Quality and Compliance Director

Here’s what you’ll be doing:

• Lead the incident reporting and patient grievance process by coordinating investigations, conducting root‑cause analyses, collaborating with department leaders, and ensuring corrective actions and timely resolution. Serve as a liaison to uphold patient rights and promote patient‑centered care.
• Oversee HIPAA Privacy Rule compliance by developing and enforcing policies, conducting chart audits, monitoring for potential breaches, and leading investigations as needed.
• Direct quality improvement and assurance efforts by managing QI processes, facilitating initiatives through meetings, staff training, and process redesign, and recommending best‑practice workflows that enhance patient safety and quality of care.
• Monitor internal and external performance indicators by coordinating data collection and analysis, identifying trends, presenting findings to leadership, and driving improvement strategies when benchmarks fall below organizational targets.
• Develop, revise, and enforce policies, procedures, and performance standards to ensure regulatory adherence. Lead compliance reviews, audits, corrective actions, and serve as the organizational liaison for inspections, surveys, and accreditations.
• Provide training and coaching to enhance staff knowledge of regulatory requirements and quality standards, while promoting a culture of accountability and continuous improvement across teams.

What you’ll need to be successful:

• Bachelor’s degree in Nursing, Healthcare Administration, Business or other health related degree program is required. Master’s degree preferred.
• Two years of experience collecting, analyzing and presenting data, preferably in a health care environment, is required.
• Two years of experience in the implementation and effective use of quality improvement best practices, principles, tools, and methodologies and ability to train staff in their use is required.
• Three years of responsible leadership experience in management or supervision.
• Six Sigma or similar nationally recognized quality management and improvement certification program preferred.
• Must successfully pass all applicable background checks and drug screens.
• FCP complies with all CDC vaccine and testing recommendations for healthcare professionals. Proof of immunizations is required and immunizations/testing provided upon hire. 

Benefits you’ll love:

• Approximately 5 weeks of paid time off annually
• 3 weeks of paid holidays
• Premium free health insurance
• Flexible spending accounts
• Short-term disability
• Life insurance
• 401k with match
  

Equal Opportunity Employer

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