Nancy Lederhos
Aurora,CO
Summary
Senior healthcare executive driving enterprise compliance, quality, and regulatory performance in highly regulated settings. Brings experience improving audit outcomes, reducing compliance violations, leading corrective actions, and presenting risk findings to executive teams and boards. Partners with operations and education teams to strengthen accountability, growth, and patient safety.
Overview
17
17
years of professional experience
Work History
Senior Leader- Enterprise Compliance and Education
Critical Nurse Staffing
01.2025 - Current
- Lead compliance program, building governance structures and compliance frameworks that support regulatory adherence, risk mitigation, and accountability.
- Provide executive oversight for development, rollout, and annual review of enterprise compliance policies and procedures aligned with federal, state, payer, and accreditation requirements.
- Advise executive leadership on emerging regulatory requirements and perform enterprise-wide regulatory gap analyses to identify and address compliance risks early.
- Establish and manage annual compliance auditing and monitoring plans, enabling timely risk identification and corrective action implementation for continuous improvement.
- Direct complex compliance investigations and provided strategic guidance on corrective actions, regulatory disclosures, and risk management activities.
- Partner with executive leadership and operational teams to align compliance strategy with organizational objectives, supporting sustainable growth, operational excellence, and quality patient outcomes.
- Lead enterprise risk assessment activities, presenting regulatory risk analyses and heat map findings to executive leadership and governing boards while driving mitigation strategies.
- Directed implementation and integration of compliance management systems, improved policy management, and streamlined complaint and investigation processes.
- Serves as executive subject matter expert for compliance, quality, accreditation, and regulatory affairs, supporting organizational growth, licensing, survey readiness, and strategic initiatives.
Founder/Owner- Healthcare Consulting. Training and Workforce Development
The Skills Den
05.2011 - 12.2024
- Authored a comprehensive business plan and secured $500,000 in investor funding to launch Colorado's first mobile hands-on Competency Lab, transforming clinical training and workforce development across the state.
- Built and led a highly successful healthcare workforce initiative, recruiting and retaining top clinical talent throughout Colorado while enhancing customer satisfaction and service delivery.
- Developed and implemented innovative workforce training strategies that streamlined onboarding, improved employee engagement, and increased retention rates across contracted healthcare agencies.
- Successfully advised Home Health, Home Care, and Hospice organizations through initial licensure, accreditation, organizational restructures, Plans of Correction, and agency closures, ensuring regulatory compliance and operational continuity.
- Delivered education on compliance, ethics, regulatory, and operational best practices to over 100 healthcare organizations, enhancing compliance performance, mitigating organizational risk, and elevating patient safety outcomes.
- Established organization-wide standards of conduct and compliance programs aligned with industry best practices, fostering a culture of accountability and regulatory excellence.
- Directed comprehensive contract and regulatory reviews, identifying and resolving more than 50 compliance and operational risks, resulting in strengthened governance, reduced liability exposure, and full regulatory compliance.
- Served as trusted advisor to healthcare executives and agency owners, providing strategic guidance on compliance, operations, and workforce development initiatives.
Consultant/ Interim Senior Vice President- Enterprise Compliance, Quality and Regulatory Affairs
Jogan Health
09.2022 - 07.2024
- Advised executive leadership on regulatory risk, accreditation, quality outcomes, compliance strategy, and initiatives for organizational performance improvement.
- Directed enterprise-wide compliance, quality, and regulatory oversight for PRN and Locum Tenens operations, leading comprehensive audits, remediation strategies, and corrective action plans that improved overall compliance performance by 30%.
- Established and scaled quality assurance and regulatory governance programs aligned with The Joint Commission, CMS, NCQA, federal, and multi-state requirements, achieving a 95% audit success rate while maintaining accreditation across all locations.
- Developed and executed enterprise compliance education strategies focused on legal, regulatory, and ethical standards, reducing compliance violations by 40% and significantly enhancing workforce accountability and regulatory awareness.
- Founded and chaired the Clinical Accountability Board, providing executive oversight of physician credentialing, claims review, incident management, and risk mitigation activities, resulting in stronger clinical governance and improved decision-making.
- Led a comprehensive transformation of policies, procedures, and governance standards for the Locum Tenens division, strengthening oversight of credentialing, risk management, provider placement, marketing practices, and contractual compliance.
- Optimized and automated processes, increasing employee engagement by 15%, streamlining compliance operations, and saving over 100 hours annually in administrative effort.
- Streamlined practitioner onboarding, reducing errors, strengthening client relationships, and improving contract renewal processes to support organizational growth and enhance customer retention.
Regional Vice President-Southwest
Ready Care HealthCare
Englewood, CO
05.2009 - 12.2015
- Oversaw regional business development teams consisting of 22 sales professionals managing more than 700 accounts, generating $77M in annual revenue through strategic growth plans, market expansion, and customer retention strategies.
- Led cross-functional initiatives across Sales, Marketing, Clinical, and Operations teams to drive organizational growth; resulting in $22M+ in revenue gains over two fiscal years while strengthening market share and profitability.
- Directed operational strategy for complex, multi-site Home Health and Home Care operations, improving patient satisfaction outcomes and reducing hospital readmissions by 27% through standardized clinical and operational excellence initiatives.
- Executed data-driven sales and performance management programs, increasing customer retention by 20% and enhancing client engagement and referral partner relationships.
- Implemented KPI-driven incentive programs for workforce performance and compensation redesign, achieving a 25% increase in productivity and a 17% improvement in gross profit margins through operational efficiencies.
- Partnered with executive leadership to align operational performance, financial objectives, and growth strategies, ensuring sustainable expansion across multiple markets.
- Cultivated culture of accountability and operational excellence by leveraging performance metrics and analytics to achieve organizational goals.
Education
Certification - Healthcare Quality
National Association of Healthcare Quality
Washington, DC01-2018
Bachelor of Science - Healthcare Administration
Regis University
Denver, CO01-2005
Skills
Compliance program leadership
- Regulatory compliance
- Compliance auditing
- Executive compliance oversight
- Regulatory oversight
- Compliance management integration
- Enterprise risk assessment
- Compliance investigation direction
- Compliance auditing management
- Compliance strategy alignment
- Compliance subject matter expert
- Regulatory advisory services
- Process improvement
- Process implementation
- Strategic leadership
- Senior leader, enterprise compliance
- Executive communications
- Policy enforcement
- Excellent communication
Accomplishments
- Awarded Top Compliance- 2012, 2013, 2015
- Awarded zero deficiency surveys- January 2013, February 2014, September 2015, September 2016
- Awarded Top Sales Region- May 2014 & May 2015
- Awarded Best-In-Class- Compliance & Quality- May 2010, May 2011, May 2015
Timeline
Senior Leader- Enterprise Compliance and Education
Critical Nurse Staffing
01.2025 - Current
Consultant/ Interim Senior Vice President- Enterprise Compliance, Quality and Regulatory Affairs
Jogan Health
09.2022 - 07.2024
Founder/Owner- Healthcare Consulting. Training and Workforce Development
The Skills Den
05.2011 - 12.2024
Regional Vice President-Southwest
Ready Care HealthCare
05.2009 - 12.2015
Certification - Healthcare Quality
National Association of Healthcare Quality
Bachelor of Science - Healthcare Administration
Regis University