SNP Care Coordination Quality & Compliance Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 70,000 - 100,000; Full time

Job summary

MCS Puerto Rico is seeking an experienced professional to monitor and ensure SNP-CC compliance and quality metrics.

You will work across departments to support audits, train staff on regulatory changes, and develop analysis tools in collaboration with IT. A bachelor’s degree and 3+ years in healthcare compliance are preferred. This is an on-site role in Puerto Rico with opportunities to improve care coordination processes.

Qualifications

• Bachelor’s degree in a related field is required.
• 3+ years of experience in clinical quality monitoring, care plan auditing, or healthcare compliance preferred.
• Strong understanding of SNP-CC requirements and CMS regulations is a plus.

Responsibilities

• Establishs ongoing monitoring program for SNP-CC compliance including HRAs and ICPs.
• Evaluates care coordination framework to identify improvements and CAPs.
• Interprets trends and quality metrics to identify enterprise risks and opportunities.
• Presents performance results to executive leadership for visibility into compliance risks.
• Maintains logs, dashboards, and documentation related to SNP-CC elements.

Skills

Regulatory compliance

Quality monitoring

Data analysis

CMS regulations

Care coordination

Education

Bachelor’s degree in Business Administration, Health Services Administration, Nursing, Public Health, or related field

Job description

MCS Puerto Rico is seeking an experienced professional to monitor and ensure SNP-CC compliance and quality metrics.

You will work across departments to support audits, train staff on regulatory changes, and develop analysis tools in collaboration with IT. A bachelor’s degree and 3+ years in healthcare compliance are preferred. This is an on-site role in Puerto Rico with opportunities to improve care coordination processes.