Director, Regulatory Compliance – Quality Improvement

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a subject-matter authority on federal and state regulations concerning Home Health and Hospice.

• Oversee, analyze, and relay CMS regulations, proposed and finalized rules, STAR ratings, quality reporting obligations, and other regulatory updates.

• Assist franchise partners in navigating regulatory modifications, ensuring survey readiness, meeting accreditation standards, and complying with expectations.

• Create and disseminate clinical guidance, resources, and educational materials.

• Collaborate with Compliance, Operations, and clinical leadership to pinpoint regulatory risks and remedy any gaps.

• Aid in audit preparation and survey readiness.

• Spearhead quality improvement efforts utilizing performance metrics, KPIs, STAR rating outcomes, patient results, and various data sources.

• Support QAPI initiatives, quality reporting, HHVBP, and other quality-related programs.

• Offer direction on regulatory audits, documentation obligations, corrective action plans, and responses to audits or reviews, encompassing ADRs, TPEs, and relevant ZPIC/UPIC assessments.

• Keep abreast of industry and regulatory advancements and convey their operational implications to internal teams and franchise partners.

⛳️ Requirements

• Bachelor's degree in Nursing, Business, Healthcare Administration, or a related discipline.

• Graduate degree is preferred.

• Active Registered Nurse (RN) license is highly preferred.

• A minimum of 5 years of pertinent experience in healthcare regulatory compliance, clinical quality, or regulatory leadership.

• Extensive, hands-on knowledge of CMS regulations and requirements for both Home Health and Hospice.

• Familiarity with proposed and finalized rules, STAR ratings, and quality reporting.

• Proven experience in interpreting regulatory changes and translating them into actionable guidance.

• Background in survey readiness, regulatory audits, accreditation standards, documentation requirements, and corrective action planning.

• Experience in quality improvement, QAPI, performance metrics, and data-driven initiatives.

• Proven ability to cultivate relationships, influence stakeholders, and promote adoption across various locations.

• Strong analytical, communication, organizational, and problem-solving capabilities.

• Proficient in Microsoft 365.

• Experience with EMR, learning management, and policy management systems.

• Willingness to travel approximately 25% of the time.

• Personal care experience is an advantage.

🏝️ Benefits

• Competitive salary: $120,000 - $130,000+ per year, depending on experience.

• Paid Time Off (PTO).

• Holiday compensation.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) benefits.

• A collaborative workplace culture.

• A significant impact on clinical quality, regulatory compliance, and patient care.

• Opportunities for professional collaboration with clinical and operational leaders.

• Chance to drive meaningful improvements and implement best practices.