Employment Type:

Shift:

Description:

Job Title: Quality and Compliance Specialist

Ministry/Facility: PACE Mercy Life, Norristown

Full Time - ONSITE

Position Purpose:

As a Quality and Compliance Specialist at PACE Mercy Life, your primary role is to oversee quality assurance, performance improvement, and compliance activities. Working closely with the Quality and Compliance Director, you will ensure adherence to regulatory standards and foster a culture of continuous improvement across medical services, home care, and contracted services.

What You Will Do:

- Coordinate data collection, analysis, and action plan to improve process and outcome.

- Lead performance improvement initiatives and develop corrective action plans as needed.

- Manage multiple project requests related to quality and patient safety data and performance improvement activities

-Collects, aggregates, analyzes and reviews utilization data for improvement opportunities.

-Supports organizational safety event review and analysis, including intensive case analysis, and Root Cause Analysis (RCA) practices.

- Supports the interdisciplinary team with providing guidance on CMS regulations and survey readiness.

- Maintain a constant state of survey readiness and ensure all reporting requirements are met.

- Collaborate with the Quality and Compliance Director on regulatory surveys and monitoring activities.

- Facilitates the selection and provides leadership in conducting proactive risk assessments, including the Failure Mode and Effects Analysis

- Facilitate the grievance and appeals process, ensuring compliance with CMS regulations.

-  Develop and implement audit tools for clinical processes and utilization.

- Monitor infection control data and ensure compliance with regulatory requirements.

- Prepare and submit monthly quality metrics reporting to CMS and Trinity Health PACE.

Minimum Qualifications:

- Bachelor's degree and two years of quality/compliance or performance improvement experience preferred.

- Experience working in a healthcare environment, with a minimum of one year working with a frail or elderly population preferred.

- Experience with performance improvement tools and Lean Six Sigma

-Experience with project management

- Strong analytical skills, problem-solving capabilities, and proficiency in data analysis and report preparation.

- Excellent interpersonal, communication, and presentation skills, with the ability to collaborate effectively across teams.

- Proficiency with Microsoft Office suite and ability to adapt to various software platforms as needed.

- Highly organized with the ability to prioritize tasks, manage conflicts, and work independently with minimal supervision.

- Willingness to travel occasionally within the geographic region.

Position Highlights and Benefits:

- Competitive compensation package with opportunities for professional development.

- Collaborative work environment dedicated to upholding the mission, vision, and values of Trinity Health PACE.

- Comprehensive benefits including medical, dental, and vision coverage.

- Opportunities for career advancement and ongoing learning within a growing organization committed to excellence in elder care.

Join our team at PACE Mercy Life and contribute to ensuring the highest quality of care for our participants while maintaining compliance with regulatory standards. Make a difference in the lives of our community's elders every day.

Apply now!

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.