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Leads and manages quality programs, partners with clinical leaders to drive operational change, and improves patient outcomes through equity-focused initiatives aligned to Social Determinants of Health (SDOH). Integrates Diversity, Equity, and Inclusion (DEI) into quality assurance, compliance strategies, audits, training, and documentation processes to support equitable care for underserved and vulnerable communities.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":16,"@type":70,"position":76},"https://docshare.wps.com/template/resumes/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/quality-and-compliance-director-clinical-quality-job-description/262760/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/quality-and-compliance-director-clinical-quality-job-description/262760.png","ImageObject",442,249,{"name":88,"@type":89},"Jasmine","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-27","2026-09-14",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the primary responsibility of the Quality and Compliance Director?","Question",{"text":108,"@type":109},"Ensure high standards of patient care while maintaining strict regulatory compliance, particularly related to Medicare quality regulations.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which compliance and quality activities does the role manage?",{"text":113,"@type":109},"Develop and implement quality assurance policies, manage payer quality programs, oversee quality data submissions, and lead audits and assessments for ongoing compliance.",{"name":115,"@type":106,"acceptedAnswer":116},"How do SDOH and DEI relate to quality and compliance initiatives?",{"text":117,"@type":109},"The role integrates SDOH and DEI into quality programs and compliance strategies to reduce disparities, improve outcomes, and promote equitable care for underserved populations.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},262760,1790534990,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":15,"category_name":16,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":79,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},2336478487870,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Job Description: Quality and Compliance Director  \nJob Title: Quality and Compliance Director  \nDepartment: Clinical Quality  \nPosition Summary: The Quality and Compliance Director will be responsible for the highest standards of patient care while maintaining strict adherence to regulatory compliance, particularly with Medicare quality regulations. This position will manage quality programs, collaborate with clinical leaders, and drive operational changes to improve patient outcomes. In addition, the role will integrate a focus on Social Determinants of Health (SDOH) and Diversity, Equity, and Inclusion (DEI), and ensure that quality and compliance initiatives promote equitable care for all patients, especially those from underserved or vulnerable communities.  \nSupervision Received: Chief Medical and Population Health Officer  \nSupervision Exercised: Quality Manager, Quality Specialist  \nHours per Pay Period: 80hrs Classification:  Full-Time  \n Part-Time  \n Exempt  Non-Exempt  \nEducation/Qualifications:  \n• Bachelor’s degree in healthcare administration, Nursing, or a related field (Master’s degree preferred) .  \n• Proven experience in quality management and compliance within a healthcare setting, particularly in a value-based care model that prioritizes health equity and addresses Social Determinants of Health (SDOH) .  \n• In-depth knowledge of Medicare quality regulations, healthcare accreditation standards, and quality improvement methodologies, with a focus on reducing disparities and ensuring equitable care for all patients.  \n• Strong analytical, problem-solving, and organizational skills, with the ability to develop strategies that address health disparities and improve care for vulnerable populations.  \n• Excellent communication and interpersonal skills, with the ability to engage diverse staff members and stakeholders and promote a culture of inclusion and patient-centered care.  \n• Proficiency in data analysis and use of quality improvement tools (e.g., Six Sigma, Lean) to drive results, with an understanding of how to analyze data through an equity lens.  \nPreferred Qualifications:  \n• Certification in healthcare quality (e.g., CPHQ, CQM) is a plus.  \n• Familiarity with electronic health records (EHR) systems and value-based care analyticstools.  \n• Experience with patient safety initiatives and risk management practices.  \n• Knowledge of the impact of Social Determinants of Health (SDOH) on patient care, outcomes, and healthcare disparities.  \n• Demonstrated experience promoting Diversity, Equity, and Inclusion (DEI) in healthcare settings, and a strong commitment to embedding DEI principles into quality improvement initiatives  \nEssential Functions:  \nQuality Management  \n• Develop and implement quality assurance policies and procedures that are aligned with the principles of value-based care, with a strong focus on reducing health disparities and addressing the needs of diverse patient populations.  \n• Collaborate with clinical leaders to identify and implement operational changes that improve patient outcomes while addressing the unique needs of patients impacted by Social Determinants of Health (SDOH) such as socioeconomic status, access to care, and social support systems.  \n• Manage quality programs from all payors, including Medicare, ensuring compliance with relevant regulations and performance standards, and adjusting meet the needs of diverse populations, particularly those in underserved communities.  \n• Oversee the submission of quality data to outside vendors, ensuring accuracy, timeliness, and alignment with regulatory requirements, with a focus on equity in data reporting and care delivery.  \n• Oversee regular audits and assessments to ensure ongoing compliance with healthcare regulations, and identify opportunities to improve care delivery for marginalized and underrepresented patient populations.  \nRegulatory Compliance  \n• Stay informed on federal, state, and local healthcare regulations, includ","cbCaiqKom6mui4iO","https://ap.wps.com/l/cbCaiqKom6mui4iO","pdf",131809,"English","# Position Summary\n## Supervision\n## Education and Qualifications\n## Preferred Qualifications\n## Essential Functions\n### Quality Management\n### Regulatory Compliance\n### Training and Development\n### Collaboration and Leadership","[{\"question\":\"What is the primary responsibility of the Quality and Compliance Director?\",\"answer\":\"Ensure high standards of patient care while maintaining strict regulatory compliance, particularly related to Medicare quality regulations.\"},{\"question\":\"Which compliance and quality activities does the role manage?\",\"answer\":\"Develop and implement quality assurance policies, manage payer quality programs, oversee quality data submissions, and lead audits and assessments for ongoing compliance.\"},{\"question\":\"How do SDOH and DEI relate to quality and compliance initiatives?\",\"answer\":\"The role integrates SDOH and DEI into quality programs and compliance strategies to reduce disparities, improve outcomes, and promote equitable care for underserved populations.\"}]","Quality and Compliance Director - Clinical Quality - Job Description | PDF",1789364578]