Coordinator – Regulatory Compliance and Quality Improvement

Department: Compliance & QAPI
Status: Full-Time | 1.0 FTE | 40 hours per week
FLSA Status: Non-Exempt
Reports To: Director: Compliance, Privacy & Quality
Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado
Work Arrangement: Hybrid (approximately 3 days per week on-site or more as operational needs require)

Position Summary

Key Responsibilities

Regulatory Compliance & Auditing

• Assist in developing and implementing auditing and monitoring plans
• Conduct compliance audits and regulatory readiness assessments
• Track corrective action plans and follow-up activities resulting from audit findings
• Support regulatory inspections and inquiries from government agencies
• Monitor updates to healthcare regulations and assist with policy updates

Quality Improvement Support

• Collaborate with the quality department to support regulatory and quality initiatives
• Assist in preparing compliance reports and summaries for leadership
• Support risk assessments and compliance investigations
• Monitor and track implementation of quality improvement actions

Vendor & Exclusion Monitoring

• Conduct federal and state exclusion monitoring using systems such as OIG LEIE, SAM, and state Medicaid exclusion lists
• Investigate potential vendor matches and coordinate resolution plans
• Generate exclusion monitoring reports for leadership and regulatory review
• Provide education to staff involved in vendor management processes

Administrative & Program Support

• Provide support to the Compliance Officer and Compliance Committee
• Assist with internal audit preparation and documentation
• Coordinate meetings, agendas, and committee documentation
• Maintain compliance documentation and records

Join a Hospital That Feels Like Family – In a Town That Feels Like Home 

Pagosa Springs Medical Center is an award-winning, independent Critical Access Hospital serving the residents and visitors of Archuleta County and the surrounding region. As a modern rural hospital, PSMC delivers exceptional emergency, primary, and specialty care supported by advanced technology, a collaborative medical staff, and a leadership team committed to quality, safety, and patient-centered service. 

At PSMC, you are not just a number – you are a valued team member whose contributions make a real difference. We prioritize professional growth, meaningful work, and a positive, supportive workplace culture grounded in our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect. 

What you’ll find at PSMC: 

• A supportive, collaborative culture where people truly care about each other 
• Modern facilities and growing service lines 
• Leadership that listens and invests in staff 
• Opportunities to learn, grow, and advance your career 
• A place where you can have direct impact on patient care and community wellness 

Live Where Other People Vacation  

Pagosa Springs is a mountain paradise tucked among the rugged peaks of the San Juan National Forest. Here, you can step into nature the moment you clock out:  

• Relax in our world-famous hot springs 
• Ski or snowboard at Wolf Creek Ski Area – “the most snow in Colorado,” just 30 minutes away 
• Explore hundreds of miles of hiking, biking, and off-roading trails 
• Enjoy fly fishing, rafting, or paddle boarding on pristine rivers and lakes 
• Experience warm, friendly community with local festivals, live music, farmers markets, and small-town charm 

If you’re looking for meaningful work, work-life balance, and a community that embraces you – PSMC and Pagosa Springs are the perfect place to build your future.

Qualifications

Education

• Associate’s or Bachelor’s degree in a healthcare-related field preferred
  (Compliance, Law, Healthcare Administration, Risk Management, or similar)

Experience

• Experience working in a healthcare setting preferred
• Familiarity with quality assurance, compliance, or risk management processes
• Demonstrated ability to manage complex interdisciplinary projects

Certifications (Preferred)

Examples include:

• Certified Professional Medical Auditor (CPMA)
• Certified Internal Auditor (CIA)
• Certification in Risk Management Assurance (CRMA)
• Certification in Healthcare Compliance (CHC)
• Certified Compliance & Ethics Professional (CCEP)

Skills

• Strong analytical and auditing skills
• Knowledge of regulatory and compliance processes in healthcare
• Excellent organizational and project management abilities
• Proficiency in Microsoft Office and project management tools
• Strong written and verbal communication skills

Work Environment

• Office-based hospital environment
• Hybrid schedule with on-site collaboration required
• Frequent interaction with staff, leadership, vendors, and regulatory stakeholders
• Light physical work with extended periods of computer use

Compensation & Benefits Package

• Base Compensation Range: $24.75 - $30.78 hourly, based on years of relevant experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader. 
• Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.  
• Job Type: Full-time  
• Shift Type: Weekdays, Monday-Friday
• Anticipated End Date for Posting: March 31, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.  

Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.