Quality and Compliance Specialist at Paradigm Health
Indianapolis, Indiana, USA -
Full Time


Start Date

Immediate

Expiry Date

14 Oct, 25

Salary

80000.0

Posted On

15 Jul, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Compliance Monitoring, Life Insurance, Documentation, Travel, Outlook, Interpersonal Skills, Powerpoint, Dme, Dashboards, Health, Clinical Documentation, Data Review, Training, Excel

Industry

Hospital/Health Care

Description

WE ARE HONORED TO BE LISTED AMONG THE TOP WORKPLACES IN CENTRAL INDIANA FROM 2021-2025 BY THE INDIANAPOLIS STAR.

If you are looking for… a company that is patient-focused on providing the highest quality of care, family-oriented working environment with a non-corporate feel, managers and leadership who truly listen and follow up, teamwork, recognizes a job well done… YOU’RE IN THE RIGHT PLACE!

Paradigm Health is an exciting Indiana-owned company that brings a new “Paradigm” to Home Care. Our culture is fresh, exciting and progressive to afford our team members a fulfilling work experience. We are looking for the best of the best; team members who are driven, compassionate and take pride in the quality of their care and services. Paradigm Health is expanding rapidly throughout Indiana and we are opening several new positions. Due to our continued growth, we are adding a Hospice Quality and Complaince SpecialistWork Location:Remote (Travel to Branch Offices required)Benefits:

  • Competitive salary
  • Excellent PTO program (up to 136 hours in first year)
  • Every Friday is payday!
  • Paid holidays even your birthday!
  • Health, dental, vision (Paradigm pays 60% of premium)
  • 401k match program
  • Paid life insurance
  • Great team environment! (Ask to see our staff satisfaction survey comments from our annual survey where we had 100% participation!)

JOB REQUIREMENTS:

  • Coordinate the implementation, accuracy, and compliance of the HOPE tool across all hospice teams and locations.
  • Ensure timely completion, documentation, and scoring of HOPE assessments per CMS guidelines.
  • Serve as a subject matter expert and trainer for interdisciplinary teams on HOPE-related processes.
  • Audit and monitor HOPE tool entries for accuracy, completeness, and alignment with the patient’s clinical documentation.
  • Submit and track HOPE data, ensuring timely, compliant, and error-free submissions.
  • Support quality initiatives by identifying trends in documentation, assessments, and compliance metrics.
  • Review ancillary service claims (DME, pharmacy, supplies, etc.) to ensure clinical appropriateness, necessity, and alignment with plan of care and hospice regulations.
  • Serve as a backup to the QA department for tasks such as chart audits, Plan of Correction tracking, clinical incident review, and documentation compliance monitoring.
  • Assist with additional quality and compliance initiatives as needed, including accreditation readiness, internal audits, and education rollouts.
  • Prepare and distribute regular reports and dashboards related to HOPE tool data, HIS submission compliance, and quality indicators.
  • Maintain up-to-date knowledge of CMS regulations and internal policies affecting hospice quality and compliance.
  • Travel regularly to hospice sites for training, monitoring, and on-site support (may include overnight travel).

EXPERIENCE:

  • Minimum 2 years of hospice experience, ideally in quality, compliance, or clinical documentation roles.
  • Demonstrated knowledge and hands-on experience with Hospice Item Set (HIS) submissions.
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint).
  • Excellent communication, training, and interpersonal skills.
  • Strong attention to detail with a high degree of accuracy in documentation and data review.
  • Ability and willingness to travel to hospice sites as needed.

How To Apply:

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Responsibilities

Please refer the Job description for details

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