Quality and Compliance Specialist

Trinity Health; Texas; On-site; USD 65,000 - 90,000; Full time

Job summary

Trinity Health PACE seeks a Quality Assurance and Compliance professional to coordinate QA, performance improvement, and regulatory activities across medical, home care, and contracted services. You will collect data, analyze it, form action plans, and ensure survey readiness while meeting reporting requirements.

The role collaborates with the Quality and Compliance Director to improve workflows, develop audit tools, and implement corrective actions.

Qualifications

• Bachelor's degree required.
• 2 years of quality/compliance/performance improvement experience preferred.
• Healthcare environment experience preferred.
• Strong analytical, problem-solving, and mathematical skills.
• Superior written and verbal communication skills.
• Proficiency with Microsoft Office and email/calendar systems.
• Ability to research, analyze, and prioritize workload.

Responsibilities

• Coordinate quality improvement processes to enhance clinical care and outcomes.
• Collaborate with Quality and Compliance Director to establish effective workflows and documentation.
• Assist with 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 and monthly quality metrics.

Skills

Quality improvement

Regulatory compliance

Analytical skills

Communication skills

Microsoft Office

Prioritization

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Employment Type: Full time Shift: Day Shift Description: Monday-Friday, ONSITE

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.