse
Completion of Level II reporting as needed and Quality reporting for CMS quarterly reporting.
Integral part of the CMS/SAA Audit of the PACE program
SUPERVISORY RESPONSIBILITIES
Supervise Quality team on assigned projects as well as PBP teams to ensure that all are compliant for QAPI purposes as well as for State/Federal regulatory requirements.
SKILLS AND QUALIFICATIONS
Registered Nurse with 3 years of quality/process improvement experience; Masters degree strongly preferred; and/or Masters level in Public Administration or Health Administration
Knowledge of the laws standards and regulations that apply to PACE Medicare Medicaid managed care and longterm care
Excellent written verbal and analytical skills
Able to work professionally with sensitive proprietary data and information while maintaining confidentiality.
Strong interpersonal skills and ability to work in a teamfocused environment.
Demonstrated ability to work in an association membership organization is desirable.
Must be able to manage multiple tasks/projects simultaneously. Ability to adapt to frequent priority change
Previous experience in healthcare regulatory environment
Due to data analysis technical writing and document control the Quality and Compliance Director needs to have excellent computer skills and risk assessment skills. They should know Excel Word and other supporting quality software.
Needs to be detail oriented and organized. Able to learn new skills quickly manage their time effectively and spend a lot of time communicating with other staff members
Core skills:
Risk Assessment
Data Collection
Operational knowledge of Excel Spreadsheet development
Interpreting data
Developing training
Experience in PowerPoint Excel Word Outlook
Job Type: Fulltime
Required Experience:
Senior IC
Employment Type
Full-Time
