Compliance PI Director

Wellpath / Correct Care Solutions; Fresno (CA); On-site; USD 131,040 - 145,600; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

401k

Tuition Assistance

Employee Assistance Program

Wellness program

Job summary

A healthcare organization is seeking a Compliance and Performance Improvement Director to manage the quality and performance improvement activities. This role involves leading initiatives to enhance patient safety, ensuring compliance with regulatory standards, and providing training and supervision within the Medical Records Department. Strong leadership, data analysis skills, and experience in healthcare or correctional settings are essential. The position offers competitive compensation and a range of benefits.

Qualifications

• Bachelor’s degree in human services, healthcare field, management, or LVN Licensure required.
• Three (3) years of experience in a performance improvement or quality assurance position.
• Experience with accreditation or regulatory standards desirable.

Responsibilities

• Lead performance improvement and patient safety initiatives.
• Ensure compliance through oversight of audits and inspections.
• Analyze and report performance indicators and incidents.

Skills

Data analysis

Leadership

Communication

Process improvement

Microsoft Excel

Education

Bachelor’s degree in human services or healthcare

Tools

Microsoft Office

Data analysis software

Job description

We're on a path to better healthcare.Join us

Compensation Information: $131,040 - $145,600 / year

Department (Org): Administration

You Matter

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

Join us and find a career that supports

• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

Why Us

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

How you make a difference

The Compliance and Performance Improvement Director is responsible for management and administration of facility’s quality and performance improvement activities and also supervises the Medical Records Department. Overall responsibilities include providing technical assistance to facility leaders for the development and implementation of processes and systems to deliver safe and quality care and services that comply with licensing and regulatory standards, coordinating data collection, tracking and trending, and the monitoring of performance indicators.

Key Responsibilities

• Lead facility-wide performance improvement and patient safety initiatives using data-driven methods to achieve best-practice clinical outcomes and reduce medical errors, adverse events, and serious injuries.
• Ensure regulatory, contractual, and accreditation compliance through oversight of internal audits, inspections, self-assessments, corrective action plans, and coordination with external regulatory and accreditation bodies.
• Analyze, monitor, and report performance indicators and incidents, including trend analysis, root cause investigations, mortality and morbidity reviews, and concise executive-level reporting.
• Provide leadership, supervision, and training, including direct supervision of the Medical Records Department and education of staff and leadership on performance improvement tools, data analysis, and continuous improvement methods.
• Support facility leadership and stakeholder engagement through policy and program development, satisfaction surveys, investigations, liaison activities, and other assigned duties.

Qualifications & Requirements

Education

• A Bachelor’s degree in human services, healthcare field, management, or LVN Licensure required. Master’s Degree preferred.

Experience

• Three (3) years of experience in a performance improvement, quality assurance, or contract management related position.
• Experience in healthcare, correctional, security, forensic facility or secure setting preferred.
• Demonstrated experience in performing tasks related to process design, management and improvement; systems analysis; data collection, analysis and reporting; and other tasks requiring general management and leadership skills may be substituted on a year for year basis for experience in a direct performance improvement, quality assurance, or contract management position.
• Experience working with accreditation or regulatory standards desirable.
• Experience with Six Sigma or LEAN process improvement methodologies desirable.
• Excellent written, verbal, and computer skills.
• Experience with Microsoft Office, especially Excel, required.
• Experience with data analysis software desirable.

Licenses/Certifications

• CPHQ, Six Sigma or other quality professional certification preferred.

We are an Equal Employment Opportunity/Affirmative Action Employer

We celebrate diversity and are committed to creating an inclusive environment for all employees.

If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.