Director of Compliance & Quality

Andwell Health Partners; Lewiston (ME); Sur place; USD 110 000 - 150 000; Plein temps

Avantages offerts par ce poste

Competitive salary

Medical, dental, vision insurance

PTO & holidays

Retirement plan

Employer-paid life insurance

EAP

Professional development

Résumé du poste

Andwell Health Partners is seeking a Director of Quality & Compliance to provide strategic leadership for quality management, regulatory compliance, risk management, accreditation, and privacy programs across Maine. This senior role partners with the executive team and serves on the Senior Management Team.

You will lead continuous quality improvement, patient safety initiatives, and survey readiness while aligning with CMS, ACHC, HIPAA, and state regulations.

Qualifications

• Bachelor’s degree in healthcare field required; Master’s degree preferred.
• Minimum 3–5 years in healthcare quality, compliance, or regulatory/risk management.
• Experience with CMS, ACHC, and state regulatory surveys.

Responsabilités

• Lead the organization's QAPI program and quality initiatives.
• Maintain CMS/ACHC readiness and accreditation across service lines.
• Oversee enterprise risk management and incident investigations.
• Serve as Privacy Officer; oversee HIPAA governance and breach response.
• Collaborate with executive leadership and clinical operations to achieve goals.

Connaissances

Leadership

Quality improvement

Regulatory compliance

CMS knowledge

HIPAA

Audit management

Risk management

EHR systems

Data analysis

Project management

Formation

Bachelor's degree in Healthcare Administration

Master's degree preferred

CPHQ

CHC

Description du poste

Andwell Health Partners | Lewiston, MaineDepartment: Shared Services – Quality & ComplianceReports To: Chief Clinical Officer (CCO)Status: Exempt | Full-TimeLead Quality, Compliance, and Regulatory Excellence Across Maine's Leading Nonprofit Healthcare OrganizationAt Andwell Health Partners, we believe healthcare is about more than services. It is about belonging, purpose, and improving the quality of life for the individuals, families, and communities we serve.As Maine's leading independent nonprofit provider of home and community-based healthcare, Andwell delivers a comprehensive range of services including hospice, home health, home care, palliative care, behavioral health, wound care, audiology, and care management. Every day, our team members work together to provide compassionate, high-quality care while supporting one another in a culture built on respect, collaboration, and excellence.We are seeking an experienced Director of Quality & Compliance to provide strategic leadership for our organization-wide quality management, regulatory compliance, risk management, accreditation, and privacy programs. This is a key leadership position that partners closely with executive leadership and serves as a member of the Senior Management Team.If you are passionate about healthcare quality, patient safety, compliance excellence, and driving continuous improvement across a mission-driven organization, we encourage you to apply.Why Join Andwell?When you join Andwell, you become part of an organization that values your expertise, supports your growth, and recognizes the impact of your work.Benefits Include:Competitive salaryComprehensive medical, dental, and vision insuranceGenerous paid time off and holiday payRetirement savings plan with employer contributionEmployer-paid life insuranceEmployee Assistance Program (EAP)Professional development and continuing education opportunitiesSupportive and collaborative leadership environmentOpportunity to make a meaningful impact across healthcare services throughout MainePosition SummaryThe Director of Quality & Compliance provides strategic oversight of Andwell's quality improvement, compliance, risk management, accreditation, privacy, and regulatory programs. This leader ensures organizational adherence to CMS Conditions of Participation, ACHC Accreditation Standards, HIPAA requirements, State of Maine regulations, and other applicable federal and state healthcare regulations.The Director drives a culture of continuous quality improvement, patient safety, survey readiness, and regulatory excellence across all service lines while supporting exceptional patient outcomes and operational performance.Key ResponsibilitiesQuality & Performance ImprovementLead and oversee the organization's Quality Assessment and Performance Improvement (QAPI) program.Develop, implement, and monitor organization-wide quality initiatives.Analyze performance data, identify trends, and implement improvement strategies.Lead corrective action planning and monitoring resulting from audits, investigations, and surveys.Oversee patient, family, and customer experience improvement efforts.Regulatory Compliance & AccreditationEnsure compliance with CMS, ACHC, OIG, HIPAA, State of Maine, and other regulatory requirements.Maintain continuous accreditation and survey readiness across all service lines.Serve as organizational lead during regulatory and accreditation surveys.Coordinate plans of correction and monitor ongoing compliance activities.Provide compliance reporting and updates to executive leadership, Board Committees, and the Corporate Board.Risk ManagementOversee enterprise risk management and incident reporting programs.Lead investigations, risk assessments, mitigation planning, and follow-up activities.Identify organizational risk trends and develop preventative strategies.Ensure compliance-related risks are escalated appropriately.Privacy Program LeadershipServe as the organization's Privacy Officer.Oversee HIPAA compliance and privacy program governance.Lead privacy risk assessments, breach investigations, and required notifications.Develop and maintain privacy policies, procedures, and education programs.Partner with Information Technology leadership to align privacy and security initiatives.Leadership & Organizational CollaborationServe as a member of the Senior Management Team.Provide leadership, education, and guidance regarding quality, compliance, privacy, and risk management.Collaborate with clinical and operational leaders to achieve organizational goals.Participate in key committees, including Compliance, HIPAA, Risk Management, Emergency Preparedness, and Professional Advisory Committees.Promote a culture of accountability, integrity, safety, and continuous improvement.Required QualificationsEducationBachelor's degree in Healthcare Administration, Nursing, Public Health, Physical Therapy, or a related healthcare field required.Master's degree in Healthcare Administration, Nursing, Business Administration, Physical Therapy, or a related discipline preferred.CertificationsStrongly preferred certifications include:Certified Professional in Healthcare Quality (CPHQ)Certified in Healthcare Compliance (CHC)Other related quality, compliance, or risk management credentialsExperienceMinimum 3-5 years of progressive healthcare quality, compliance, risk management, or regulatory experience required.At least 3 years of leadership or management experience required.Direct experience with CMS, ACHC, and State regulatory survey processes required.Experience in home health, hospice, palliative care, behavioral health, or other post-acute care settings strongly preferred.Demonstrated success leading quality improvement initiatives, audits, survey readiness programs, corrective action plans, and risk mitigation efforts.Knowledge, Skills & AbilitiesThe successful candidate will demonstrate:Extensive knowledge of healthcare quality and performance improvement methodologies, including QAPIStrong understanding of CMS Conditions of Participation, ACHC standards, HIPAA regulations, and healthcare compliance requirementsKnowledge of hospice, home health, palliative care, behavioral health, and post-acute healthcare operationsAbility to interpret and apply complex federal and state healthcare regulationsExceptional leadership, coaching, and team development skillsStrong analytical and problem-solving capabilitiesExperience with audit management and regulatory compliance monitoringExcellent written, presentation, and communication skillsStrong project management and organizational abilitiesHigh level of integrity, professionalism, and attention to detailProficiency with electronic health record (EHR) systems and Microsoft Office applicationsThe Andwell DifferenceAt Andwell Health Partners, we recognize that our employees are the foundation of our success. We celebrate individual strengths while working together toward a common mission: improving quality of life through exceptional care and service.You do not just work at Andwell. You belong.Join a team where your leadership, expertise, and commitment to quality can make a lasting impact on healthcare delivery across Maine.Apply today to become our next Director of Quality & Compliance.Andwell Health Partners is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and applicants.