Director of Quality and Compliance
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Job Location:
Livonia, MI - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Employment Type:
Full timeShift:
Description:
Director of Quality and Compliance ONSITE IN Baton Rouge and Lafayette LA
Position Purpose
The Director Quality Improvement & Compliance is responsible for developing implementing organizing and monitoring the Quality Improvement (QI) Plan for the PACE Organization (PO) ensuring full compliance with CMS regulatory close partnership with the Medical Director this leader oversees annual QI planning drives quality initiatives and ensures data-driven decision making by collecting analyzing and communicating key quality metrics to internal and external stakeholders.
What You Will Do
- Develop and implement the annual Quality Improvement Plan in collaboration with the Medical Director including compiling annual reports and presenting findings to leadership staff contractors the Participant Advisory Committee (PAC) and the Board of Directors.
- Coordinate and support the PACE Quality Committee.
- Ensure compliance with CMS regulations including oversight of the Medicare Part D fraud waste and abuse Compliance Program and HIPAA privacy requirements.
- Manage preparation for CMS site visits audits inspections and all related followup.
- Analyze risk management and quality data to identify issues and implement corrective actions.
- Oversee complaint grievance and incident reporting processes and conduct trend analysis to inform action plans.
- Lead infection control program planning and reporting including monthly summaries and corrective action tracking.
- Facilitate Participant Satisfaction and HOSM surveys and analyze results.
- Ensure timely reporting to CMS State agencies and Trinity Health PACE.
- Monitor HPMS complaints and memorandums and coordinate required responses.
- Support process evaluations root cause analyses and performance improvement initiatives.
- Provide leadership and performance oversight for Quality and Compliance team members and collaborate with HIM education and clinical informatics teams.
Minimum Qualifications
- Bachelors degree in Health Administration or related field required; Masters degree preferred.
- Five (5) or more years of progressively responsible experience in healthcare delivery program development or service operations; experience with elderly populations preferred.
- At least one (1) year of experience working with frail or elderly individuals preferred.
- Prior supervisory experience preferred.
- Strong business acumen decisionmaking skills conflict management and adaptability to change.
- Excellent communication presentation and crossfunctional collaboration skills.
- Proficiency with Microsoft Office and related tools.
- High personal accountability and strategic planning capability.
- Ability to travel up to 10% within the region.
Position Highlights and Benefits:
Comprehensive benefits including 1st Day medical coverage dental vision paid time off 403B and educational assistance.
Access to daily pay and employee referral incentives.
Supportive environment with a patient-centered focus.
Opportunities for professional development.
Up to $4000 in tuition reimbursement annually
Ministry/Facility Information
Continuing Care Corp of Michigan is a part of Trinity Health. Trinity Health is one of the largest not-for-profit faith-based health care systems in the nation. It is a family of 133000 colleagues and more than 38900 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience the Trinity Health system includes 92 hospitals 101 continuing care locations the second largest PACE program in the country as well as many other health and well-being fiscal year 2025 the Livonia Michigan-based health system invested $2.9 billion in its communities in the form of charity care community benefit and other programs and services.
Submit your application today!!!
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.
Required Experience:
Director
Key Skills
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more
