PACE Quality & Compliance Director

PACE; Milford (DE); On-site; USD 120,000 - 180,000; Full time

Job summary

PACE is seeking a Director of Quality and Compliance to oversee quality assurance, regulatory adherence, and performance improvement across our elderly-care program. You will lead efforts to ensure CMS and state compliance, guide risk management, and drive continuous improvement with clinical and operational teams.

Ideal candidates bring 4+ years in healthcare quality/compliance with leadership experience, plus knowledge of PACE operations and CHC/QM certifications.

Qualifications

• Bachelor's degree in healthcare administration, nursing, public health, or related field; Master’s preferred.
• Minimum of 4 years in quality management, compliance, or regulatory affairs in healthcare; at least 2 years in a leadership role.
• Knowledge and experience with PACE program operations and regulations (CMS and state level).
• Strong understanding of healthcare regulations, accreditation standards, and compliance protocols.
• Proven track record in leading quality improvement initiatives and risk management programs.
• Exceptional leadership, communication, and interpersonal skills.
• Certification in Healthcare Quality (CHCQM, CPHQ) or other relevant certifications preferred.

Responsibilities

• Regulatory Compliance Management: ensure adherence to CMS and state regulations; monitor regulatory updates; liaise with agencies; manage audits and inspections.
• Quality Assurance and Improvement: develop and evaluate quality initiatives; analyze performance metrics; implement CAPs.
• Risk Management and Reporting: lead risk assessments; implement mitigation; prepare for external audits and reporting.
• Staff Training and Development: develop training on compliance and quality standards; foster culture of compliance.
• Participant Care and Satisfaction: advocate for safety and person-centered care; monitor feedback and respond to concerns.
• Leadership and Strategic Planning: participate in senior leadership; set goals for quality and compliance; align initiatives with organizational goals.
• Data Collection and Analysis: collect, analyze, report quality data; support data-driven decisions.
• Technology and EMR: primary EMR liaison; training and support; stay updated on EMR features.

Skills

Regulatory Compliance

Quality Assurance

Leadership

Communication

Interdisciplinary Collaboration

Data Analysis

Education

Bachelor's in Healthcare Administration

Master's degree preferred

Tools

EMR Systems

CMS/Regulatory Software

Microsoft Office

Job description

PACE is seeking a Director of Quality and Compliance to oversee quality assurance, regulatory adherence, and performance improvement across our elderly-care program. You will lead efforts to ensure CMS and state compliance, guide risk management, and drive continuous improvement with clinical and operational teams.

Ideal candidates bring 4+ years in healthcare quality/compliance with leadership experience, plus knowledge of PACE operations and CHC/QM certifications.