Senior Clinical Quality & Compliance Lead

MCS Puerto Rico; San Juan (PR); Vor Ort; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

MCS Puerto Rico seeks a knowledgeable Quality Improvement professional to support the Quality Improvement Program and ensure timely CMS submissions. The role ensures compliance with regulatory requirements, oversees HAC/NE processes, and coordinates grievances with cross‑functional teams.

The candidate will develop and monitor quality initiatives, prepare reports, and support audits while guiding efforts across departments to maintain high standards of care.

Qualifikationen

• Bachelor of Science in Nursing and a clinical background in quality of care required.
• Minimum three years of experience in clinical areas, medical records review, or quality of care.
• A valid Puerto Rico nursing license and registration are required.
• Bilingual proficiency: Spanish and English at advanced level.

Aufgaben

• Serve as liaison and SME on quality standards and regulatory requirements.
• Prepare clinical sections of annual QI Program Evaluation and CMS submissions.
• Oversee HAC and Never Events reporting in compliance with regulations.
• Coordinate quality-of-care grievances and ensure timely regulatory deadlines.
• Lead quality initiatives, develop work plans, and track progress.
• Analyze outcomes and present findings to leadership for decisions.

Kenntnisse

Quality improvement

Regulatory compliance

Project coordination

Data analysis

Stakeholder engagement

Ausbildung

Bachelor of Science in Nursing

Jobbeschreibung

MCS Puerto Rico seeks a knowledgeable Quality Improvement professional to support the Quality Improvement Program and ensure timely CMS submissions. The role ensures compliance with regulatory requirements, oversees HAC/NE processes, and coordinates grievances with cross‑functional teams.

The candidate will develop and monitor quality initiatives, prepare reports, and support audits while guiding efforts across departments to maintain high standards of care.