What are the responsibilities and job description for the Compliance Officer position at Adobe Care And Wellness LLC?
ABOUT ADOBE
Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care.
Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored for a fifth consecutive year as a “Best Place to Work” by the Phoenix Business Journal, APH continues to expand its reach and impact.
APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines.
With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need.
POSITION PURPOSE
Adobe Population Health (APH) is seeking an experienced and strategic Compliance Officer to lead the organization’s compliance oversight, regulatory governance, and quality assurance efforts. This role is responsible for ensuring that APH maintains the highest standards of regulatory adherence, ethical operations, and continuous quality improvement across all programs, services, and partnerships.
The Compliance Officer serves as a key leader responsible for the development, implementation, and oversight of the organization’s compliance framework, Quality Assessment and Performance Improvement (QAPI) program, accreditation readiness, and risk mitigation strategies. Working closely with executive leadership, clinical teams, operational departments, and external partners, this position ensures that policies, procedures, and performance measures align with federal and state regulations, payer contractual obligations, and accreditation standards, including NCQA and URAC.
This role plays a critical part in safeguarding the organization’s operational integrity by monitoring regulatory developments, conducting internal audits, and ensuring the organization always remains audit-ready. The Compliance Officer will foster a culture of accountability, transparency, and ethical conduct while supporting continuous improvement initiatives that strengthen member outcomes and operational performance.
The Compliance Officer also serves as the primary liaison with regulatory agencies, health plan partners, and accreditation bodies, ensuring APH maintains compliance with applicable standards while supporting the organization’s strategic growth, credibility, and long-term sustainability.
This position is based in our Phoenix office (16th St. & Glendale Ave.), conveniently located off the SR-51 freeway. The role operates in a hybrid schedule, with three days in-office and two days remote, Monday through Friday, 8:00 AM – 5:00 PM.
DUTIES & RESPONSIBILITIES
Compliance Program Leadership
- Provide leadership and oversight for the organization’s Compliance Program, ensuring policies, procedures, and operational practices align with applicable regulatory and contractual requirements.
- Promote a culture of compliance and ethical conduct throughout the organization through communication, monitoring, and accountability.
- Ensure clear communication of compliance expectations to employees, leadership, and operational teams.
- Coordinate compliance reporting to health plan partners in accordance with contractual obligations, including quarterly reporting and event-based notifications.
- Represent APH in Joint Operating Committee (JOC) meetings with health plan partners as needed.
Quality Management & Performance Improvement
- Support the design and oversight of the organization’s Quality Management System to ensure consistent adherence to quality and compliance standards.
- Oversee the Quality Assessment and Performance Improvement (QAPI) Program, ensuring performance metrics and initiatives support operational excellence and improved member outcomes.
- Collaborate with cross-functional leadership to establish quality objectives, performance indicators, and outcome metrics.
- Facilitate quality improvement initiatives that incorporate evidence-based practices and strengthen care delivery and operational processes.
Regulatory & Accreditation Compliance
- Maintain expert knowledge of applicable federal, state, and contractual regulatory requirements, including CMS, OSHA, OIG, and relevant state health agencies.
- Ensure organizational compliance with NCQA and URAC accreditation standards, including preparation for accreditation reviews, surveys, and documentation requirements.
- Monitor regulatory changes and communicate updates to leadership and operational teams.
- Identify opportunities for additional certifications or accreditations that strengthen the organization’s regulatory standing and industry credibility.
Audit & Regulatory Readiness
- Lead internal and external audits to evaluate operational compliance, contractual adherence, and regulatory performance.
- Serve as the primary organizational contact for health plan and regulatory audits, managing the full audit lifecycle from initial notification through resolution.
- Coordinate documentation for pre-delegation reviews, annual compliance audits, and accreditation assessments.
- Ensure corrective action plans are developed, implemented, and monitored when compliance gaps are identified.
Risk Management & Emergency Preparedness
- Identify, assess, and mitigate operational, regulatory, and reputational risks affecting the organization, employees, members, and partners.
- Oversee the organization’s Emergency Response and Disaster Preparedness Program across all operational regions.
- Ensure compliance with OSHA workplace safety requirements across operational locations.
Clinical Program Oversight & Quality Support
- Support the evaluation and implementation of evidence-based clinical practices across care management programs.
- Conduct annual reviews of clinical guidelines and program descriptions to ensure alignment with regulatory and accreditation requirements.
- Collaborate with clinical leadership to strengthen quality outcomes and improve program performance.
Data Analysis & Performance Reporting
- Utilize data analytics to monitor key compliance and performance indicators and identify trends requiring leadership attention.
- Prepare reports and performance summaries for executive leadership, governing boards, regulatory agencies, and accreditation entities.
- Coordinate required data submissions and performance reporting related to NCQA and URAC accreditation standards.
Policy & Procedure Governance
- Oversee the development, maintenance, and annual review of organizational policies, procedures, standard operating procedures (SOPs), and clinical pathways.
- Ensure policies reflect current regulatory requirements, best practices, and operational standards.
- Maintain oversight of the organization’s policy management platform, ensuring accessibility and appropriate employee utilization.
Member Complaint & Grievance Oversight
- Oversee the organization’s member grievance and complaint process, ensuring regulatory timelines and resolution standards are met.
- Ensure complaints are acknowledged within ten (10) days and resolved within thirty (30) days in accordance with protocol.
- Partner with leadership to identify systemic issues and implement improvements that enhance member satisfaction and service delivery.
Staff Education & Organizational Compliance Training
- Partner with training and leadership teams to develop and deliver compliance, quality assurance, and regulatory education programs.
- Promote ongoing employee education related to regulatory requirements, ethical conduct, and compliance responsibilities.
Leadership & Cross-Functional Collaboration
- Provide oversight and mentorship to members of the Quality and Compliance team.
- Foster collaboration across departments to strengthen compliance awareness and organizational accountability.
- Maintain effective communication with executive leadership, clinical staff, regulatory entities, and external partners.
Privacy & Security Compliance
- Ensure adherence to HIPAA privacy and security regulations, including employee education, monitoring, and enforcement of data protection policies.
Additional Responsibilities
- This job description outlines the primary responsibilities of the role but is not exhaustive. The Compliance Officer may be asked to perform additional duties consistent with their expertise and organizational needs.
SKILLS & QUALIFICATIONS
- A minimum of two (2) years of experience in healthcare quality management, compliance, or a similar leadership role.
- In-depth knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies.
- Experience leading and managing teams, with strong leadership, coaching, and mentoring skills.
- Excellent analytical and problem-solving abilities, with a keen eye for detail.
- Strong interpersonal and communication skills, capable of interacting with individuals at all levels of the organization.
- Proven track record of implementing successful quality improvement initiatives and driving organizational change.
- Familiarity with healthcare IT systems and data analysis tools.
EDUCATION, LICENSES, & CERTIFICATIONS
- Bachelor’s degree in healthcare administration, nursing, medicine or a related field is required.
- Relevant professional work experience may be considered in lieu of a degree.
- Certified in relevant quality management or compliance-related certifications (e.g., Certified Professional in Healthcare Quality - CPHQ, Certified in Healthcare Compliance - CHC) is a plus.
BENEFITS & TOTAL REWARDS
- Paid Orientation and Training
- Insurance – Medical, Dental, Vision, and Life
- 401k Plan – 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- Paid Holidays (8 days)
- Paid Time Off (15 days)
- Paid Volunteer Hours
CHARACTER & COMPETENCIES
- Courage – To have the courage to the right thing at the right time.
- Ownership – To take ownership of every issue you touch.
- Respect – To respect yourself, co-workers, and for those whom you care.
- Excellence – To be excellent in all that you do.
- Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
- Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
- Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
- Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
PHYSICAL DEMANDS & WORK ENVIRONMENT
- Occasionally required to stand.
- Occasionally required to walk.
- Continually required to sit.
- Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
- Continually required to talk or hear.
- While performing the duties of this job, the noise level in the work environment is usually moderate.
- May occasionally lift and /or move more than 30 pounds.
- Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.
EQUAL EMPLOYMENT OPPORTUNITY
APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.