Director of Quality and Compliance; Healthcare

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Director of Quality and Compliance (Healthcare)

Director of Quality and Compliance (Healthcare)
Fully Remote

Description

At Holon Health, we don’t do “business as usual.” We’re a trailblazing healthcare startup reimagining what it means to care, for our clients and our people. We provide whole-person care to justice-involved individuals living with Substance Use Disorder (SUD), and we do it with deep compassion, community wisdom, and an unshakable belief in second chances.

Our approach throws out the playbook. We integrate medical, behavioral, and social care. We prioritize prevention and recovery. We treat clients like people, not check boxes. And just as importantly, we know that our team can only care for others if they’re cared for themselves. That’s why we lead with flexibility, trust, and a culture built on well‑being, inclusion, and respect.

If you’re energized by meaningful work and want to feel good about how you spend your days, read on.

We’re hiring a Director of Quality and Compliance to be the single owner of quality assurance and compliance operations across every state Medicaid program and health plan we work with.

In practice, that means you own our standard operating procedures (SOPs). You receive, review, and manage every incident and its external reporting deadlines. You lead root cause analysis and corrective action, run internal audits, train staff, and track regulatory change across states and plans. You report into our Chief Clinical Officer, partner closely with Operations and Product Development, and serve as secretariat to our Health Equity and Quality Metrics Committee (HEQMC).

You’ll also be the business owner of our incident management platform, partnering with Product Development to turn approved requirements into workflows, so care is delivered consistently everywhere we operate.

This role involves regular contact with reports of incidents, serious injury, death, and suspected abuse, neglect, or exploitation. We include that here so you have it before you apply. You won’t carry it alone. Our Medical Director serves as clinical consultant on root cause analyses, sentinel events elevate the Medical Director and CEO, and we take self‑care seriously here.

• Own every Holon SOP, including state and health plan addenda. Run the annual review of each one, plus out‑of‑cycle updates when a regulation or plan contract changes.
• Maintain document control: version numbering, approval routing to the HEQMC, effective dates, revision history, retirement of superseded versions, and a controlled index.
• Define the compliance requirements, supporting regulatory or contractual sources, and acceptance criteria for controls built into our platform. Product Development owns technical design, implementation, delivery planning, and release.

• Receive, triage, review, and manage every incident, accident, death, and report of suspected abuse, neglect, or exploitation.
• Determine reportability for each member’s state and health plan, file external reports to agencies and plans within the strictest applicable deadline, and record confirmation numbers.
• Track follow‑up reports, returned reports, and closure. Escalate sentinel events and deaths to the Medical Director and CEO.
• Maintain the incident rules table and abuse hotline directory (destinations, deadlines, forms, numbers) under an approved change control process, working with Product on any change that affects application logic, automated actions, access, or established workflows.
• Make sure mandated reporter obligations are met and documented for every abuse, neglect, or exploitation concern.