Director of Compliance and Quality

Role Overview

• Ensure Ascend’s compliance with all HRSA program requirements in coordination with the FQHC’s, while partnering with all operational and clinical procedures, and compliance with partner grant conditions.
• Ensure Ascend’s compliance with State and Federal regulations and/or requirements.
• Oversee compliance readiness for audits, site visits, and accreditation reviews.
• Maintain a comprehensive compliance plan that prevents, detects, and corrects potential areas of noncompliance.
• Conduct regular compliance risk assessments and internal audits; provide corrective action recommendations.
• Serve as the organization's Privacy Officer and/or Compliance Officer, ensuring adherence to HIPAA standards.
• Manage the development and review of the Organization’s risk plan, risk assessment, and all policies and procedures.
• Develop and oversee risk management strategies that minimize organizational liability and enhance patient safety.
• Investigate compliance and incident reports, maintaining confidentiality and ensuring appropriate resolution.
• Collaborate with leadership to develop and implement staff training on quality, compliance, and ethics.
• Present quality and compliance performance metrics to the Executive Team and Quality / Compliance Committees.
• Partner with clinical operations teams to sustain continuous improvement efforts.
• Leads the internal compliance and quality committee meetings.
• Monitor and report on the Organization’s Quality Improvement (QI) program in accordance with HRSA guidelines and UDS quality measures.
• Lead the collection, analysis, and reporting of clinical performance data
• Partner with clinical and operations leadership to identify improvement opportunities and facilitate root cause analyses.
• Develop and maintain performance dashboards, tracking trends in patient outcomes, access, and satisfaction where available.

Requirements

• Bachelor’s degree in nursing, Health Administration, Public Health, or related field.
• Minimum 4 years of experience in healthcare compliance and quality improvement.
• Demonstrated experience working within a Federally Qualified Health Center (FQHC) or similar safety-net organization.
• Strong understanding of HRSA, CMS, HIPAA, FTCA, and PCMH standards.
• Proven analytical and data interpretation skills, with proficiency in quality metrics, UDS reporting, and healthcare performance tools.
• Excellent communication, problem-solving, as well as critical thinking and presentation skills.

Benefits

• Work from home opportunities
• Career Growth and Professional Development Training