Quality and Compliance Manager

Overview

Since 1985, Albuquerque Health Care for the Homeless has dedicated its mission exclusively to providing services to people experiencing homelessness. AHCH provides a distinctive continuum of integrated care through outreach and site-based services to address the health-related causes and consequences of homelessness. Our vision is to live in a world that is just and without homelessness. We believe that homelessness is an issue that can be solved through access to quality health care, adequate and affordable housing, and a living wage.

• The Quality and Compliance Manager leads the organization’s quality improvement, quality assurance, and compliance functions within a complex, interdisciplinary healthcare environment. This role designs, implements, monitors, audits, and evaluates systems that ensure regulatory compliance, patient safety, and continuous performance improvement. The position provides direct oversight of the Quality & Compliance Team and works collaboratively with organizational leadership to promote a culture of accountability, data-driven decision-making, and operational excellence.
• Provide day-to-day leadership and operational oversight of the Quality & Compliance Department.
• Promote a culture of quality, accountability, and continuous improvement across all departments; mentor team members on best practices in compliance and quality management.
• Lead and support all activities related to maintaining Patient-Centered Medical Home (PCMH) designation, including audits, documentation, and reporting.
• Stay up-to-date on local, state, and federal healthcare regulations, accreditation standards, and payer requirements, and interpret their impact on organizational policies and practices.
• Oversee the incident reporting process and, in collaboration with the Chief Operating Officer (COO), conduct investigations and recommend corrective actions.
• Participate in local, state, and federal audits, ensuring timely preparation, response, and follow-up.
• Develop and deliver organizational HIPAA training and ongoing compliance education for team members and, as appropriate, partner organizations.
• Serve as a technical resource to team members for HIPAA reporting, data collection, and quality metrics.
• Supervise, train, evaluate, and support the professional development of Quality & Compliance team members.
• Collaborate with organizational leadership to develop, implement, and monitor department-specific quality improvement, compliance, and risk management plans.
• Lead organization-wide quality improvement initiatives by identifying trends, gaps, and opportunities for improvement; set measurable goals and track progress toward outcomes.
• In collaboration with the Data Manager, develop dashboards and reports to monitor compliance, patient safety, and quality metrics; present findings to leadership and committees to drive evidence-based decisions.
• Partner with and coach cross-functional teams to apply quality improvement methodologies (e.g., PDSA cycles, root cause analysis, fishbone, lean six sigma) to improve outcomes and processes.
• Serve as a liaison with internal and external stakeholders (e.g., regulatory agencies, auditors, community partners) to represent organizational quality and compliance efforts.
• Support organizational readiness by participating in emergency preparedness, infection control, and patient safety initiatives; lead efforts as needed.
• Work closely with the COO to develop, revise, and implement compliance-related policies and procedures.
• Oversee internal auditing activities to ensure adherence to quality standards, regulatory requirements, and organizational policies.
• Participate in leadership meetings and serve as a standing member of the Quality Review and Improvement Committee.
• Ensure organizational compliance with all policies, procedures, and applicable regulations.

• Demonstrated ability to thrive in a fast-paced, complex nonprofit, interdisciplinary healthcare setting.
• Proven leadership skills, including experience managing teams, mentoring team members, and promoting a culture of quality and accountability.
• Strong project management skills, with the ability to prioritize multiple initiatives, meet deadlines, and manage change across departments.
• Advanced analytical skills, with the ability to interpret complex data, identify trends, and translate findings into actionable recommendations for leadership and team members.
• Knowledge of healthcare regulations, accreditation standards, and quality improvement frameworks, with the ability to apply them to operational and clinical practices.
• High level of organization, attention to detail, and commitment to follow-through.
• Ability to work collaboratively and effectively with team members across all levels of the organization.
• High proficiency in Microsoft Office Suite, particularly Excel, for data analysis, reporting, and performance tracking.
• Bachelor’s degree in Business Administration, Health Administration, Nursing, or a…