Description:
We are seeking a Director of Training, Quality & Compliance to lead the development, implementation, and optimization of our training programs, quality assurance initiatives, and compliance efforts. This role will ensure our Care Coaches are consistently trained to deliver high-quality, compliant care to patients with chronic eye disease. The Director will work closely with the SVP of Clinical Operations and other stakeholders to establish best practices, identify areas for improvement, and leverage AI-driven software solutions to enhance training and monitoring efforts.
Key Responsibilities:
Training Leadership & Development:
- Develop and oversee the training programs for Care Coaches to ensure they are equipped with the knowledge, skills, and resources to provide optimal patient care.
- Create a structured onboarding process for new Care Coaches, including both in-person and virtual training modules, in alignment with regulatory requirements and company standards.
- Implement continuous learning programs, utilizing a blend of traditional and AI-enabled learning tools, to ensure ongoing development for Care Coaches in both clinical skills and customer service.
- Monitor and assess the effectiveness of training programs, making recommendations for enhancements based on performance metrics and feedback.
Quality Assurance:
- Lead the design and implementation of quality assurance (QA) processes and standards to monitor and evaluate Care Coach performance.
- Regularly audit Care Coach interactions with patients, including telehealth consultations, to ensure adherence to best practices, clinical guidelines, and compliance requirements.
- Collaborate with clinical leadership to identify and address any gaps in service delivery, ensuring that Care Coaches consistently meet or exceed performance metrics.
- Monitor EHR documentation and charting performance using traditional audit and AI-driven models to ensure compliance with chart documentation metrics.
- Utilize data analytics and AI tools to identify trends, outliers, and areas for improvement in service delivery.
Compliance & Regulatory Oversight:
- Ensure that all training, quality assurance, and service delivery processes comply with relevant healthcare regulations and accreditation standards (e.g., CMS, HIPAA, state-specific regulations, etc.).
- Regularly update training materials to reflect changes in regulations, technology, or best practices.
- Lead efforts to prepare for internal and external audits, ensuring all documentation and training records are accurate, complete, and up-to-date.
- Act as a subject matter expert on compliance-related matters, providing guidance and support to Care Coaches and other clinical team members.
AI-Enabled Optimization:
- Leverage AI-driven technologies to optimize training programs, quality assurance processes, and compliance tracking.
- Collaborate with internal teams and technology partners to implement new tools and platforms that enhance training delivery, performance monitoring, and compliance tracking.
- Utilize AI insights to drive continuous improvement, refine training approaches, and ensure high-quality patient care delivery.
Leadership & Team Development:
- Lead and mentor a team of training, quality, and compliance specialists, ensuring they are equipped to support the Care Coaches and clinical leadership.
- Foster a culture of continuous improvement, innovation, and high performance within the team.
- Coordinate with other departments (e.g., Customer Success, Enrollment, Care Management, Technology) to ensure alignment and efficient execution of training and quality programs.
Qualifications:
- Bachelor's degree in healthcare, nursing, business administration, or a related field (Master's preferred) or equivalent experience.
- Minimum of 5 years of leadership experience in training, quality assurance, and compliance within a healthcare setting, preferably with experience in digital health or telehealth environments.
- Proven experience implementing AI-enabled software or digital tools to optimize training, quality monitoring, and compliance functions.
- Strong knowledge of healthcare regulations, including HIPAA, Medicare/Medicaid, and other relevant industry standards.
- Demonstrated ability to lead cross-functional teams and drive results in a fast-paced, dynamic environment.
- Excellent analytical, problem-solving, and decision-making skills, with the ability to use data to inform actions and improvements.
- Strong communication and interpersonal skills, with the ability to engage and influence stakeholders at all levels of the organization.
Preferred Skills:
- Experience working with ophthalmic or chronic disease management settings.
- Familiarity with AI-driven learning platforms, performance monitoring tools, and patient engagement technologies.
- Knowledge of the certification processes and training requirements for Certified Ophthalmic Assistants (COAs) or similar roles.
Benefits:
At Lumata Health, we know you are more than just an employee. Your health and happiness is important to us. We offer medical insurance for full time employees, 8 paid holidays, and discretionary time off (DTO). As we grow, so will our benefits package. We hope you'll be a part of that growth!
- 401(k)
- Dental Insurance
- Flexible spending account
- Health Insurance
- Life Insurance
- Paid time off
- Parental leave
- Referral program
- Vision Insurance
- Employee Wellness Program
Our Culture
At Lumata, we foster a dynamic, inclusive, and supportive remote work environment. We prioritize trust, collaboration, and continuous learning, ensuring a healthy work-life balance.
Collaboration: Stay connected through regular team meetings and open communication.
Inclusivity: A diverse team where everyone feels welcome and valued.
Fun Culture: Engage in chats centered around health, wellness, celebrations, and more.
Recognition: Regular feedback, performance incentives, and growth opportunities.
Join Lumata and be part of a forward-thinking, remote-first team where your contributions make a difference, and your well-being is prioritized.
Diversity Creates a Healthier Atmosphere
Lumata Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
We are an equal opportunity employer that values diversity at all levels. All individuals are encouraged to apply. If you need assistance or an accommodation due to a disability, you may contact us at: hr@lumatahealth.com (no unsolicited resumes please). Applicants must submit an application with Lumata Health to be considered for the position.
Important Notice:
This position does not require a credit report or the submission of any financial information during the application process. Official communications regarding applications and positions will only be sent from an email address ending in @lumatahealth.com. If you receive any communication about your application from an email not ending in @lumatahealth.com, it is fraudulent. Below are some website options where you can report such activity: consumerfinance.gov, reportfraud.ftc.gov, ic3.gov, https://www.usa.gov/where-report-scams
We are an E-Verify employer.
For more information, please click on the following links:
E-Verify Participation Poster: English / Spanish
E-Verify Right to Work Poster: English | Spanish
**For application status, please email: hiring@lumatahealth.com (No phone calls please). Due to an increase in fraudulent activity, please verify any communication is coming from our domain ending in lumatahealth.com, and not a similar domain.
Please be advised that Lumata Health only accepts resumes for compensation from agencies that have a signed agreement with Lumata Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Lumata Health. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.
Disclaimer:
This job description is subject to change based on business needs, advancements in regulations, and workflow adjustments. Continuous review and adjustments will be made to ensure alignment with the company's goals and objectives.
Compensation details: 95000-110000 Yearly Salary
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