Director of Quality and Compliance

Voluntary Protection Programs Participants' Association, Inc.; Fargo (ND); On-site; USD 120,000 - 180,000; Full time

Job summary

Voluntary Protection Programs Participants' Association, Inc. is seeking a Director of Quality & Compliance to provide strategic leadership for quality management, regulatory compliance, accreditation, performance improvement, data analytics, policy management, and EHR systems.

This exempt, Administration department role partners with executive leadership to monitor performance and drive improvement across the organization.

Qualifications

• Lead quality management, compliance, and performance improvement programs.
• Ensure compliance with federal, state, payer, licensing, contractual, and accreditation requirements.
• Monitor regulatory changes and coordinate responses to maintain compliance.
• Oversee internal audits, external inspections, and accreditation surveys.

Responsibilities

• Lead CARF accreditation readiness, surveys, corrective actions, and continuous compliance.
• Coordinate external audits, inspections, licensing reviews, and accreditation surveys.
• Investigate compliance concerns and support organizational risk mitigation efforts.
• Oversee EHR optimization, reporting, workflow improvements, user support, and training initiatives.
• Serve as primary liaison with regulatory agencies, accreditation bodies, payers, and external oversight organizations.

Skills

Quality management

Regulatory compliance

Performance improvement

Data analytics

EHR systems

Job description

JOB DESCRIPTION

POSITION TITLE: DIRECTOR OF QUALITY & COMPLIANCE

DEPARTMENT: ADMINISTRATION

FLSA STATUS: EXEMPT

JOB SUMMARY

The Director of Quality & Compliance provides strategic leadership and oversight for the organization's quality management, regulatory compliance, accreditation, performance improvement, data analytics, policy management, and electronic health record (EHR) systems. This position is responsible for ensuring compliance with federal, state, payer, licensing, contractual, and accreditation requirements while fostering a culture of continuous improvement, accountability, and data-informed decision-making.

The Director develops and maintains systems that monitor organizational performance, quality outcomes, operational effectiveness, and compliance readiness. Through collaboration with executive leadership and department leaders, this position supports strategic planning, performance measurement, risk management, audit readiness, policy governance, EHR optimization, and organizational excellence. The Director serves as a key organizational resource for quality improvement, compliance oversight, accreditation activities, performance analytics, and regulatory readiness, helping ensure the organization achieves its mission while maintaining the highest standards of service, quality, and accountability.

REPORTING RELATIONSHIPS

The Director supervises the Business Data Coordinator.

DUTIES AND ESSENTIAL JOB FUNCTIONS

Quality, Compliance & Accreditation

• Lead the organization's quality management, compliance, and performance improvement programs.
• Ensure compliance with federal, state, payer, licensing, contractual, and accreditation requirements.
• Monitor regulatory changes and coordinate organizational responses to maintain compliance.
• Lead CARF accreditation readiness, surveys, corrective actions, and continuous compliance efforts.
• Oversee internal compliance reviews, audits, and quality assurance activities.
• Coordinate external audits, inspections, licensing reviews, and accreditation surveys.
• Investigate compliance concerns and support organizational risk mitigation efforts

Performance Improvement and Analytics

• Establish and monitor organizational key performance indicators (KPIs), scorecards, and performance measures.
• Lead organization-wide performance improvement and continuous quality improvement initiatives.
• Analyze operational, clinical, quality, utilization, and organizational data to identify trends and opportunities.
• Develop and maintain dashboards, reports, and business intelligence tools to support decision-making.
• Provide leadership with actionable insights, recommendations, and performance reporting.

EHR & Information Systems

• Serve as organizational lead and primary liaison for the electronic health record (EHR) system and related technologies.
• Oversee EHR optimization, reporting, workflow improvements, user support, and training initiatives.
• Ensure data integrity, documentation standards, and effective use of organizational information systems.

Policy and Organizational Governance

• Maintain organization-wide policy, procedure, and forms management processes to ensure regulatory and operational compliance.
• Oversee corrective action planning and monitoring to ensure timely resolution of identified issues.
• Serve as primary liaison with regulatory agencies, accreditation bodies, auditors, payers, and external oversight organizations.

Leadership and Organizational Support

• Provide leadership, consultation, education, and support to leaders and staff regarding quality, compliance, performance improvement, and data-driven decision-making.
• Fac