Quality Improvement & Compliance Manager
Core
Translate quality and compliance strategy into execution, manage audits, investigate grievances, and drive corrective actions for a PACE program serving seniors.
Role type
Senior IC Quality Improvement & Compliance Manager
Builds
Reliable day-to-day execution of quality/compliance strategy for a culturally-focused PACE program
Domain
Healthcare (Senior Care/PACE) + Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
audit execution, grievance investigation, corrective action management, regulatory interpretation, team supervision, data trend analysis, AI workflow validation
Preferred skills
PACE program experience, CMS/DHCS regulatory knowledge, clinical license, quality/compliance certification
Technologies
CMS/DHCS regulatory tools, AI/automation platforms, dashboards
Responsibilities
Execute annual QIC monitoring and audit plans; lead grievance investigations and fact-finding; translate regulatory requirements into monitoring tools; manage Corrective Action Plans (CAPs); coordinate internal audit readiness; supervise the QIC Coordinator; review AI-generated findings for accuracy
Seniority
Senior, hands-on IC with supervisory responsibilities