Compliance & Quality Improvement Coordinator

Job Summary

The Compliance & Quality Improvement (QI) Coordinator plays a critical role in ensuring the health center meets regulatory, accreditation, and grant requirements while advancing organizational quality initiatives. This position manages compliance processes such as FTCA applications, PCMH recognition, and HRSA grant reporting, while also supporting QI projects, policy development, and incident tracking. The Coordinator helps staff understand not just what is required, but why it matters, connecting regulatory requirements, grant updates, and quality initiatives to the organization’s mission of delivering safe, effective, and patient-centered care.

This role is ideal for individuals interested in healthcare compliance and quality improvement.

Qualifications

• Bachelor’s degree in related field with demonstrated interest in medicine, healthcare, or public health (Advanced degree a plus).
• Proven ability to learn new systems quickly and motivation for continuous learning.
• Strong organizational, communication, and project management skills.
• Ability to work independently with high attention to detail and accountability.
• Strong proficiency with Microsoft Office Suite, including advanced Excel skills.
• Proven ability to build relationships with people of different ages, work tenure, titles, and collaboration styles.
• Experience in compliance, quality improvement, or grant management a plus.

Core Competencies

• Critical thinking: Ability to understand information, context, and make recommendations. Ability to quickly grasp systems and see how processes interconnect.
• Collaboration: Ability to bridge compliance and QI functions effectively.
• Communication: Ability to communicate effectively with staff at various levels. Skilled at helping staff understand the “why” behind requirements. Ability to work harmoniously with and build consensus among diverse groups of individuals
• Dual Thinking: Move fluidly between detailed tasks and big picture strategy.
• Initiative: Proactively identify needs, take ownership, and drive improvements.
• Autonomy: Comfortable managing complex projects independently.
• Organization: Maintain structured systems for policies, procedures, and reporting. Excellent at follow-through.
• Project Management: Skilled at scoping out the timeline, needs, resourcing, and inputs for a project, then guiding execution to a successful final result.
• Multitasking: Effectively balances multiple projects and priorities.
• Attention to Detail: Ensures accuracy in documentation, reporting, and compliance processes.

Representative Job Duties

Compliance Management

• Manage the annual FTCA application process, ensuring timely submission and accuracy.
• Manage HRSA grant reporting and related projects to maintain regulatory and accreditation status.
• Manage HRSA electronic handbook (EHB) access and data input.
• Support the collection and organization of data required for the health center’s annual Uniform Data Submission to HRSA. Coordinate and collaborate with various stakeholders within the health center to compile the yearly data submission.
• Lead project management of HRSA site visit (OSV) preparation, documentation, coordination day-of, and post-visit information sharing and remediation.
• Serve as the key contact for NCQA Patient Centered Medical Home recognition. Coordinate with various stakeholders in the health center to monitor PCMH adherence and progress toward team determined goals. Organize all materials and submit them yearly to NCQA.
• Maintain awareness of corporate compliance standards and Office of Inspector General (OIG) requirements, ensuring all activities align with regulatory and ethical guidelines.

Quality Improvement Support

• Collaborate and support QI projects that improve patient outcomes, workflows, and staff engagement.
• Provide compliance expertise to QI initiatives, ensuring alignment with regulatory standards.
• Assist in project management, data collection, analysis, and reporting for QI projects.

• Coordinate monthly quality meetings including tracking agenda items, taking and sending of meeting minutes, and coordinating follow up action items.

Policies & Procedures

• Develop, update, and maintain organizational policies and procedures to ensure compliance and best practices.
• Assist with policy and procedure committee meeting preparation, note taking, and tracking of follow-up items.
• Partner with leadership and staff to ensure policies are understood and consistently applied.

Incident Reporting & Risk Management

• Track, document, and monitor incident reports, ensuring timely follow-up and resolution.
• Assist in identification of trends amongst incident reports.

Integration of Compliance & QI

• Provide ongoing information and updates to staff about compliance and QI requirements in accessible, engaging ways.
• Help staff see compliance and QI as tools for improvement, not just obligations.

This position is role based, on-site, Monday through Friday.  Possibility for one remote day per week after completion of training period with no call outs, pending manager approval.

Competitive benefits package. $63,000 - $95,000

Apply Now

Please submit cover letter and resume to hr@sbchc.org.