Quality and Compliance Specialist

Trinity Health; West Springfield (MA); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

1st Day medical coverage

Dental and vision

Paid time off

403B and educational assistance

Job summary

Trinity Health PACE is seeking a Quality Assurance Coordinator to coordinate quality improvement, compliance activities, and performance improvement across medical, home care, and contracted services. You will support regulatory surveys, data analysis, action plans, and reporting to keep survey readiness and compliance high.

You will drive clinical audit tools, corrective actions, and infection control monitoring while collaborating with the Quality and Compliance Director to streamline

Qualifications

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

Responsibilities

• Coordinate quality assurance, performance improvement, and compliance activities to ensure regulatory readiness.
• Develop and implement clinical audit tools and corrective action plans.
• Lead and support performance improvement initiatives and project design.
• Monitor and analyze quality metrics, infection control data, and reporting requirements.
• Prepare monthly quality metrics reports and ensure grievance processes comply with regulations.

Skills

Analytical skills

Problem-solving

Written & verbal communication

Organizational agility

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Employment Type: Full time 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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org.

You can also follow Trinity Health on LinkedIn.