Marana Health is seeking a Director of Compliance & Quality to join the Corporate Compliance team at the Marana Main Health Center, located in the heart of Marana, AZ.
The Director of Compliance and Quality provides leadership and oversight for the organization's compliance and risk; quality improvement; regulatory readiness and accreditation initiatives. The Director partners with organizational leaders to ensure regulatory compliance, mitigate risk, improve clinical outcomes, and advance a culture of safety, accountability, and continuous improvement.
Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare.
The following qualifications are required:
Bachelor’s degree in healthcare related field
2 years’ experience in a supervisory role
5 years’ experience in quality improvement or compliance related work in a health care setting
Fingerprint Clearance Card through the Arizona Department of Public Safety
Current Arizona driver’s license with clean driving record and proof of current vehicle insurance (39-month MVR will be run by MH)
The following qualifications are preferred:
Master’s degree in healthcare related field
Experience with regulatory and accreditation programs, such as The Joint Commission and NCQA PCMH
Experience in Federally Qualified Health Center (FQHC) or Primary Care environment
Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.
This position has the following supervisory responsibilities:
Supervises and monitors performance for an assigned group of employees. Supervisory duties include hiring and disciplinary actions, overseeing work assignments and quality, scheduling and timekeeping, performance evaluations, and training and development.
The ideal candidate will also possess the following knowledge, skills, and abilities:
Excellent customer service skills.
Excellent computer skills, including Excel and Outlook.
Ability to interpret and provide guidance from established regulations and policies
Knowledge and experience with accreditation programs, including but not limited to The Joint Commission and NCQA PCMH
Strong analytical and problem-solving skills with the ability to evaluate complex issues and recommend effective solutions.
Excellent verbal and written communication skills, including the ability to present information and provide guidance to leadership and staff.
Knowledge of healthcare compliance, quality improvement, and regulatory requirements applicable to Federally Qualified Health Centers.
Ability to lead organizational initiatives, manage multiple priorities, and collaborate effectively with cross-functional teams.
Duties and Responsibilities:
Lead the development, implementation, and evaluation of the organization's compliance, quality improvement, and risk management programs.
Ensure compliance with applicable federal, state, local, and accreditation requirements, including HRSA, CMS, HIPAA, FTCA, PCMH, and other regulatory standards.
Develop and maintain policies, procedures, and internal controls that support regulatory compliance, patient safety, and organizational effectiveness.
Conduct organizational risk assessments, compliance monitoring, and auditing activities; oversee corrective action plans and follow-up activities.
Oversee HIPAA Privacy and Security programs, including risk assessments, breach investigations, reporting, and regulatory responses.
Lead enterprise quality improvement initiatives focused on clinical outcomes, patient experience, patient safety, operational performance, and value-based care objectives.
Monitor, analyze, and communicate organizational quality, compliance, and risk performance metrics to leadership, committees, and the Board of Directors as requested.
Assist with Uniform Data System (UDS) reporting, quality dashboards, peer review activities, and performance improvement programs.
Facilitate root cause analyses and other structured improvement methodologies to identify opportunities for system-wide improvement.
Ensure organizational readiness for accreditation surveys, HRSA Operational Site Visits, FTCA assessments, audits, and other external reviews.
Provide compliance, quality, and patient safety guidance to leaders, providers, and staff while fostering a culture of accountability and continuous learning.
Oversee credentialing and privileging processes to ensure compliance with regulatory and organizational requirements.
Manage organizational insurance programs, claim administration, and risk mitigation strategies.
Supervise assigned staff, develop team capabilities, and promote a culture consistent with the organization's mission, values, and commitment to service excellence.
Performs other duties as assigned.
Benefits:
Marana Health’s vision is to be the premier provider and employer in community health. To support our mission and vision in our community, Marana Health believes health and well-being must start at home. Therefore, employees have many opportunities to care for our own health and wellness with benefits such as:
Medical, Dental, and Vision
403(b) with employer contribution
Short-term disability and other benefits
Paid time off including 11 holidays plus vacation and sick leave accrual
Paid bereavement, jury duty, and community service time
Education reimbursement ($3,000 per year for full-time)
Marana Health is committed to providing equal employment opportunities to all individuals, including those with disabilities and pregnancy-related conditions. If you require a reasonable accommodation to apply for a position or to participate in the interview process under the Americans with Disabilities Act (ADA) or the Pregnant Workers Fairness Act (PWFA), please contact our Human Resources Department at 520-682-4111.
