Director of Quality and Compliance (Pace)

Who We Are:

We help our neighbors meet immediate needs and face long-term challenges. We steward our resources with transparency and efficiency. Together, we create a community where everyone is able to live with dignity and hope. Impelled by the love and teaching of Jesus Christ, while respecting the dignity and potential of all people, we collaborate to offer life-giving programs, advocate for the voiceless and empower the vulnerable to foster a just society .Catholic Charities Archdiocese of New Orleans (CCANO) has been an open door, a warm welcome, dry ground, a defending voice, and a hand up for generations of Louisiana residents. Our shared stories and strong roots help a diverse community stand tall together. Meeting the needs of the whole person is our continued commitment.

What You'll Do:

The Quality and Compliance Manager is responsible for ensuring the PACE program adheres to all regulatory standards and exhibits excellence in quality of care. This role involves monitoring compliance with federal and state regulations, developing quality assurance policies, and coordinating efforts to improve participant services and outcomes.

Responsibilities:

• Develop, implement, and oversee quality assurance systems and compliance programs, ensuring adherence to laws, regulations, and standards.


• Conduct regular audits and reviews, including preparing for and leading audits by regulatory agencies.


• Provide training and support to staff regarding compliance and quality improvement initiatives.


• Prepare and submit quality and compliance reports as required by regulatory bodies, including HPMS/CMS reporting.


• Collaborate with the leadership team, including the Medical Director and Executive Director, to foster a culture of continuous improvement, compliance, and participant centered care models.


• Manage and oversee the Quality Assurance Performance Improvement (QAPI) program, ensuring quality participant care and adherence to standards.


• Coordinate and monitor utilization tracking systems and quality assurance performance improvement databases and activities.


• Identify workflow inefficiencies and manage the assessment and resolution processes. Oversee data management for quality improvement (QI) activities, including collection, analysis, and use of data to improve performance and policies.


• Attend Board of Directors meetings and represent the organization in quality and compliance-related activities, including PACE quality improvement committees and subcommittees.


• Provide oversight and direction for the development, management, and implementation of policies and procedures, including change control management.


• Facilitate workgroups for the development of policies, procedures, protocols, and other job aids.


• Develop tools for audit preparation, implement corrective action plans (CAPs), and ensure compliance with CMS quality measures.


• Oversee the grievance and appeal process, including investigation of quality reviews and ensuring grievances/complaints are processed in accordance with regulations and standards.


• Maintain and support a culture of compliance, ethics, and integrity, staying updated with relevant regulatory requirements, external laws, and accreditation standards.


• Conduct annual participant satisfaction surveys and coordinate the Participant Advisory Committee.


• Participate in Executive Team and Department Head meetings. Handle other projects and duties as assigned.

Perks!

• Medical, Dental, Vision


• FSA, HSA


• Indemnity Plans


• 401k Matching


• Company Paid Life Insurance


• Company Paid STD & LTD


• Wellness Program Incentives


• Employee Referral Bonus


• EAP


• Teladoc and sooo much more!

What You'll Bring:

Education: Bachelor's degree in Healthcare Administration, Business, or related field; Master's preferred.

Experience: 3-5 years in quality assurance or compliance within a healthcare setting; PACE experience is an advantage.

Licensure: Relevant certification in quality or compliance (e.g., CPHQ, CHC) is desirable.

Key Competencies:

• In-depth knowledge of healthcare compliance and quality assurance.


• Strong analytical and problem-solving skills.


• Excellent communication and interpersonal abilities.

Physical Requirements:

• Ability to navigate office and clinic settings.


• Sit, stand, and walk as required.


• Occasional lifting of light objects (up to 20 pounds).

The Catholic Charities Archdiocese of New Orleans is an Equal Opportunity Employer At the CCANO , we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, disability, sexual orientation, gender identity and/or expression, marital status, veteran service, genetic information, family or parental status, or any other status in accordance with applicable federal, state and local laws. The CCANO expressly prohibits any form of unlawful employee harassment based on any of the characteristics listed here. Improper interference with the ability of CCANO employees to perform their expected job duties is absolutely not tolerated. The CCANO complies with applicable state and local laws governing non-discrimination in employment in every location in which CCANO has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.