Quality and Compliance Director

Overview We are a leading provider of homecare and home health services across MD, DC, VA, OH, PA, & DE. Our mission is to provide exceptional services to patients who need our help the most. We are seeking talented, passionate individuals to join our team and help our patients live happier and healthier lives…in their homes. The Director of Quality and Compliance is responsible for leading and operationalizing the organization’s enterprise compliance program across all service lines, including skilled home health, hospice, personal care, private duty nursing, and corporate operations. Reporting directly to the Chief Clinical Officer, this role ensures adherence to federal and state regulations, supports survey readiness, drives audit and monitoring activities, and promotes a culture of ethical conduct and accountability. The Director of Quality and Compliance partners closely with Clinical Operations, HR, Finance, Revenue Cycle, and Executive Leadership to identify regulatory risk, implement corrective action plans, and maintain an effective compliance infrastructure that supports organizational growth and operational excellence. This position plays a critical role in maintaining compliance with Medicare, Medicaid, HIPAA, OIG guidance, and state licensing requirements while supporting scalable systems and processes across a multi-site, high-growth healthcare organization. What We Offer We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Be part of a unique healthcare company where we can help those in our communities who need our help the most Flexible hours/work-life balance Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Responsibilities What You Will Do: Enterprise Compliance Program Management Support and execute the organization’s enterprise-wide compliance program in alignment with OIG’s 7 Elements of an Effective Compliance Program. Assist in the development, implementation, and maintenance of compliance policies, procedures, and standards across all service lines. Conduct ongoing compliance risk assessments and support mitigation planning. Oversee compliance auditing and monitoring activities to evaluate adherence to regulatory and organizational requirements. Track, monitor, and ensure timely resolution of corrective action plans resulting from audits, surveys, investigations, or identified compliance concerns. Maintain enterprise compliance reporting tools, dashboards, and documentation repositories. Regulatory & Survey Readiness Coordinate and support readiness activities for CMS, state, accreditation, and payer audits and surveys. Monitor regulatory changes and communicate operational impacts to leadership teams. Ensure timely and accurate management of licensure, certifications, regulatory filings, and required documentation. Assist operational leaders with preparation, response management, and corrective actions related to surveys and audits. Support enterprise-wide management of incident reporting, investigations, and documentation protocols. Compliance Auditing & Monitoring Lead and coordinate internal audits related to clinical documentation, HIPAA/privacy compliance, billing and reimbursement integrity, coding and OASIS accuracy, fraud, waste, and abuse prevention, and policy and procedure adherence. Analyze audit findings and trends to identify areas of risk or operational vulnerability. Develop recommendations and collaborate with operational leaders to implement sustainable corrective actions. Monitor effectiveness of remediation efforts and ongoing compliance performance. Education & Training Partner with leadership and HR to develop and deliver compliance education and training programs. Promote awareness of compliance expectations, reporting mechanisms, and ethical business practices. Support onboarding and ongoing education initiatives related to regulatory requirements and compliance standards. Encourage a culture of accountability, transparency, and proactive risk identification. Performance Improvement & Reporting Develop and maintain compliance metrics, reporting dashboards, and executive summaries. Analyze compliance data and trends to support organizational decision-making and risk mitigation. Collaborate with Quality and Clinical leadership on QAPI initiatives and enterprise improvement strategies. Prepare reports and presentations for executive leadership, Board committees, and external agencies as needed. Growth & Integration Support Support compliance and regulatory due diligence activities for acquisitions, de novos, and expansion initiatives. Assist with integration of acquired entities into organizational compliance programs and standards. Identify and mitigate regulatory and operational risks associated with growth initiatives. Help standardize compliance practices, workflows, and documentation processes across markets. Qualifications Qualifications: Required Bachelor’s degree in Healthcare Administration, Nursing, Business, Compliance, or related field. Minimum 5–7 years of progressive healthcare compliance, regulatory, audit, or operational leadership experience. Strong knowledge of Medicare and Medicaid regulations, CMS Conditions of Participation, HIPAA and privacy regulations, OIG compliance guidance, fraud, waste, and abuse prevention practices. Experience supporting surveys, audits, investigations, and corrective action plans. Experience working in home health, hospice, personal care, or post-acute healthcare environments. Strong project management and organizational skills. Preferred: RN license and/or healthcare clinical background. CHC (Certified in Healthcare Compliance) certification. Experience in multi-state healthcare operations. Experience in private equity-backed or high-growth healthcare organizations. Experience supporting acquisitions and integration activities. Skills and Abilities Strong attention to detail and documentation accuracy. Excellent analytical, investigative, and problem-solving skills. Ability to interpret and apply complex regulatory requirements. Strong organizational and time management skills with the ability to manage multiple priorities simultaneously. Data‑driven mindset with strong reporting and trend analysis capabilities. Effective communication and presentation skills. Ability to influence and collaborate across departments and leadership levels. High level of integrity, professionalism, and confidentiality. Proficiency with Microsoft Office and compliance/audit tracking systems. Leadership Qualities Values Alignment & Integrity Ownership & Accountability Sound Judgment & Critical Thinking High Performance & Execution Discipline Team Contribution & Humility Emotional Intelligence *Eligibility for certain benefits may depend on employment status CareRing Health is an equal opportunity employer committed to providing equal employment opportunities without regard to race, color, religion, sex (including pregnancy), sexual orientation, age, national origin, disability, genetic information, veteran status, or any other classification protected by applicable law. #J-18808-Ljbffr Careringhealth