Director of Clinical Compliance Audit - Quality

COMPANY OVERVIEW  

PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States. Its independent subsidiaries operate 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. PACS business support division, PACS Services, provides technology and administrative support services — accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support — to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah’s Best Companies to work for.  It has also been recognized as one of Utah’s Fastest Growing Companies for multiple years. 

JOB SUMMARY 

Reporting to the Senior Director of Clinical Compliance Audits, the Director of Clinical Compliance Audit – Quality is responsible for directing the Quality auditing program, as well as conducting routine audits or investigations of regulatory quality of care practices related to skilled nursing facilities. This role ensures adherence to federal, state, and local regulations and supports quality improvement initiatives.  

ESSENTIAL DUTIES 

• Develop audit tools to assess facility QAPI programs and quality of care outcomes to identify trends, root causes, and systemic compliance risks associated with resident outcomes. 

• Conduct focused audits in response to complaint investigations and survey deficiencies. 

• Conduct root cause analyses and develop performance improvement projects to reduce regulatory risk for facilities 

• Support quality of care investigations. 

• Partner with Risk Management and Clinical Operations to analyze adverse events and sentinel events for compliance and quality concerns. 

QUALIFICATIONS & EXPERIENCE 

• Associate or Bachelor’s degree required, Master’s degree preferred. 

• Active RN or other associated healthcare license. 

• QAPI Certified Professional (QCP) or Certified Professional in Healthcare Quality (CPHQ) required. Certificate in Healthcare Compliance preferred.  

• 10+ years experience in clinical practice and progressive regional leadership in a dedicated Quality of Care position. 

• Extensive experience conducting clinical record reviews and regulatory investigations. 

• Deep knowledge of the conditions or participation for skilled nursing facilities, QAPI, CMS Critical Elements Pathways, CASPER Reports, CMS 5-star Quality rating system. 

• Experience leading root-cause analysis (RCA). 

WHAT IS EXPECTED OF YOU AT THIS LEVEL 

• Supervises audit staff, collaborates with operations and other business support staff. 

• Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage audits, investigations and education initiatives.  

• Possesses strong attention to detail. 

• Ability to effectively prioritize and execute tasks in a fast‑paced, dynamic environment. 

• Excellent time management, personal integrity and ability to maintain confidentiality. 

PHYSICAL DEMANDS 

• Primarily sedentary role with extended periods of computer work. 

• Occasional standing, walking, and light lifting (up to 10-20 lbs). 

• Regular use of hands for typing and office equipment. 

• Ability to read and review detailed documents. 

• Clear verbal and written communication required. 

• Occasional travel based on business needs. 

WORK LOCATION 

• This role is remote, requiring less than 25% travel.  

Salary Range: $130,000-150,000