Director of Quality & Regulatory Compliance

Description

Director of Quality and Regulatory Compliance

Why Work at Concerto? What is in it for you?

• Competitive pay
• Clinical/Corporate Career Advancement
• Medical, dental, vision, short- and long-term disability benefits
• Pet Insurance
• 401k match of 50% up to 6% of salary
• PTO
• Paid Holidays
• Discounts through Nectar
• Employer Paid Employee Assistance Program

You Might Be a Good Fit If You are…

• Experienced dialysis quality/compliance leader with success managing CMS surveys and QAPI programs.
• Strong regulatory expertise in CMS Conditions for Coverage, ESRD Networks, and state survey processes.
• Proven performance improvement skills, including KPI analysis, root cause work, and corrective action planning.
• Effective leader and collaborator across clinical, operational, and regulatory teams.
• Highly organized and analytical, able to manage complex initiatives and support enterprise growth.

Physical Requirements & Work Environment

Day-to-day work includes desk and computer activity, extensive interaction with staff, patients, physicians, and regulators, and significant travel across markets. The role requires approximately 50% travel. Work environment may involve exposure to infectious or contagious diseases.

Who Are We?

Concerto Renal Services is an industry leader in nursing home dialysis. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.

Why is this Role Essential?

The Director of Quality and Regulatory Compliance provides strategic and operational leadership to ensure high-quality patient care, regulatory compliance, and continuous improvement across all Concerto dialysis facilities and service lines. This role reports to the Vice President of Quality and Regulatory Compliance and directs the quality and compliance agenda enterprise-wide, with accountability for meeting all CMS Conditions for Coverage, state licensure regulations, and internal standards. The Director serves as Concerto’s primary liaison with CMS, ESRD Networks, and SNF partners.

What Will You Do?

• Department Leadership and Execution

• Leads enterprise-wide quality and regulatory compliance programs in alignment with Concerto’s strategic objectives and regulatory requirements.
• Oversees the development and execution of Concerto’s Clinical Quality Strategy (CQS), ensuring accurate and timely data collection, analysis, reporting, and action planning across key metrics.
• Directs facility and regional teams in maintaining compliance with CMS Conditions of Coverage, state licensure, and all federal, state, and local regulations.
• Serves as primary regulatory liaison with CMS, ESRD Networks, and state survey agencies. Coordinates survey readiness activities, directs mock surveys, and leads survey response planning.
• Provides leadership and oversight of Quality Assessment and Performance Improvement (QAPI) activities enterprise-wide, ensuring goals are set, action plans developed, and progress monitored.

• Process Improvement and Innovation

• Analyzes KPI (Kt/V, Hgb, TSAT, Ferritin, AVF use, CVC >90 days, vaccination rates, bloodstream infections, etc.) and drives interventions to achieve enterprise targets.
• Directs the preparation of enterprise-wide reports for executive leadership, Board of Directors, and regulatory agencies. Provides interpretation and recommendations for improvement.
• Leads the development of policies, procedures, and protocols that support compliance and quality excellence.
• Identifies high-risk areas and directs root cause analysis and corrective action planning. Tracks results and holds regional and facility leaders accountable for improvement.

• Collaboration and Communication

• Coordinates with Operations, Clinical, Medical Directors, Education, Dietitians, Social Work, and Biomedical Engineering to ensure integrated approaches to patient care and compliance.
• Provides leadership, training, and mentorship to Regional Quality Managers, Regional Regulatory Compliance Managers, and Clinical Operations Nurses.
• Collaborates with executive leadership to evaluate new business opportunities and expansion plans for compliance risks and requirements.

• Other Responsibilities

• Ensures Concerto maintains a strong culture of safety, compliance, and accountability. Promotes hands-on leadership and field engagement.
• Attends and co-leads regional QAPI meetings, ensuring regulatory and quality agendas are fully addressed.
• Performs other related duties as assigned; responsibilities are not limited to the above.

Compensation: $115k - $140k

Salary rate is dependent upon several factors, including but not limited to the following: a candidate’s experience in this position and/or the dialysis industry in general, location of the position in question, urgency of company need, timeline of required to fill position, and other potential and/or applicable factors that emerge from time to time. 

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Qualifications

What’s Required?

• RN license preferred but not required
• Bachelor’s degree required; Master’s degree in healthcare administration, nursing, or related field preferred
• Certification in Nephrology Nursing (CNN, CDN) or healthcare compliance preferred
• 7 years of progressive dialysis leadership experience in quality, compliance, or operations
• Demonstrated success leading survey readiness, compliance programs, and QAPI activities
• Strong knowledge of CMS Conditions for Coverage, ESRD Networks, and state survey processes
• Proven leadership, accountability, and ability to drive improvement across large organizations
• Excellent communication and collaboration skills
• Strong analytical, organizational, and project management skills

Salary : $115,000 - $140,000