Quality and Compliance Specialist

Trinity Health; Norristown (Montgomery County); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

1st Day medical coverage

Dental

Vision

Paid time off

403B

Educational assistance

Daily pay

Employee referral incentives

Job summary

Trinity Health PACE seeks a Quality Assurance/Compliance Coordinator to manage quality improvement activities and ensure regulatory compliance across medical, home care, and contracted services. You will work under the Quality and Compliance Director, handling data collection, analysis, and report preparation to maintain survey readiness.

The role emphasizes infection control oversight, audit development, and performance improvement initiatives, with emphasis on CMS regulations and

Qualifications

• Bachelor's degree required.
• Two years quality/compliance/performance improvement experience preferred.
• Healthcare environment experience preferred.
• Strong analytical, problem-solving, and mathematical skills.
• Proficiency with Microsoft product suite and electronic mail/calendar systems.
• Ability to research, analyze, and prioritize workload.

Responsibilities

• Coordinate quality assurance, performance improvement, and compliance activities.
• Collaborate with Quality Director to establish workflows and documentation.
• Participate in regulatory surveys and develop improvement plans.
• Develop and implement clinical audit tools and corrective action plans.
• Lead performance improvement initiatives and assist with project design.
• Support process evaluation and root cause analyses.
• Monitor and analyze infection control data.
• Prepare monthly quality metrics reports.
• Ensure grievance and appeals processes comply with regulations.
• Collaborate on policy reviews and updates.
• Analyze Participant Satisfaction and HOS-M survey data with Quality Director.
• Oversee infection control program compliance.
• Conduct internal audits and reports to maintain compliance.
• Collaborate on Emergency Preparedness Plan execution per CMS regulations.

Skills

Analytical skills

Problem-solving

Organizational agility

Written and verbal communication

Microsoft Office

Research and prioritization

Education

Bachelor's degree

Tools

Microsoft Office Suite

Email/Calendar systems

Job description

Employment Type:Full timeShift:Day ShiftDescription:

Position Purpose:

The primary purpose of this position is to coordinate quality assurance, performance improvement, and compliance activities for medical, home care, and contracted services to ensure adherence to quality, safety initiatives, and regulatory requirements supporting the Quality and Compliance Director. Duties also will include data collection, analysis, action plan formation, ensuring a state of survey readiness and ensuring all reporting requirements are met.

What you will do:

• Manage quality improvement processes to enhance clinical care and outcomes.
• Coordinate with Quality and Compliance Director to establish effective workflows and documentation.
• Participate in regulatory surveys and compliance monitoring, developing improvement plans.
• Develop and implement clinical audit tools and corrective action plans.
• Lead performance improvement initiatives and assist colleagues with project design.
• Support process evaluation and root cause analyses.
• Monitor and analyze infection control data.
• Prepare monthly quality metrics reports.
• Ensure grievance and appeals processes comply with regulations and support participant satisfaction.
• Collaborate on policy reviews and updates.
• Analyze Participant Satisfaction and HOS-M survey data with Quality Director.
• Oversee infection control program compliance.
• Conduct internal audits and reports to maintain continuous compliance.
• Collaborate on Emergency Preparedness Plan execution per CMS regulations.

Minimum Qualifications:

• Bachelor's degree.
• Two (2) years quality/compliance/performance improvement experience preferred.
• A combination of education and experience may be acceptable.
• Healthcare environment experience preferred.
• Strong analytical, problem-solving, and mathematical skills.
• Action-oriented, customer-focused, with high decision quality and organizational agility.
• Superior written and verbal communication skills.
• Proficiency with Microsoft product suite and electronic mail/calendar systems.
• Ability to research, analyze, and prioritize workload.

Position Highlights and Benefits:

• Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.
• Access to daily pay and employee referral incentives.
• Supportive environment with a patient-centered focus.
• Opportunities for professional development.

Ministry/Facility Information

Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.

We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.