What You'll Do:The Vice President of Quality & Compliance provides executive leadership, strategic direction, and operational oversight for all quality improvement, regulatory compliance, audit readiness, and risk mitigation activities across the PACE centers. This role ensures adherence to CMS and state PACE, ADHC, Home Care and Medicaid regulations, strengthens participant safety systems, and fosters a culture of accountability, transparency, and continuous improvement. The VP serves as the PACE organization's senior compliance authority and a key member of the executive leadership team.
Essential Duties & ResponsibilitiesRegulatory Compliance Leadership- Direct the enterprise compliance program, including annual work plans, monitoring systems, and risk mitigation strategies.
- Interpret CMS and state PACE regulations, state Medicaid requirements, and sub-regulatory guidance; ensure consistent operational implementation across all centers.
- Serve as the primary liaison to CMS, state agencies, external auditors, and regulatory partners.
- Oversee policy development, regulatory updates, and organization-wide communication of compliance expectations.
- Provide organization-wide education on regulatory expectations and compliance strategies.
- Lead internal and external audit preparation, execution, and corrective action planning.
- Ensure timely reporting, documentation integrity, and adherence to federal and state requirements.
Quality & Performance Oversight- Lead the design, implementation, and evaluation of the organization's Quality Improvement Program.
- Oversee participant safety initiatives, incident management, root cause analysis, and performance improvement projects.
- Monitor key quality indicators, clinical outcomes, operational performance, and participant experience metrics.
- Ensure alignment with PACE quality standards, including interdisciplinary team functioning, care planning, utilization management, and service delivery.
- Develop enterprise dashboards, scorecards, and reporting systems for executive leadership and the Board.
Audit Management & Risk Mitigation- Direct audit management activities across PACE centers, including documentation review, mock audits, and readiness assessments.
- Identify emerging compliance risks and lead system-level strategies to address them.
- Oversee facility oversight, environmental safety, and operational compliance monitoring.
- Implement corrective action plans and track resolution of compliance gaps.
- Ensure consistency in audit practices, documentation standards, and regulatory interpretation across all sites.
Enterprise Leadership & Team Management- Lead and mentor quality and compliance department.
- Establish departmental priorities, annual goals, budgets, and performance metrics.
- Promote a culture of compliance, ethical behavior, and participant-centered care throughout the organization.
- Represent Quality & Compliance in executive leadership forums and strategic planning discussions.
- Provide education, training, and capacity-building for operational leaders and interdisciplinary teams.
Strategic Planning & Organizational Alignment- Assess regulatory and policy changes and guide organizational response strategies.
- Develop tools, resources, and best practices to strengthen compliance and quality performance across PACE centers.
- Collaborate with operations, clinical leadership, legal, and IT to ensure integrated compliance and quality systems.
- Support business development, new site openings, and expansion activities with compliance and quality expertise.
Perks!- Medical, Dental, Vision
- FSA, HSA
- Indemnity Plans
- 401k Matching
- Company Paid Life Insurance
- Company Paid STD & LTD
- Wellness Program Incentives
- Employee Referral Bonus
- EAP
- Teladoc and sooo much more!
What You'll Bring:QualificationsEducation & Credentials- Registered Nurse or advanced clinical degree preferred.
- Bachelor's degree or equivalent years of experience.
- Healthcare compliance certification (CHC, CHPC) preferred.
Experience- Minimum 10 years of progressive leadership in healthcare compliance, quality improvement, or regulatory oversight.
- Extensive experience with CMS, Medicaid, managed care, long-term care, or PACE regulatory frameworks.
- Demonstrated success leading multi-site or multi-state compliance and quality programs.
- Experience managing audits, corrective action plans, and regulatory investigations.
Knowledge, Skills & Abilities- Deep understanding of PACE regulations, CMS audit protocols, and state oversight requirements.
- Strong analytical, communication, and executive leadership skills.
- Ability to build relationships, influence leaders, and drive organizational change.
- Skilled in developing dashboards, reporting systems, and performance metrics.
- Commitment to participant safety, ethical conduct, and mission-driven care.
Working Conditions- Remote leadership role with occasional on-site travel as needed.
- Must be able to work in a fast-paced, highly regulated environment with competing priorities.
