Director of Quality and Compliance – Healthcare

Holon Health

. Own all SOPs, state and health plan addenda, annual reviews, updates, and document control .

Posted 10/27/2026full-timeRemote • United StatesLead💰 $135,000 - $155,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare quality, compliance, and risk management, with a strong focus on regulatory reporting, incident management, and corrective action planning. Proficient in maintaining SOPs and training staff while ensuring adherence to HIPAA and other compliance standards.

Highest-signal resume keywords

Clinical License (RN, LCSW, LPC)Healthcare Quality ManagementRegulatory Reporting ExperienceIncident ManagementSOP Development and Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Compliance Requirements DefinitionRoot Cause AnalysisCorrective Action PlansIncident ManagementQuality Metrics ReportingEHR WorkflowsProcess ImprovementAudit Planning and ExecutionDocument ControlHealth Plan Reporting

Soft Skills

Strong Writing SkillsLeadershipCollaborationCommunication

Tools & Technologies

EHR SystemsDashboardsSpreadsheets

Certifications & Qualifications

CHCCPHQLean Six Sigma Green BeltASQ CQIA/CQE

Industry Keywords

Healthcare ComplianceRisk ManagementAccreditationNCQA AccreditationTelehealthBehavioral HealthIntegrated Primary CareHealth Equity Data StratificationMandated Reporter DutiesState Medicaid

About the role

Key responsibilities & impact

Own all SOPs, state and health plan addenda, annual reviews, updates, and document control
Define compliance requirements, regulatory or contractual sources, and acceptance criteria for platform controls
Receive, triage, review, and manage incidents, accidents, deaths, and suspected abuse, neglect, or exploitation
Determine reportability and file external reports within applicable deadlines
Track follow-up reports, returned reports, confirmations, and closure
Escalate sentinel events and deaths to the Medical Director and CEO
Maintain incident rules tables and abuse hotline directories with approved change control
Ensure mandated reporter obligations are met and documented
Lead root cause analyses and corrective and preventive action plans
Present corrective actions to the HEQMC and track verified completion
Plan and run internal audits of clinical, billing, CoCM, RTM, consent, and telehealth documentation
Report audit findings, root causes, and corrective actions; track closure and re-audit
Coordinate pre-bill review findings and overpayment refunds with revenue cycle
Partner on SOP training, competency checks, staff briefings, and training records
Coordinate technology dependencies and interim operational controls with Product Development
Prepare responses to payer quality-of-care inquiries, audits, record requests, and corrective action requests
Monitor state Medicaid, health plan, CMS, privacy, and contract changes
Maintain state and health plan reporting portal accounts
Serve as HEQMC secretariat and prepare agendas, minutes, action logs, SOP approvals, and quarterly quality packs
Report quality and compliance metrics to the HEQMC and CEO
Support NCQA Health Equity Accreditation readiness and accreditation work

Requirements

What you’ll need

Clinical license (for example RN, LCSW, LPC); or bachelor’s degree in a health-related field; or bachelor’s degree in business, operations management, industrial engineering, or related field; or equivalent formal training in operations management, process improvement, or quality management
7+ years of experience in healthcare quality, compliance, risk management, accreditation, operations management, or process improvement and quality management
Multistate compliance experience
Experience with regulatory reporting and compliance
Experience with incident or event management, root cause analyses, and corrective action plans
Experience writing and maintaining SOPs and training staff
Strong writing skills
Working knowledge of HIPAA Privacy and Security Rules and 42 CFR Part 2
Comfort working in EHR or app-based workflows, dashboards, and spreadsheets
Healthcare quality, compliance, risk management, accreditation, operations management, or process improvement experience
Bonus: CHC, CPHQ, Lean Six Sigma Green Belt or higher, ASQ CQIA/CQE, mandated reporter duties, telehealth, behavioral health, integrated primary care, Collaborative Care, state Medicaid, NCQA accreditation, CoCM/RTM documentation and billing, health equity data stratification, or a master’s degree

Benefits

Comp & perks

Annual leadership bonus
Unlimited PTO
Flexible schedules
Remote-first culture
Health, dental, vision, life, and disability benefits
401(k) with company match
Space for self-care
Room to grow in a high-impact, mission-driven startup
Equal opportunity employer