Senior Clinical Quality & Compliance Specialist

MCS Health; San Juan (PR); On-site; USD 70,000 - 90,000; Full time

Job summary

MCS Health in Puerto Rico seeks a Nurse Quality Improvement Lead to supervise the Quality Improvement Program, ensuring timely CMS submissions, adherence to timelines, and effective execution of quality initiatives. The role requires a BSN and at least 3 years in clinical quality or related areas, with licensure in Puerto Rico and advanced English/Spanish proficiency.

The position emphasizes collaboration across departments, regulatory compliance, and ongoing performance improvement activities,

Qualifications

• BSN and at least 3 years of clinical quality experience.
• Puerto Rico nursing license and registration required.
• Spanish and English advanced proficiency.
• Knowledge of CMS/quality regulations preferred.

Responsibilities

• Serve as SME on quality standards, regulatory requirements and QI methods.
• Prepare CMS submissions and documentation for QI projects.
• Manage HAC/NE processes and timely reports.
• Lead grievance evaluations with Clinical Review Committee.
• Coordinate quality initiatives and present findings to leadership.
• Develop work plans and track progress of quality projects.
• Support audits and update policies for quality processes.

Skills

Quality improvement

Regulatory compliance

Project coordination

Data analysis

Clinical governance

Education

BSN degree

Job description

MCS Health in Puerto Rico seeks a Nurse Quality Improvement Lead to supervise the Quality Improvement Program, ensuring timely CMS submissions, adherence to timelines, and effective execution of quality initiatives. The role requires a BSN and at least 3 years in clinical quality or related areas, with licensure in Puerto Rico and advanced English/Spanish proficiency.

The position emphasizes collaboration across departments, regulatory compliance, and ongoing performance improvement activities,