Compliance Manager

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Description

Position Summary

The Compliance Manager is responsible for leading compliance, regulatory oversight, quality assurance, and safety programs across XpresTest operations. This role serves as the primary resource for ensuring adherence to federal, state, local, airport, and healthcare-related regulations while supporting operational excellence and risk mitigation.

The Compliance Manager partners closely with Operations, Clinical Leadership, Quality Assurance, Human Resources, Legal, Facilities, Information Security, and site leadership to develop, implement, monitor, and continuously improve compliance programs, policies, training, and standard operating procedures. The position plays a critical role in maintaining regulatory readiness, supporting audits and inspections, promoting workplace safety, and ensuring the consistent delivery of compliant testing services across all locations.

Requirements

Position Responsibilities

Compliance Program Management

• Develop, implement, and maintain compliance programs designed to ensure adherence to applicable healthcare, laboratory, privacy, safety, and operational regulations.
• Monitor compliance with federal, state, and local regulatory requirements, including but not limited to HIPAA, OSHA, CLIA, CDC guidance, airport authority requirements, and applicable public health regulations.
• Conduct ongoing assessments of compliance risks and recommend corrective and preventive actions.
• Serve as a subject matter expert on regulatory requirements impacting XpresTest operations.
• Maintain compliance calendars, regulatory trackers, and required reporting schedules.

SOP Development & Regulatory Documentation

• Develop, maintain, and periodically review Standard Operating Procedures (SOPs), policies, and work instructions for operational, clinical, safety, and compliance activities.
• Ensure SOPs align with current regulatory requirements, industry best practices, and organizational objectives.
• Coordinate document control processes, version management, approvals, and distribution of compliance-related documentation.
• Support the implementation of policy and procedural updates across all locations.
• Maintain regulatory records and documentation necessary to support audits, inspections, and accreditation requirements.

Training & Education

• Design, implement, and administer compliance and safety training programs for field and corporate employees.
• Deliver training on HIPAA, OSHA, workplace safety, infection prevention, privacy, security awareness, and corporate compliance requirements.
• Coordinate onboarding compliance education for new employees.
• Conduct refresher training and remediation programs as needed.
• Track training completion, certifications, and compliance-related competency requirements.

Auditing, Monitoring & Quality Assurance

• Conduct routine compliance audits, site inspections, and operational reviews to assess adherence to regulatory and company standards.
• Evaluate compliance with documentation requirements, patient privacy safeguards, laboratory procedures, workplace safety standards, and operational controls.
• Identify compliance deficiencies and partner with operational leadership to implement corrective action plans.
• Monitor trends and recurring issues and recommend process improvements.
• Support internal and external audits conducted by regulatory agencies, clients, airport authorities, and accrediting organizations.

Safety & Risk Management

• Monitor and promote workplace safety programs to reduce employee injuries, incidents, and operational risk.
• Conduct safety inspections and hazard assessments across all XpresTest locations.
• Ensure compliance with OSHA standards, infection prevention protocols, and workplace safety requirements.
• Develop and maintain incident reporting, investigation, and corrective action processes.
• Investigate safety, compliance, privacy, and operational incidents to determine root causes and implement preventive measures.
• Partner with leadership to foster a culture of accountability, safety, and continuous improvement.

Regulatory & Government Program Compliance

• Maintain awareness of changes in healthcare, laboratory, privacy, and workplace safety regulations.
• Coordinate regulatory responses, documentation requests, and corrective action plans as required.
• Support compliance activities associated with CDC-related initiatives, public health programs, and government partnerships.
• Ensure locations maintain required regulatory postings, permits, licenses, certifications, and compliance documentation.
• Serve as a liaison during inspections, audits, and regulatory reviews.

Reporting & Continuous Improvement

• Develop compliance dashboards, scorecards, and key performance indicators (KPIs).
• Prepare regular reports for senior leadership regarding compliance performance, audit findings, corrective actions, and risk trends.
• Analyze compliance data to identify opportunities for operational improvement and risk reduction.
• Recommend process enhancements that strengthen regulatory compliance while supporting operational efficiency.
• Support enterprise compliance initiatives and special projects as assigned.

Minimum Qualifications

• Bachelor's degree in healthcare administration, Public Health, Nursing, Compliance, Business Administration, Occupational Health and Safety, or a related field required.
• Five (5) or more years of progressive experience in healthcare compliance, regulatory affairs, quality assurance, laboratory operations, public health, or a related environment.
• Demonstrated experience developing and implementing compliance programs, policies, and SOPs.
• Strong knowledge of HIPAA, OSHA, CLIA, infection prevention standards, workplace safety requirements, and healthcare regulatory frameworks.
• Experience conducting audits, investigations, and corrective action management.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills, including training and presentation experience.
• Proficiency with Microsoft Office Suite, compliance reporting tools, and learning management systems.
• Ability to travel regularly to field locations and airport-based operations.
• Professional certifications such as CHC (Certified in Healthcare Compliance), CHPC, CPHQ, CSP, or similar credentials preferred.

Competencies

• Regulatory & Compliance Expertise
• Risk Assessment & Mitigation
• Safety Leadership
• Audit & Inspection Management
• Policy & SOP Development
• Training & Education
• Incident Investigation & Root Cause Analysis
• Data Analysis & Reporting
• Cross-Functional Collaboration
• Leadership & Accountability
• Attention to Detail
• Communication & Influencing Skills
• Continuous Improvement
• Professionalism & Integrity
• Customer and Patient Experience Focus