PACE Quality Specialist

** It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
**** When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
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* Position Summary:

The Compliance and Quality Specialist is responsible for supporting and advancing the organization’s compliance and  quality improvement programs in alignment with CMS, AHCA, and PACE regulatory requirements. This role plays a key part in regulatory  readiness, internal auditing, performance improvement initiatives, and Quality Assessment and Performance Improvement (QAPI) project  management. The Specialist works collaboratively with interdisciplinary teams to promote regulatory compliance, patient safety, and  continuous quality improvement across clinical and operational functions.
** Education and Experience
*** Bachelor's degree in business, healthcare administration, Nursing, Public Health, Health Information Management, Quality, Compliance, or a related field required. (Work experience may substitute for educational degree.)
* Minimum of 2-3 years of experience in healthcare compliance, quality, auditing, or regulatory oversight.
* Demonstrated experience with CMS regulations, AHCA, and PACE program requirements strongly preferred.
* Experience supporting or managing QAPI programs in a regulated healthcare environment preferred.
** Certificates, Licenses, Registrations
*** Must possess a valid Florida Drivers' License, current auto insurance, and reliable transportation.
* Certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs (or completion within six months of employment)
* Certified Professional in Healthcare Quality (CPHQ) preferred
* Lean, Six Sigma, or other quality improvement certification preferred
** Knowledge,

Skills and Abilities

*** Strong working knowledge of CMS, AHCA, and PACE regulations preferred
* Proficiency in medical terminology and clinical documentation review.
* Experience with healthcare auditing procedures, and performance monitoring.
* Strong analytical, organizational, and project management skills.
* Ability to interpret regulations and translate requirements into operational practices.
* Excellent written and verbal communication skills.
* Ability to work independently in a remote or hybrid environment while collaborating effectively with cross-functional teams.
* Proficiency in Microsoft Office suite, expertise in Excel and Microsoft Project, PowerPoint, and healthcare data systems; experience with quality reporting tools preferred.
** Mathematical Skills
*** Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
** Reasoning Ability
*** Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
* Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
* Ability to define problems, collect data, establish facts, and draw valid conclusions.
* Strong abstract reasoning skills will be used to assess and analyze complex business workflows, processes, and systems.
* Ability to communicate, concentrate and document effectively and accurately.
** Language Skills
*** Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
* Ability to write reports, business correspondence, and procedure manuals.
* Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
** Equipment and Machines Used
** Computer
Printer
Photo Copy Machine
Telephone
Fax Machine
Adding Machine/Calculator
All other routine office and/or company equipment.
** Position Requirements (not all inclusive)*
* • Support compliance with CMS…