EAP Compliance and Quality Program Coordinator

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team! 2025: - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner 2024: - Excellence in Customer Service Awards: Organization of the Year (Small) - Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner - Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver) As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For®’ in the USA by Great Places to Work (GPTW®) About Health Advocate Health Advocate is a trusted healthcare advocacy and assistance company dedicated to helping people navigate the healthcare system and improve their overall well-being. Every day, our teams support members through complex healthcare, mental health, and work-life challenges while delivering exceptional service and measurable outcomes. We are seeking a Compliance & Quality Program Coordinator to support regulatory compliance, grievance administration, quality improvement initiatives, and accreditation activities within our Employee Assistance Program (EAP). This role is ideal for a detail-oriented professional who enjoys solving complex problems, managing regulatory processes, and partnering across teams to improve quality and compliance outcomes. What You'll Do As the Compliance & Quality Program Coordinator, you will play a key role in maintaining regulatory compliance, supporting audit readiness, overseeing grievance processes, and coordinating quality improvement activities. You'll work closely with clinical leadership, operations, legal counsel, and other stakeholders to identify risks, ensure regulatory adherence, and drive continuous improvement. Key Responsibilities Regulatory Compliance & Audit Readiness - Coordinate regulatory reporting, documentation, filing requirements, and compliance calendars associated with the Knox-Keene license. - Monitor regulatory and legislative updates and communicate impacts to leadership and key stakeholders. - Support audit readiness efforts, including documentation collection, evidence preparation, and regulatory follow-up activities. - Maintain accurate records of filings, inquiries, corrective actions, and regulatory commitments. - Identify potential compliance risks and recommend appropriate actions or escalations. Grievance Administration & Resolution - Monitor grievances from intake through closure, ensuring accurate tracking, documentation, investigation, and timely resolution. - Conduct investigations and manage non-clinical grievance communications. - Collaborate with clinical leadership on grievances requiring clinical review. - Prepare compliant grievance correspondence and maintain complete case documentation. - Analyze grievance trends and recommend process improvements, training opportunities, and corrective actions. Compliance & Quality Program Coordination - Coordinate day-to-day activities supporting compliance, grievance, and quality programs. - Maintain workplans, dashboards, tracking tools, action-item logs, and regulatory calendars. - Monitor deadlines, dependencies, and potential risks while escalating concerns as needed. - Prepare materials and documentation for compliance and quality meetings. - Provide leadership with updates regarding compliance activities, grievance trends, and quality initiatives. Cross-Functional Collaboration & Training - Serve as a