Provider Quality & Compliance Leader

Lakeland Care Inc.; Madison (WI); On-site; USD 60,000 - 75,000; Full time

Job summary

Lakeland Care Inc. is seeking a Provider Quality Specialist to help build and maintain a network of high‑quality providers serving Dane and surrounding counties.

The role focuses on monitoring provider quality, contract compliance, and proactive improvement through data review and on‑site engagement. Under supervision, you’ll lead in quality standard definitions, maintain licensure regulation knowledge, and collaborate with providers to implement corrective actions and best practices,

Qualifications

• Bachelor’s degree in a human service or business-related field, or equivalent combination of education and experience.
• Minimum of three (3) years of experience working with the population(s) served in the Family Care program and/or service provider industry.
• Strong knowledge of the service provider industry, including licensing requirements and regulations.
• Must demonstrate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Must have exceptional verbal and written communication skills.
• Effective communication skills, strong organizational skills, and meticulous attention to detail.
• Strong critical thinking and analytic skills.
• Ability to develop strong working relationships and disseminate information appropriately.
• Current driver’s license, acceptable driving record and proof of adequate insurance required.

Responsibilities

• Collaborate in developing quality standard definitions for providers and consistent processes to evaluate the quality of services rendered to members.
• Maintain a thorough understanding of regulations relating to licensure in residential and skilled nursing facilities, as well as member rights and serve as a resource to providers to improve the quality-of-service delivery.
• Review quality data monthly to identify trends of quality concerns and make recommendations for action plans with providers towards quality improvement.
• Make recommendations to contracted providers’ policies and procedures, collaborate with providers regarding Statements of Deficiency from regulatory agencies, conduct on-site provider visits as required, actively engage in provider oversight process.
• Promote quality work of the providers and is a strong leader in identifying and facilitating provider quality oversight.
• Communicate effectively with LCI contracted providers as well as other LCI departments to support and enhance organizational practices.
• Respect other opinions and concerns and value diversity in thought and action.
• Provide education to contracted providers regarding the Family Care program and state statutes.
• Collaborate with providers in LCI incident review, policy/procedure review, risk remediation and best practices.

Skills

Analytical thinking

Verbal communication

Written communication

Interpersonal skills

Education

Bachelor’s degree in human services or business-related field

Tools

Microsoft Office

Job description

Lakeland Care Inc. is seeking a Provider Quality Specialist to help build and maintain a network of high‑quality providers serving Dane and surrounding counties.

The role focuses on monitoring provider quality, contract compliance, and proactive improvement through data review and on‑site engagement. Under supervision, you’ll lead in quality standard definitions, maintain licensure regulation knowledge, and collaborate with providers to implement corrective actions and best practices,