Quality & Regulatory Affairs Specialist – PACE Programs

capitalhealth; United States; On-site; USD 61,000 - 80,000; Full time

Job summary

Capital Health is seeking a Quality and Regulatory Affairs Specialist to support compliance and quality improvement across the PACE program. You will collect and organize data, assist with audits, and ensure timely documentation while liaising with EMR vendors for system updates.

The role emphasizes audit readiness, regulatory excellence, and coordination with IT for data integrity and reporting improvements. 40 hours per week at full-time status.

Qualifications

• Bachelor's degree required.
• 1 year experience in healthcare quality, compliance, or regulatory support.
• Familiarity with CMS, state, and DOH requirements for PACE or similar programs.
• Proficient with Microsoft Office (Excel, Word, PowerPoint).
• Proficiency with data entry, analysis, and report formatting.
• Clear written and verbal communication skills.

Responsibilities

• Support development, review, and maintenance of logs, dashboards, and tracking tools for compliance and quality metrics.
• Assist with CMS universe reports and documentation for external audits.
• Coordinate data collection for quality improvement initiatives and performance measures.
• Track and monitor corrective actions from audit findings and internal reviews.
• Conduct routine internal reviews of participant records, incident reports, grievances, and service delivery documentation.
• Assist in organizing documentation for environmental and safety audits, transportation compliance, and infection control logs.
• Prepare meeting materials and assist in documentation for Quality Improvement Committee and Participant Advisory Committee.
• Support training coordination and staff communication around regulatory updates, audit findings, and compliance expectations.

Education

Bachelor's degree

Tools

Microsoft Office (Excel, Word, PowerPoint)

Job description

Capital Health is seeking a Quality and Regulatory Affairs Specialist to support compliance and quality improvement across the PACE program. You will collect and organize data, assist with audits, and ensure timely documentation while liaising with EMR vendors for system updates.

The role emphasizes audit readiness, regulatory excellence, and coordination with IT for data integrity and reporting improvements. 40 hours per week at full-time status.