Compliance Director

Compliance Director (Project Management) Compliance Officer Quality Healthcare Group, Inc. | Glenolden, PA (Delaware County) | Full-Time About Us Quality Healthcare Group, Inc. (QHCG) is a CARF-accredited human services organization based in Delaware County, Pennsylvania, providing home health and community-based services to individuals across the lifespan. Our programs operate under Pennsylvania Title 28 (Chapters 601/611) and Title 55 (Chapters 6100/6400), serving individuals with intellectual and developmental disabilities (IDD) through OLTL/Community HealthChoices and ODP waiver programs. We are committed to person-centered care, regulatory excellence, and a culture of accountability at every level of our organization. Position Summary The Compliance Officer at QHCG is responsible for supporting, monitoring, and promoting organizational compliance across all applicable federal, state, accreditation, licensing, waiver, managed care, contractual, and internal policy requirements. This position provides compliance oversight across QHCG's programs and services including community residential services, home and community-based services, and home health care and serves as a critical resource for leadership, clinical staff, and direct support professionals in identifying and resolving compliance risks before they become larger deficiencies. This is not a passive documentation role. The Compliance Officer is expected to actively audit, identify, elevate, and follow up. Key Responsibilities Regulatory Compliance Monitoring: Monitor compliance with CARF standards, CMS Home Health Agency Conditions of Participation, HCBS requirements, and applicable provisions of 55 Pa. Code Chapters 6100 and 6400. Track ODP, OLTL, managed care organization (MCO), and waiver-specific requirements, including service authorization conditions and contract obligations. Review agency policies, procedures, forms, and operational practices for alignment with current regulatory requirements. Support regulatory readiness for CARF surveys, licensing inspections, CMS surveys, managed care audits, waiver reviews, and other oversight activities. Internal Auditing and Quality Review: Conduct or coordinate internal audits including individual record reviews, clinical and medication administration record (MAR) audits, staff training reviews, incident follow-up reviews, site reviews, and QAPI-related quality assurance activities. Review incident reports, complaint and grievance documentation, corrective action records, and retraining documentation for completeness and compliance. Monitor documentation related to service delivery, care planning, coordination of services, physician communication, appointment follow-up, nursing review, and program oversight. Identify areas of noncompliance, incomplete documentation, unsafe practice, or risk exposure and elevate findings appropriately. Corrective Action and Follow-Up: Recommend corrective action plans in response to identified deficiencies and monitor completion through resolution. Maintain organized, thorough documentation of all compliance activities, findings, recommendations, follow-up steps, and resolution outcomes. Verify that staff retraining, corrective actions, and policy updates are implemented as directed and on schedule. Staff and Leadership Support: Provide compliance guidance, education, and retraining recommendations to staff and leadership at all levels. Participate in leadership meetings, QAPI activities, clinical supervision review, policy review, staff training review, and incident review as assigned. Report significant compliance concerns, trends, unresolved issues, safety risks, or regulatory exposure to the Administrator, Executive Director, or CEO promptly and in writing when appropriate. Individual Rights and Ethical Practice: Support protection of individual rights, dignity, privacy, choice, and person-centered planning across all programs. Promote freedom from coercion, neglect, abuse, exploitation, and retaliation in all service environments. Foster a culture of ethical conduct, accountability, transparency, health and safety, and continuous quality improvement throughout the organization. Required Qualifications Knowledge, experience, or training in healthcare compliance, human services, residential services, home and community-based services, home health, quality assurance, regulatory review, risk management, or a related field. Ability to read and interpret regulations, policies, accreditation standards, clinical records, corrective action plans, and quality improvement documentation. Strong writing and documentation skills with the ability to communicate findings clearly and professionally. Demonstrated ability to conduct audits, identify compliance gaps, and follow through on corrective actions. Ability to maintain objectivity and confidentiality in all compliance activities. Ability to work collaboratively with leadership, clinical staff, direct support professionals, individuals served, families, guardians, and external reviewers. Preferred Qualifications Degree or professional background in law, healthcare administration, nursing, social work, human services, compliance, quality assurance, or a related discipline. Working knowledge of CARF, CMS CoPs, ODP Chapter 6400/6100, OLTL/Community HealthChoices requirements, and Medicaid waiver frameworks. Experience with HCSIS/EIM incident reporting, Therap, HHAeXchange, PROMISe, or comparable platforms. Prior experience supporting regulatory surveys, managed care audits, or QAPI programs in a residential or home-based services setting. 30/60/90 Day Success Milestones Days 130 | Learn: Complete orientation to QHCG's regulatory scope, program structure, policies, and compliance program. Review existing audit tools, corrective action logs, incident documentation, and QAPI records. Attend leadership, clinical, and incident review meetings in an observation capacity. Identify initial gaps in audit coverage or documentation tracking. Days 3160 | Engage: Complete first round of internal record and documentation audits across assigned programs. Produce written audit findings and corrective action recommendations for leadership review. Establish a compliance tracking system for open findings and follow-up timelines. Begin active participation in QAPI and leadership meetings. Days 6190 | Lead: Present a compliance status summary to leadership covering audit findings, open corrective actions, and risk trends. Develop or update at least one internal audit tool or compliance checklist based on current regulatory requirements. Demonstrate independent audit, escalation, and corrective action follow-up workflow. Establish baseline compliance calendar for recurring audits and regulatory review cycles. Compensation & Benefits Competitive compensation commensurate with experience and qualifications Full-time position with leadership access and organizational visibility Supportive, family-owned leadership team with a strong compliance and quality culture Clear growth pathway into senior compliance, administrative, or quality leadership roles within the organization Work Environment This position is primarily based at QHCG's Glenolden administrative office with regular on-site visits to assigned residential and service locations across Delaware County. Some hybrid flexibility may be available based on operational needs and performance. The Compliance Officer must maintain the confidentiality of all protected health information, personnel records, clinical documentation, incident reports, and compliance findings at all times. Equal Opportunity & Diversity Statement QHCG is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and the individuals we serve. #J-18808-Ljbffr