Healthcare Quality & Compliance Specialist

The Healthcare Quality & Compliance Specialist supports organizational compliance and quality improvement efforts within a Federally Qualified Health Center (FQHC) environment his role is responsible for collecting, analyzing, and reporting data; supporting regulatory readiness; and assisting with performance improvement initiatives to ensure safe, high-quality, patient-centered care and compliance with federal, state, and grant requirements. This role is responsible for maintaining compliance/ Risk documentation, supporting audits, tracking quality metrics, and assisting in risk management activities to promote safe, effective, and high-quality patient care.

Duties and responsibilities

• Coordinate FQHC compliance and risk management activities in alignment with HRSA Health Center Program requirements under the direction of the Quality Improvement Manager.

• Maintain accurate documentation supporting HRSA, UDS, FTCA, HIPAA, OSHA, CLIA, and other federal, state, and local regulatory requirements.

• Track and report clinical quality measures (UDS measures, HEDIS, internal KPIs)

• Support the manager in monitoring, researching, and communicating HRSA PINs, PALs, and other regulatory updates impacting health center operations.

• Prepare routine and ad hoc reports for leadership, committees, and regulatory agencies

• Track, investigate, and document incidents, adverse events, near misses, and patient complaints, and escalate risks or trends to leadership.

• Track clinical care gaps tied to UDS measures, payer requirements, and quality improvement initiatives, and assist with corrective action plans.

• Support HRSA Operational Site Visits, FTCA applications, and accreditation surveys by preparing, organizing, and maintaining regulatory readiness documentation.

• Participate in and support internal audits, collaborating cross-functionally with clinical, operations, and administrative teams.

• Monitor CLIA-waived testing activities and certifications to ensure compliance and timely renewals across all service sites.

• Coordinate and track staff compliance training, such as HIPAA, OSHA, infection control, emergency preparedness, and safety.

• Participate in cross-functional quality committees and work groups.

• Promote a culture of compliance, patient safety, and continuous quality improvement.

• Complete other duties and related projects as assigned.