PACE Quality & Regulatory Specialist - Data, Audits & EMR

Capital Health (US); United States; On-site; USD 61,000 - 80,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

FSA

Healthcare FSA

Dependent Care FSA

Retirement Plan

Life Insurance

Disability Insurance

Paid Time Off

Commuter Benefits

Employee Assistance Program

Commuter Parking

Job summary

Capital Health is actively seeking a Quality and Regulatory Affairs Specialist – PACE to support the manager in maintaining compliance and driving quality improvements across the program.

The role focuses on data collection, audit preparation, and timely documentation, serving as a liaison with EMR vendors to support system updates and regulatory changes, while ensuring audit readiness.

Qualifications

• Bachelor's degree required.
• One year of experience in healthcare quality, compliance, or regulatory support.
• Familiarity with CMS, state, and DOH requirements for PACE or similar programs.

Responsibilities

• Develop, review, and maintain logs, dashboards, and tracking tools for compliance and quality metrics.
• Prepare CMS universe reports and documentation for external audits.
• Coordinate collection and submission of data for quality improvement initiatives.
• Track and monitor corrective actions from audit findings and internal reviews.
• Conduct routine internal reviews of participant records, incident reports, grievances, and service delivery documentation.
• Assist in organizing documentation for environmental and safety audits, transportation compliance, and infection control logs.

Skills

CMS knowledge

Organization

Time management

Communication skills

Microsoft Office

Education

Bachelor’s degree

Tools

Microsoft Office Suite

EMR systems

Job description

Capital Health is actively seeking a Quality and Regulatory Affairs Specialist – PACE to support the manager in maintaining compliance and driving quality improvements across the program.

The role focuses on data collection, audit preparation, and timely documentation, serving as a liaison with EMR vendors to support system updates and regulatory changes, while ensuring audit readiness.