Risk and Compliance Manager overseeing third - party risk control and compliance in finance. Collaborating with teams across different locations to establish effective risk management strategies.
About the role
- Director of Quality and Compliance at Trinity Health managing quality improvement plans and compliance oversight in healthcare operations. Collaborating with teams to drive quality initiatives and ensure regulatory compliance.
Responsibilities
- Develop and implement the annual Quality Improvement Plan in collaboration with the Medical Director, including compiling annual reports and presenting findings to leadership, staff, contractors, the Participant Advisory Committee (PAC), and the Board of Directors.
- Coordinate and support the PACE Quality Committee.
- Ensure compliance with CMS regulations, including oversight of the Medicare Part D fraud, waste, and abuse Compliance Program and HIPAA privacy requirements.
- Manage preparation for CMS site visits, audits, inspections, and all related follow‑up.
- Analyze risk management and quality data to identify issues and implement corrective actions.
- Oversee complaint, grievance, and incident reporting processes and conduct trend analysis to inform action plans.
- Lead infection control program planning and reporting, including monthly summaries and corrective action tracking.
- Facilitate Participant Satisfaction and HOS‑M surveys and analyze results.
- Ensure timely reporting to CMS, State agencies, and Trinity Health PACE.
- Monitor HPMS complaints and memorandums and coordinate required responses.
- Support process evaluations, root cause analyses, and performance improvement initiatives.
- Provide leadership and performance oversight for Quality and Compliance team members and collaborate with HIM, education, and clinical informatics teams.
Requirements
- Bachelor’s degree in Health Administration or related field required; Master’s degree preferred.
- Five (5) or more years of progressively responsible experience in healthcare delivery, program development, or service operations; experience with elderly populations preferred.
- At least one (1) year of experience working with frail or elderly individuals preferred.
- Prior supervisory experience preferred.
- Strong business acumen, decision-making skills, conflict management, and adaptability to change.
- Excellent communication, presentation, and cross-functional collaboration skills.
- Proficiency with Microsoft Office and related tools.
- High personal accountability and strategic planning capability.
- Ability to travel up to 10% within the region.
Benefits
- Comprehensive benefits including 1st Day medical coverage
- dental
- vision
- paid time off
- 403B and educational assistance
- Access to daily pay and employee referral incentives
- Supportive environment with a patient-centered focus
- Opportunities for professional development
- Up to $4,000 in tuition reimbursement annually
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Compliance Manager/Senior Manager handling income tax compliance aspects for high - net - worth individuals at Deloitte. Building client relationships and mentoring team members in tax legislation compliance.
Senior Airworthiness Specialist at Boeing's CASO ensuring safety and excellence in aerospace. Involves certification activities on 737 MAX development programs with industry professionals.
Summer Intern supporting Safety & Compliance team at American Tower. Assisting with data management, documentation, and coordination activities in a regulated environment.
Sr. IT Service Management Analyst responsible for driving incident resolution efforts in a hybrid environment. Collaborating with cross - functional teams to implement permanent fixes and improve service management processes.
Compliance Technician for Underground Storage Tank compliance testing at OWL Services. Training provided with potential advancement to a foreman role in the Gasoline Service Station Industry.
Manager of Audit Services leading risk - based audits and utilizing analytics at BECU. Driving innovation in audit practices and fostering a culture of continuous improvement across the organization.
Director of Regulatory Affairs managing compliance aspects of beauty product regulations for Luxury Brand Partners. Collaborating with teams to register products and maintain quality assurance.
Corporate Transactions & Compliance Manager at Optiv managing M&A matters and corporate governance. Assisting EVP & General Counsel in compliance program and other corporate duties.
Director overseeing compliance testing to validate processes and controls for financial services division at Capital One. Leading risk - based approach, managing staff, and developing relationships with compliance partners.