Job Description

Job Description

Job Description

Pay Range: $65,000-85,000 annually (DOE)

Benefits Eligible: Yes

Status: Salaried/Exempt

Hours: Full Time/40 hours per week

Schedule: Monday – Friday 8:00 am to 5:00 pm (with occasional evenings or weekends)

Location: Evans Office – In Person

Travel: Northern Colorado locations

Position Summary

The Quality & Compliance Manager provides organization-wide leadership for quality assurance, performance improvement, and compliance across Care Management, Addiction Response, and related programs. The Quality & Compliance Manager plays a critical role in supporting North Colorado Health Alliance’s mission by ensuring programs operate with integrity, accountability, and continuous improvement—strengthening organizational readiness, reducing risk, and improving outcomes across northeastern Colorado. Reporting directly to the Deputy Executive Officer, this role ensures that programs operate in alignment with regulatory requirements, funder expectations, internal policies, and

best practices while driving continuous improvement in quality, outcomes, and accountability.

This position serves as a core governance and risk-management function, translating requirements into operational practice, monitoring performance and compliance, and supporting leadership with data-informed insights and corrective action strategies. This role serves as the organization’s central point of accountability for program quality, performance measurement, reporting compliance, and contractual adherence, ensuring expectations are clearly understood and consistently operationalized across departments. This position partners closely with program and executive leadership to sustain high-quality, compliant, and person-centered services. The Quality & Compliance Manager directly supervises the Performance Improvement Coordinator and may supervise others as assigned.

Knowledge, Skills & Abilities

• Strong knowledge of quality assurance, compliance, and performance improvement in healthcare or human

services

• Ability to interpret regulatory, contractual, and funder requirements and operationalize them across

programs

• Excellent analytical, organizational, and problem-solving skills

• Strong written and verbal communication skills

• Cultural competence and commitment to equity and person-centered practice

• Ability to manage competing priorities and lead through complexity and adaptation

• Experience with electronic medical record systems (e.g., Athena One, EPIC, Banner, Essette)

Core Competencies

• Systems thinking and population health strategy knowledge

• Facilitation, convening, and collaborative leadership

• Policy analysis and systems improvement

• Data-informed decision-making

• Strategic communication and narrative development

• Adaptive leadership and change management

Education, Qualifications & Experience

Required:

• Bachelor’s degree in public health, healthcare administration, social work, or a related field (or equivalent experience)
• 5+ years of experience in quality improvement, compliance, care management, behavioral health, or related settings
• Experience supervising managers and leading multidisciplinary teams
• Demonstrated experience with audits, policy development, and performance monitoring
• 7+ years of progressive experience in population health, health systems, public health, or cross-sector initiatives
• Demonstrated experience leveraging health assessments and data to inform strategy and systems change
• Proven ability to convene and lead cross-sector working groups or collaboratives
• Strong understanding of health equity, social determinants of health, and community-based system

Preferred:

• Master’s degree in public health, public administration, social work, health policy, or a related field (or

equivalent experience)

• Experience working in Medicaid-funded, care coordination, or grant-funded programs

• Familiarity with continuous quality improvement methodologies (PDSA, Lean, etc.)

• Experience working within or alongside Medicaid, public health agencies, or regional health alliances

• Familiarity with policy development, advocacy, or regulatory environments affecting population health

• Experience integrating communications, development, or public-facing strategies into programmatic work

• Background in rural, frontier, or safety-net health systems

• Experience serving as a backbone or neutral convener for regional initiatives

Working Environment Physical Activities

• Annual Influenza vaccination is required

• Frequent contact with the public by phone and in person.

• Occasionally lift and/or move up to 25lbs with or without accommodation.

• May require engagement via zoom or other digital technology.

• May include hours beyond the normal 40-hour work week

• Occasional evenings or weekend hours may be required.

• Must be able to travel between agency and partner organization locations.

• Noise level at work environment is usually moderate.

• Reasonable accommodations will be made to ensure individuals with disabilities are able to perform the

essential functions.

Job Responsibilities

Quality Management & Continuous Improvement

• Establish and maintain quality frameworks, dashboards, and key performance indicators

• Ensure programs have clearly defined performance measures, outcome targets, and reporting

requirements, and that these are consistently monitored across departments

• Track progress toward programmatic outcomes and deliverables, identifying risks to performance or

compliance early and escalating concerns as needed

• Engage directly and indirectly in existing workflows to assess quality, fidelity, and effectiveness, and

recommend revisions to improve outcomes and consistency

• Lead organization-wide quality assurance and performance improvement efforts across programs

• Lead or support the development, implementation, and monitoring of Performance Improvement Plans

(PIPs) for programs, teams, or workflows that are not meeting performance, quality, or compliance

expectations.

• Analyze performance data to identify trends, gaps, risks, and improvement opportunities

• Partner with program leadership to design, implement, and monitor corrective and preventive action plans

Compliance Oversight & Audit Readiness

• Oversee internal compliance monitoring, including chart audits, case reviews, and workflow adherence

• Ensure readiness for external audits, site reviews, and funder monitoring activities

• Track, document, and follow up on compliance findings and corrective actions

• Monitor grant deliverables, contractual obligations, and reporting requirements to ensure compliance

Contract & Grant Oversight

• Maintain centralized oversight of current contracts, grants, and funding agreements, ensuring proper filing,

version control, and accessibility in partnership with the Finance Team.

• Ensure organizational understanding of contractual requirements across departments, including:

o Scope of work and deliverables

o Performance measures and reporting expectations

o Invoicing requirements and timelines

o Contract terms, renewal dates, and close-out requirements

o Partner with finance, program, and leadership teams to monitor compliance with contractual

obligations and identify risks to funding or performance

o Support corrective action planning when contractual or performance requirements are at risk of not being met

Policy, Procedure & Governance Alignment

• Lead the review, development, and maintenance of policies and procedures

• Ensure policies align with regulatory requirements, funder expectations, and operational practice

• Maintain documentation standards, version control, and approval workflows

• Support leadership and staff understanding and consistent implementation of policies

Program Workflow & Risk Management

• Provide oversight of program workflows to ensure alignment with quality, compliance, & operational

standards through direct engagement with program teams and indirect review of workflows,

documentation, and outputs.

• Identify workflow-related risks and inefficiencies and recommend system-level improvements

• Partner with program leadership to standardize workflows and reduce variation

• Support integration of quality and compliance expectations into daily operations

Data, Reporting & Performance Accountability

• Collaborate with data and evaluation partners to translate quality and compliance data into actionable

insights

• Maintain oversight of internal and external reporting calendars, ensuring reporting deadlines, submission

requirements, and performance measures are clearly tracked and met

• Support program teams with report preparation and submission, including data validation, quality checks,

interpretation of findings, and alignment with funder or regulatory expectations

• Review reports prior to submission to ensure accuracy, completeness, and consistency with performance

data and contractual requirements

• Partner with leadership to assess reported outcomes and translate findings into quality improvement

actions

• Prepare regular summaries and briefings for the Deputy Executive Officer and Executive Leadership

• Support internal and external reporting related to quality, compliance, and performance

Leadership & Staff Supervision

• Provide direct supervision, coaching, and performance management for the Performance Improvement

Coordinator

• Set clear priorities, expectations, and development goals for quality staff

• Foster a culture of accountability, learning, and continuous improvement

Other Duties as Assigned

• Support of the mission and vision of NCHA

• Provide input into development of policies and procedures

• Compliance with NCHA programs

• Meeting and training attendance

• Participation in ongoing performance improvement activities

The above job definition information has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Job duties and responsibilities are subject to change based on changing business needs and conditions.

The North Colorado Health Alliance was incorporated as a 501(c)(3) non-profit organization in 2002. The Alliance, based in the town of Evans in Colorado’s Weld County, with additional office locations in Loveland, CO & Sterling, CO, is a creative and strategic collaboration of partner organizations that are dedicated to cultivating the health of the communities they serve.

At the Alliance, we recognize that health does not begin or end with medical, dental, and behavioral health services. Health also depends on features of the built environment and on a variety of social determinants that make it harder for many to resist the chronic illnesses of our times. Thinking globally, the Alliance acts locally and creatively to convene, integrate, and support community partners in our common effort to make northeastern Colorado the healthiest region in the healthiest state

The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.

Company Description

The North Colorado Health Alliance convenes partners and co-workers in education, community service, health care, business, faith-based organizations, and government. The Alliance’s mission is to see Northern Colorado become the healthiest region in the healthiest state by developing and supporting a healthy population with 100% access to quality service and care at a sustainable cost.

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