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.
• Qualifications

Education & Experience

• Bachelor’s degree in healthcare administration, Public Health, Nursing or equivalent combination of relevant experience and education.
• Two or more years of experience in healthcare administration, quality improvement, compliance, risk management, or a related healthcare support role. (FQHC or community health setting preferred)
• Knowledge, Skills, & Abilities:
• Demonstrated ability to effectively perform the responsibilities outlined above.
• High level of organizational and documentation skills with excellent attention to detail.
• Basic understanding of FQHC operations and HRSA compliance requirements, such as HRSA, HIPAA, OSHA, CLIA, FTCA, and UDS reporting.
• Familiarity with quality frameworks (e.g., PDSA cycles, root cause analysis)
• Ability to maintain organized documentation and track deadlines and follow-up activities.
• Ability to communicate clearly both verbally and in writing.
• Ability to handle confidential and sensitive information in accordance with privacy and security requirements.
• Proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel).
• Working knowledge of electronic health records, EPIC or similar systems preferred.
• Ability to communicate well with people of diverse cultural professional and experiential background
• Ability to establish and maintain effective work relationships as part of a multi-disciplinary team.

Working conditions

Work is often conducted in an office environment inside a standard clinic setting. Basic safety precautions and

use of protective clothing or gear may be required.

Physical requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to talk and hear. The employee is required to sit for long periods of time; see to utilize a computer screen; frequently use hands; and reach with hands and arms for activities such as keyboarding.

AACI is an Equal Opportunity Employer