Operations and Compliance Manager, Healthcare Quality
Overview
You will own quality and compliance for a multi-site nephrology practice, ensuring adherence to CMS, HIPAA, and OSHA standards while driving operational efficiency. You will partner with providers, clinical staff, and leadership to maintain high-quality patient care and regulatory compliance. Your work directly impacts patient outcomes and practice performance. This role combines hands-on audits with strategic process improvement, offering a path to leadership.
What You'll Do8
- 1Conduct routine quality audits, identify improvement areas, and develop corrective action plans.
- 2Ensure compliance with CMS, HIPAA, OSHA, Medicare, and Medicaid policies through documentation audits and training monitoring.
- 3Assist with internal and external audits and accreditation activities, maintaining compliance documentation.
- 4Collaborate with physicians, APPs, nurses, and coordinators to improve clinical workflows and implement new initiatives.
- 5Develop monthly performance reports, identify trends, and present findings to leadership.
- 6Educate staff on quality standards and workflow updates through training sessions and materials.
- 7Assist with daily operations, prioritization, and staff guidance, escalating issues as needed.
- 8Lead process improvement initiatives and measure corrective action effectiveness.
Requirements5
- 13-5 years in healthcare quality, compliance, or clinical operations.
- 2Bachelor's degree in Healthcare Administration, Nursing, Public Health, Business Administration, or related field.
- 3Knowledge of CMS regulations, quality reporting, and HIPAA.
- 4Experience with electronic health records like eClinicalWorks and data analytics tools.
- 5Strong organizational, communication, and leadership skills.
Salary Insight
$50 - $60k per year
Location
Required Skills
Similar open positions
Explore active roles that match your skills and interests.
RPNT Acute Services, Inc.
VerifiedDirector of Clinical & Quality Compliance, Dialysis
Own clinical and quality compliance for acute dialysis services across the DFW and Central region. Direct a team of clinical staff while enforcing CMS, JCAHO, and FDA standards, plus HIPAA and ICD-10 coding rules. You will drive audits, training, and quality initiatives that directly impact patient safety and regulatory readiness. Reporting to upper management, you will shape compliance strategy in a role that blends clinical expertise with operational leadership.
WellSpace Health
VerifiedPerformance and Compliance Auditor, Healthcare Auditing
You will own internal audits and compliance monitoring across WellSpace Health, the region's largest Community Health System. You will report to the Compliance Manager and evaluate contract performance, regulatory adherence, and internal controls. You will work in a FQHC and CCBHC environment accredited by Joint Commission. This role stands out by focusing on both performance metrics and audit readiness, with a path to AHC Certified Healthcare Auditor certification.
MRINetwork Jobs
VerifiedDirector of Clinical Quality Improvement
Lead transformational quality initiatives that directly impact patient outcomes at MRINetwork Jobs in Detroit, Michigan. This high-visibility role drives meaningful change within a major healthcare system.
Mazzoni Center
VerifiedCompliance Associate - Healthcare Compliance Specialist
The Compliance Associate will own compliance processes at Mazzoni Center across healthcare and safety domains. This role drives proactive risk management through meticulous recordkeeping and regulatory alignment. You will lead initiatives that enhance organizational adherence to industry standards while supporting cross-functional collaboration.
La Rabida Children's Hospital
VerifiedSenior Manager of Ambulatory and Provider Services
Lead daily operations of outpatient clinic ensuring high standards of patient access service delivery and care coordination. Report to Executive Director overseeing frontline staff managing budgets optimizing workflows and supporting strategic initiatives enhancing patient experience and clinical efficiency.
Mount Auburn Hospital
VerifiedNursing Quality Risk Patient Safety Specialist Mount Auburn Hospital
Lead a team to own patient safety initiatives at Mount Auburn Hospital. This role will oversee data collection for pay-for-performance programs and drive continuous improvement in quality metrics. You will collaborate with clinical stakeholders to develop dashboards and lead root cause analyses while fostering a culture of safety and high reliability.