Director of Quality and Compliance

Job Description

Job Description

ABOUT ADOBE

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch . Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care.

Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored five consecutive years as a “Best Place to Work” by the Phoenix Business Journal , APH continues to expand its reach and impact.

APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines.

With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need.

POSITION PURPOSE

APH is seeking an experienced Director of Quality and Compliance. As the Director of Quality and Compliance, you will play a crucial role in ensuring that our operations adhere to the highest standards of quality, safety, and regulatory compliance. Your role will be instrumental in implementing and maintaining effective quality management systems, fostering a culture of continuous improvement, and mitigating risks related to business and operating practices.

DUTIES & RESPONSIBILITIES

• Quality Management System Development: Design, implement, and oversee a comprehensive quality management system for all processes and procedures. Collaborate with cross-functional teams to establish clear quality objectives, metrics, and performance indicators to track and monitor outcomes.
• Regulatory and Accreditation Compliance: Stay up to date with all relevant laws, regulations, and accreditation standards related to programs and ensure that our operations remain compliant with these requirements. Ensure periodic audits and assessments are conducted to identify areas of non-compliance and develop corrective action plans.
• Provide oversight of the compliance program, ensuring the implementation of effective objectives that maintains communication with all internal and external stakeholders in accordance with contractual and regulatory requirements.
• Audit and Assessment: Ensure internal and external audits are completed to evaluate the effectiveness of processes, identify areas for improvement, and verify compliance with established protocols and regulations.
• Risk Management: Work closely with stakeholders to implement risk management protocols and crisis response and develop strategies to mitigate these risks.
• Quality Improvement Initiatives: Ensure facilitation of quality improvement initiatives across programs to enhance patient outcomes, improve compliance to standards, and optimize resource utilization. Ensure the implementation of evidence-based practices and staff adherence to established protocols.
• Staff Training and Development: Work with training to develop and deliver training programs for staff on quality assurance, compliance, and regulatory issues. Foster a culture of continuous learning and professional development within the company.
• Data Analysis and Reporting: Utilize data analytics to monitor key performance indicators, identify trends, and provide actionable insights to drive informed decision-making. Prepare regular reports for senior management, governing boards, and regulatory authorities.
• Collaboration and Communication: Establish effective communication channels with various stakeholders, including medical staff, executive leadership, regulatory bodies, and external partners. Foster a collaborative environment that encourages open feedback and promotes a shared commitment to quality and compliance.
• Policy and Procedure Review: Oversee the review and update of policies and procedures to reflect current best practices and compliance requirements. Ensure that all changes are communicated effectively and implemented throughout the organization.
• Complies with all HIPAA regulations.
• This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor, within the level of training or scope of practice.

SKILLS & QUALIFICATIONS

• A minimum of two (2) years of experience in healthcare quality management, compliance, or a similar leadership role.
• In-depth knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies.
• Experience leading and managing teams, with strong leadership, coaching, and mentoring skills.
• Excellent analytical and problem-solving abilities, with a keen eye for detail.
• Strong interpersonal and communication skills, capable of interacting with individuals at all levels of the organization.
• Proven track record of implementing successful quality improvement initiatives and driving organizational change.
• Familiarity with healthcare IT systems and data analysis tools.

EDUCATION, LICENSES, & CERTIFICATION

• Bachelor’s degree in healthcare administration, nursing, medicine or a related field strongly preferred.
• Master’s degree in healthcare administration, nursing, medicine or a related field preferred.
• Relevant professional work experience may be considered in lieu of a degree.
• Must hold an active, current, and unrestricted license. This can be obtained either through direct state licensure or a compact license.
• Certified in relevant quality management or compliance-related certifications (e.g., Certified Professional in Healthcare Quality - CPHQ, Certified in Healthcare Compliance - CHC) is a plus.

BENEFITS & TOTAL REWARDS

• Paid Orientation and Training
• Insurance – Medical, Dental, Vision, and Life
• 401k Plan – 3% match
• Employee Assistance Program
• Tuition Reimbursement
• Continued Education Support
• Mileage Reimbursement (if applicable)
• Referral Bonuses
• Paid Holidays (9 days)
• Flexible Paid Time Off
• Paid Volunteer Hours

CHARACTER & COMPETENCIES

• Courage – To have the courage to do the right thing at the right time.
• Ownership – To take ownership of every issue you touch.
• Respect – To respect yourself, co-workers, and for those whom you care.
• Excellence – To be excellent in all that you do.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

PHYSICAL DEMANDS & WORK ENVIRONMENT

• Occasionally required to stand.
• Occasionally required to walk.
• Continually required to sit.
• Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
• Continually required to talk or hear.
• While performing the duties of this job, the noise level in the work environment is usually moderate.
• May occasionally lift and /or move more than 30 pounds.
• Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.

EQUAL EMPLOYMENT OPPORTUNITY

APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.