Quality and Compliance Specialist

Employment Type:

Full time

Shift:

Description:

Monday-Friday, ONSITE

Position

Purpose:

The primary purpose of this position is to coordinate quality assurance, performance improvement, and compliance activities for medical, home care, and contracted services to ensure adherence to quality, safety initiatives, and regulatory requirements supporting the Quality and Compliance Director. Duties also will include data collection, analysis, action plan formation, ensuring a state of survey readiness and ensuring all reporting requirements are met.

• Manage quality improvement processes to enhance clinical care and outcomes.
• Coordinate with Quality and Compliance Director to establish effective workflows and documentation.
• Participate in regulatory surveys and compliance monitoring, developing improvement plans.
• Develop and implement clinical audit tools and corrective action plans.
• Lead performance improvement initiatives and assist colleagues with project design.
• Support process evaluation and root cause analyses.
• Monitor and analyze infection control data.
• Prepare monthly quality metrics reports.
• Ensure grievance and appeals processes comply with regulations and support participant satisfaction.
• Collaborate on policy reviews and updates.
• Analyze Participant Satisfaction and HOS-M survey data with Quality Director.
• Oversee infection control program compliance.
• Conduct internal audits and reports to maintain continuous compliance.
• Collaborate on Emergency Preparedness Plan execution per CMS regulations.

• Bachelor's degree.
• Two (2) years quality/compliance/performance improvement experience preferred.
• A combination of education and experience may be acceptable.
• Healthcare environment experience preferred.
• Strong analytical, problem-solving, and mathematical skills.
• Action-oriented, customer-focused, with high decision quality and organizational agility.
• Superior written and verbal communication skills.
• Proficiency with Microsoft product suite and electronic mail/calendar systems.
• Ability to research, analyze, and prioritize workload.

• Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.
• Access to daily pay and employee referral incentives.
• Supportive environment with a patient-centered focus.
• Opportunities for professional development.

Ministry/Facility Information Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent  are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org.

You can also follow Trinity Health on Linked In.