Director of Quality and Compliance

JOB DESCRIPTION

POSITION TITLE: DIRECTOR OF QUALITY & COMPLIANCE

DEPARTMENT: ADMINISTRATION

FLSA STATUS: EXEMPT

JOB SUMMARY

The Director of Quality & Compliance provides strategic leadership and oversight for the organization's quality management, regulatory compliance, accreditation, performance improvement, data analytics, policy management, and electronic health record (EHR) systems. This position is responsible for ensuring compliance with federal, state, payer, licensing, contractual, and accreditation requirements while fostering a culture of continuous improvement, accountability, and data-informed decision-making.

The Director develops and maintains systems that monitor organizational performance, quality outcomes, operational effectiveness, and compliance readiness. Through collaboration with executive leadership and department leaders, this position supports strategic planning, performance measurement, risk management, audit readiness, policy governance, EHR optimization, and organizational excellence. The Director serves as a key organizational resource for quality improvement, compliance oversight, accreditation activities, performance analytics, and regulatory readiness, helping ensure the organization achieves its mission while maintaining the highest standards of service, quality, and accountability.

REPORTING RELATIONSHIPS

The Director supervises the Business Data Coordinator.

DUTIES AND ESSENTIAL JOB FUNCTIONS

Quality, Compliance & Accreditation

- Lead the organization's quality management, compliance, and performance improvement programs.

- Ensure compliance with federal, state, payer, licensing, contractual, and accreditation requirements.

- Monitor regulatory changes and coordinate organizational responses to maintain compliance.

- Lead CARF accreditation readiness, surveys, corrective actions, and continuous compliance efforts.

- Oversee internal compliance reviews, audits, and quality assurance activities.

- Coordinate external audits, inspections, licensing reviews, and accreditation surveys.

- Investigate compliance concerns and support organizational risk mitigation efforts

Performance Improvement and Analytics

- Establish and monitor organizational key performance indicators (KPIs), scorecards, and performance measures.

- Lead organization-wide performance improvement and continuous quality improvement initiatives.

- Analyze operational, clinical, quality, utilization, and organizational data to identify trends and opportunities.

- Develop and maintain dashboards, reports, and business intelligence tools to support decision-making.

- Provide leadership with actionable insights, recommendations, and performance reporting.

EHR & Information Systems

- Serve as organizational lead and primary liaison for the electronic health record (EHR) system and related   technologies.

- Oversee EHR optimization, reporting, workflow improvements, user support, and training initiatives.

- Ensure data integrity, documentation standards, and effective use of organizational information systems.

Policy and Organizational Governance

- Maintain organization-wide policy, procedure, and forms management processes to ensure regulatory and   operational compliance.

- Oversee corrective action planning and monitoring to ensure timely resolution of identified issues.

- Serve as primary liaison with regulatory agencies, accreditation bodies, auditors, payers, and external oversight   organizations.

Leadership and Organizational Support

- Provide leadership, consultation, education, and support to leaders and staff regarding quality, compliance,   performance improvement, and data-driven decision-making.

- Facilitate committees, workgroups, strategic initiatives, and other activities that support organizational excellence   and continuous improvement.

QUALIFICATIONS

- Minimum 4-year (Bachelor’s) degree in a human services-related field such as psychology, social work, criminal justice or similar area of study; and

- 7 years of progressively responsible experience in quality management, compliance, healthcare operations, or related field; or

- Master’s degree in related area of study preferred; and

- 5 years work-related experience

REQUIRED LICENSES/CERTIFICATES

- May be required to be CPR and First Aid Certified, dependent upon staffing levels

- Must possess valid driver’s license and have driving record that allows company insurance coverage

KNOWLEDGE, SKILLS, and ABILITIES

- Knowledge of healthcare, behavioral health, and substance use disorder regulations, accreditation standards, compliance requirements, quality improvement methodologies, data analytics, and electronic health record systems

- Strong leadership, project management, and organizational development skills

- Ability to analyze complex data, develop performance metrics and dashboards, and translate findings into actionable recommendations

- Strong communication, facilitation, problem-solving, and relationship-building skills

- Ability to lead quality, compliance, performance improvement, and organizational change initiatives across multiple departments

- Ability to manage competing priorities, influence stakeholders, and foster a culture of accountability, continuous improvement, and data-informed decision-making

- Ability to maintain confidentiality, exercise sound judgment, and effectively represent the organization with regulators, accrediting bodies, auditors, and external stakeholders

CULTURE FIT

- We’re committed to creating a culture of transparency and psychological safety. That means we communicate directly and kindly, ask for help when we need it, and celebrate wins big and small. Whether you’re in clinical care, administration, or support services, you are part of the mission.

- At ShareHouse, we are more than coworkers, we are collaborators, advocates, and believers in second chances. We serve individuals and families navigating the challenges of addiction and mental health with heart, respect, and resilience. We believe a healthy workplace fuels healthy outcomes, so we focus on connection, communication, and compassion, both in how we serve our clients, and how we treat each other.

YOU’LL THRIVE HERE IF YOU…

- Are mission-driven and motivated by meaningful work

- See change and feedback as opportunities, not obstacles

- Want to grow personally and professionally alongside your peers

- Value teamwork and open communication

- Enjoy working in a collaborative and mission-driven environment

- Bring a positive attitude and help foster a culture of encouragement and respect

CORE VALUES

- Compassion — We lead with empathy and respect

- Integrity — We do the right thing when no one is watching

- Connection — We value belonging, empathy, trust, and mutual understanding

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job with or without reasonable accommodation:

Frequently requires:

- Stooping and bending

- Use of color vision and ability to distinguish colors

- Pushing and pulling, lifting and carrying up to 15 lbs.

- Ability to communicate orally and hear/understand oral communication

- Ability to utilize fine motor skills, reach and grasp

Occasionally requires:

- Standing for up to 1 hour

- Pushing and pulling, lifting and carrying over 15 lbs.

WORK ENVIRONMENT

This position works in an environment with few physical discomforts; may occasionally be exposed to drafts, noise, temperature variations and odors.

BENEFITS

- 401(k)

- 401(k) matching

- Dental insurance

- Flexible spending account

- Health insurance (100% premium paid by company)

- Health savings account

- Life insurance

- Generous PTO package

- Vision insurance

- Short term disability

- Long term disability

- EAP

- Pet Insurance

- Array of voluntary benefits

- 9 paid holidays

*Compensation for this position is based on several factors, including relevant experience, skills, and qualifications. In addition to base pay, ShareHouse offers a comprehensive total rewards package that includes generous paid time off (PTO), a robust benefits program, a 401(k) match, and more. We also support financial growth through annual merit-based raises.

*This position will remain open until filled and may be taken down at any time without notice.