Quality and Compliance Manager at Adobe Care And Wellness LLC

, , Tunisia -

Full Time

Start Date

Immediate

Expiry Date

04 Jan, 26

Salary

0.0

Posted On

06 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Management, Regulatory Compliance, Accreditation, Risk Management, Policy Development, Training, Data Analysis, Healthcare IT, Lean Six Sigma, PDSA, Communication, Analytical Skills, Interpersonal Skills, Problem-Solving, Professionalism, Teamwork

Industry

Hospitals and Health Care

Description

ABOUT ADOBE Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized the last two years as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal four years in a row. As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. APH offers customized services for Medicaid, Medicare, and the ACA/Marketplace lines of business.  POSITION PURPOSE The Quality and Compliance Manager serves as a pivotal member of the executive leadership team, providing strategic oversight of clinical quality, corporate governance, privacy compliance, and adherence to governing guidelines. This position helps to oversee the quality and compliance framework within our population health and respiratory care programs. This leadership role will be responsible for safeguarding adherence to the highest standards of clinical quality, safety, and regulatory compliance while driving continuous improvement initiatives across the organization. The Manager will design, implement, and manage a comprehensive Quality Management System (QMS), monitor compliance with federal and state healthcare regulations, support accreditation efforts, and foster a culture of accountability and excellence. With a focus on Population Outcome Management, Complex Respiratory Management, Enhanced Respiratory Care, Quality Enhancement Initiatives, and Remote Monitoring, this leader will collaborate across clinical and administrative teams to ensure patient safety, optimize outcomes, and maintain organizational integrity. DUTIES & RESPONSIBILITIES Quality Management & Improvement * Develop, implement, and oversee a comprehensive Quality Management System (QMS) that ensures excellence in clinical and operational processes. * Establish and track key performance indicators (KPIs) to measure quality, patient outcomes, compliance, and efficiency. * Drive organization-wide quality improvement initiatives, focusing on evidence-based practices, patient safety, and clinical excellence in respiratory and population health programs. * Partner with medical and clinical teams to implement continuous improvement methodologies such as PDSA (Plan-Do-Study-Act) and Lean Six Sigma principles. Regulatory & Accreditation Compliance * Monitor and interpret federal, state, and local regulations as well as payer and accreditation requirements relevant to population health and respiratory care. * Lead readiness efforts for audits, inspections, and accreditation reviews. * Oversee compliance with HIPAA, CMS, NCQA, and other governing standards. * Ensure corrective action plans are developed and executed for areas of non-compliance. Audit, Assessment & Risk Management * Design and conduct internal quality and compliance audits to validate adherence to policies, procedures, and standards. * Coordinate external audits and support payer and accreditation reviews. * Develop and oversee risk management protocols, including incident reporting, root cause analysis, and mitigation strategies. * Ensure crisis response procedures and corrective actions are tested, documented, and continually refined. Policy Development & Oversight * Lead the review, revision, and implementation of organizational policies and procedures to reflect current regulatory requirements and best practices. * Communicatepolicy changes across departments andensuretimelyadoption. Training & Education * Collaborate with Training & Development to design and deliver ongoing staff education in quality standards, compliance requirements, and risk mitigation. * Foster a culture of compliance, patient-centered care, and continuous improvement across all departments. Data, Analytics & Reporting * Oversee collection, analysis, and interpretation of quality and compliance data toidentifytrends, risks, and opportunities for improvement. * Prepare and present regular reports to executive leadership, governing boards, and regulatory agencies. * Provide actionable insights to improve patient safety, reduce risks, and strengthen outcomes in respiratory care and population health programs. EMR Integration * Use technical skills to become proficient in the operating system used for EMR. * Analyze and align clinical workflows to meet software demands. * Translate clinical needs into software/technical programming requirements. * Develop and implement system customizations to enhance user experience, data management, and business expansion. * Train & support clinical and non-clinical employees tooptimizesystem use. Collaboration & Leadership * Act as the primary liaison for regulatory bodies, auditors, and accreditation agencies. * Partner with clinical leadership, IT, and operational teams to ensure compliance is integrated into all workflows. * Mentor and guide team members, building a strong culture of accountability, transparency, and excellence. SKILLS & QUALIFICATIONS * Five(5+) years of experienceinthe healthcare space, population health, respiratory care, or complex chronic disease management programs preferred. * Three(3+) yearsin a program management roleor quality-related function. * In-depth knowledge ofinternalauditingprocessespertainingtocontractual arrangements and requirements. * Awareness offederal and state healthcare regulations. * Strongexpertiseinquality improvement methodologiessuch as Lean, Six Sigma, or PDSA cycles. * Proventrack recordofleading audits, accreditation reviews, and regulatory inspections. * Exceptional communication and interpersonal skills, capable of influencing stakeholders at all organizational levels. * Strong analytical and critical thinking skills, with the ability to transform data into actionable improvement strategies. * Experience with healthcare IT systems, EHRs, remote monitoring platforms, and data analytics tools. * Understanding quality improvement methodologies such as Lean, Six Sigma, or PDSA cycles is helpful. EDUCATION, LICENSES, & CERTIFICATION * Bachelor’s degree in healthcare administration, nursing, respiratory therapy, or a related fieldrequired. * Master’s degree in healthcare administration, nursing, respiratory therapy, or a related fieldpreferred. * Licensed Registered Nurse (RN)orLicensed Respiratory Therapist (RRT/CRT)requiredin thestate of Tennessee. * Active, current, and unencumbered state licenserequired. * Professional certifications are strongly preferred, such as: * Certified Professional in Healthcare Quality (CPHQ) * Certified in Healthcare Compliance (CHC) * Lean Six Sigma Certification (Green Belt or higher) * A combination of equivalent education and professional experience may be considered in lieu of formal education requirements. BENEFITS & TOTAL REWARDS * Paid Orientation and Training * Insurance – Medical, Dental, Vision, and Life * 401k Plan – 3% match * Employee Assistance Program * Tuition Reimbursement * Continued Education Support * Mileage Reimbursement (if applicable) * Referral Bonuses * Paid Holidays (9days) * Paid Time Off (20 days) * Paid Volunteer Hours CHARACTER & COMPETENCIES * Courage– To have the courage to the right thing at the right time. * Ownership– To take ownership of every issue you touch. * Respect– To respect yourself, co-workers, and for those whom you care. * Excellence– To be excellent in all that you do. * Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. * Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values. * Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. * Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. * Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. * Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. * Problem-Solving -Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics. * Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. * Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. PHYSICAL DEMANDS & WORK ENVIRONMENT * Occasionally required to stand. * Occasionally required to walk. * Continually required to sit. * Occasionally required to climb, balance, bend, stoop, kneel,or crawl. * Continually required to talk or hear. * While performing the duties of this job, the noise level in the work environment is usually moderate. * May occasionally lift and/or move more than 30 pounds. * Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping,kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing. EQUAL EMPLOYMENT OPPORTUNITY APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Responsibilities

The Quality and Compliance Manager oversees the quality and compliance framework within population health and respiratory care programs, ensuring adherence to clinical quality and regulatory standards. This role involves designing and managing a Quality Management System while driving continuous improvement initiatives across the organization.