Quality & Compliance Associate

M.A.C.T. Health Board, Incorporated; Sonora (CA); On-site; USD 38,173 - 41,589; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

403(b) retirement plan

Student Loan Repayment Program

Continuing education credits

Job summary

M.A.C.T. Health Board, Incorporated, located in Sonora, California, is looking for a Quality & Compliance Associate for a full-time role in a clinical environment. This position ensures compliance with healthcare standards, conducting audits, managing quality data, and supporting the Quality Assurance Department.

The ideal candidate should possess an Associate's degree or relevant experience, with knowledge of healthcare compliance. The role offers competitive salary and excellent benefits including health insurance, a retirement plan, and continued education opportunities.

Qualifications

• Certified in Healthcare Compliance (CHC) or obtain within 12 months.
• Current BLS/ALS certificate.
• Clean DMV driving record.

Responsibilities

• Perform reviews of patient medical records.
• Respond to patient/customer complaints.
• Conduct audits to ensure compliance with regulatory standards.

Skills

Attention to detail

Knowledge of healthcare compliance

Familiarity with accreditation standards

Education

Associate’s degree or 4 years related experience

Bachelor Degree in Health Care Management or Business (Preferred)

Job description

Since 1969, MACT Health Board’s mission has been to improve the health status of the American Indian and Alaskan Native population. Our goal is to continue to provide high quality care to our patients throughout a variety of services, including Medical, Behavioral Health, Chiropractic, Dental, Optometry, Massage Therapy, Women’s Health, and more.

Why MACT Health Board Inc?

Are you searching for a career that offers more than just a paycheck? A career where your professional skills directly empower the health and well-being of our local communities? At MACT Health Board, that’s not just an idea—it’s our daily mission and we invite you to explore our Career Opportunities. You won’t be just another employee; you’ll be a valued member of a team committed to making a difference and we know that taking care of our community starts with taking care of our own. We reward our employees with competitive compensation, benefit options and provide training and advancement opportunities to provide you with the skills to succeed in your future! Our careers offer a unique balance of philanthropic opportunities, cultural preservation and individual value! When you join MACT, you’ll enjoy:

• Medical, Dental, Vision, and life insurance benefits at no-cost to the employee
• 403(b) retirement plan, PTO including vacation, sick time, paid holidays and more
• Balanced working hours; Monday-Friday 8-5pm.
• Student Loan Repayment Program
• Direct Student Loan Contributions: Our BenefitED program allows us to make direct quarterly contributions to your student loans to help you pay them off faster
• Continuing Education credits: We empower our providers to stay at the top of their field. We offer reimbursement for continuing education and licensure fees.
• Competitive Salary of $27.71 - $30.19 hourly

Who you are:

We are seeking a detail oriented Quality & Compliance Associate for a Full Time role working in a clinical setting. As a member of the health care team, the Quality & Compliance Associate provides support to the Quality Assurance Department by collecting and managing quality data. The Quality & Compliance Associate will:

• Perform reviews of patient medical records or reviews of reports generated from the medical record or other electronic databases; such as the incident reporting system.
• Perform maintenance of internal systems such as PowerDMS by categorizing and reformatting all current policies and procedures.
• Respond to patient/customer complaints (telephonic, verbal and/or written), including screening and documenting patient compliance hotline calls.
• Complete an N95 Respirator Fit Testing training course. Perform Fit Testing to meet medical staff member compliance requirements.
• May conduct regular audits, reviews, and assessments of healthcare practices, policies, procedures, and documentation to ensure compliance with regulatory requirements, industry standards, and best practices.
• Manage Healthicity for organizational education, adding new users, as well as for patient incident intake (i.e. answering compliance line), tracking, follow-up and reporting.
• Ensure adherence to all applicable laws, regulations, and accreditation standards (e.g., CMS, AAAHC) by conducting audits, inspections, and surveys. Collaborate with internal teams to develop and implement development and/or improvement plans to address any deficiencies or non-compliance issues. Including the review of provider charting for compliance with documentation requirements.
• Assist in the planning, development, and execution of quality improvement projects and initiatives to enhance patient outcomes, optimize operational efficiency, and minimize errors. Utilize quality improvement methodologies and tools (e.g., Lean Six Sigma, PDCA) to drive measurable improvements.
• Helps prepare detailed reports, presentations, and summaries of quality assurance activities, findings, and outcomes. Maintain accurate and up-to-date documentation of audits, inspections, corrective actions, and other quality-related activities.

What you need:

• Associate’s degree or 4 years related experience. Bachelor Degree in Health Care Management or Business Preferred
• Familiarity of accreditation standards and processes
• Certified in Healthcare Compliance (CHC), or obtain within 12 months of employment
• A thorough understanding of State and Federal regulations related to health care compliance, as well as AAAHC.
• Current BLS/ALS certificate
• Must pass Occupational Health Screening.
• Must possess a valid form of identification as listed on the U.S. Department of Justice I-9 form, verified using the E Verify system.
• Clean DMV driving record and MACT auto insurance driving eligibility (determined by auto insurance carrier).

The position requires an awareness and keen appreciation of American Indian traditions, customs, and socioeconomic needs and the ability at all times to meet and deal effectively in contacts with Indian health organizations which requires tact, courtesy, discretion, resourcefulness and good judgment in handling functions of a sensitive nature.

American Indian Preference:

Preference in filling of a vacancy will be given to qualified American Indian applicants in accordance with the Preference Act (Title 25, U.S. Code, Sections 472 & 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment. Other than the aforementioned requirement, the MACT Health Board, Inc. is an Equal Opportunity Employer.

Notice of Drug-Free Workplace Act Requirement:

MACT Health Board, Inc. is required to implement the Drug-Free Workplace Act of 1988, 45 CFR Part 79, Subpart F. As such it is unlawful for employees to manufacture, distribute, dispense, possess, or use a controlled substance on the job site. Employees who are reasonably suspected of violating this act may be subject to drug testing as a condition of employment. Employer required fitness examinations shall include drug testing as evidence of employee and employer compliance with the Drug-Free Workplace Act.