Director of Clinical Quality and Compliance

🔥 49 minutes ago

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Monitor daily clinical quality indicators, trends, and exceptions across all care settings • Ensure adherence to evidence-based clinical standards, policies, workflows, and audit expectations • Provide real-time guidance and escalation support for quality, safety, and workflow concerns • Oversee daily compliance with federal, state, and accreditation requirements (e.g., CMS, state boards) • Lead preparation and readiness efforts for audits; serve as a primary point of contact during reviews • Maintain policies, procedures, and documentation aligned with evolving regulatory standards • Track, investigate, and resolve compliance issues, incidents, and clinical remediation plans • Lead continuous quality improvement initiatives using data, root cause analysis, and best practices • Develop, maintain, and monitor quality dashboards and key metrics • Provide leadership, coaching, and guidance to quality, compliance, and clinical support staff • Support education and training related to quality standards, compliance expectations, and regulatory updates • Communicate quality and compliance performance to executive leadership with clear insights and recommendations • Partner closely with Clinical Operations Audit, Legal, and Compliance to drive aligned and efficient oversight.

🎯 Requirements

• Bachelor’s degree in Nursing, Healthcare Administration, or related field • Minimum of seven (7) years of experience in clinical quality, compliance, or healthcare operations • Working knowledge of healthcare regulations, accreditation standards, and quality frameworks • Demonstrated experience leading audits, surveys, or regulatory reviews • Proven analytical, data-driven decision making, and clinical judgment skills • Ability to balance daily operational demands with long-term quality strategy • Data-driven decision-making and analytical skills • Clear, confident communicator with clinicians and executives • Proactive, solution-oriented leadership style with a balance of operational focus and strategic thinking • Active clinical licensure (RN, NP, PA, or equivalent) preferred

🏖️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance • employee assistance program • employer-paid and voluntary life insurance • disability insurance • health and flexible spending accounts • Competitive compensation • 401k with employer match • financial wellness resources • Paid holidays • flexible vacation time/PSSL • paid parental leave • Work life assistance resources • physical wellness perks • mental health support • employee referral program • BenefitHub for employee discounts