International Community Health Services

Compliance

• Assist in developing, maintaining, and providing daily oversight of the Quality and Compliance Program for the Healthy Aging and Wellness Program (HAWP), including PACE and Assisted Living
• Lead audit readiness initiatives
• Coordinate internal and external compliance and quality audits
• Develop, coordinate, track, and monitor corrective action plans (CAPs) and performance improvement plans (PIPs)
• Provide recommendations to the Quality and Compliance Officer regarding CAP/PIP approval, effectiveness, and closure
• Assist in developing and maintaining HIPAA/Privacy policies
• Lead HIPAA/Privacy case investigations
• Oversee fraud, waste, and abuse (FWA) reporting and exclusion screening
• Monitor contracts
• Support the PACE Quality Improvement Committee (QIC) and Assisted Living Quality Assurance (QA) Committee
• Gather community input on ethical decision-making and end-of-life issues as required under 42 CFR §460.138
• Coordinate and facilitate Quality of Care (QoC) communications and Root Cause Analysis (RCA) meetings with contracted providers
• Ensure compliance with regulatory and contractual requirements, policies and procedures, and employment laws and regulations
• Serve as the primary coordinator between Quality, Compliance, and Operations on related projects
• Coordinate with leaders across the organization

Quality and Compliance Analyst