Quality Improvement Compliance Specialist

Job Title: Quality Improvement (QI) Compliance Specialist

Location: Naples, Florida

Job Type: Exempt/Full-Time

Salary: Starting at $50,000 annually

Benefits: Include but not limited to: Medical, 401k, tuition reimbursement

Schedule: Standard Business hours (No weekends/Holidays).

Position Summary:

The QI Compliance Specialist ensures that all organizational processes, programs, and policies align with regulatory standards, accreditation requirements, and quality improvement objectives. This role involves monitoring compliance, analyzing performance data, coordinating improvement initiatives, and collaborating with cross-functional teams to enhance quality and operational efficiency.

Key Responsibilities:

Compliance Monitoring & Auditing:

• Monitor adherence to regulatory requirements (e.g., Joint Commission, state and federal laws, HIPAA).
• Conduct routine internal audits and assessments to identify compliance gaps.
• Assist in development, implementation, and tracking of corrective action plans to address non-compliance.

Quality Improvement:

• Collaborate with teams to design, implement, and evaluate quality improvement initiatives.
• Analyze performance data and trends to identify areas for improvement.
• Facilitate root cause analyses (RCA) for process inefficiencies or adverse outcomes.
• Establish metrics to track the success of improvement projects.

Reporting & Documentation:

• Maintain accurate records of compliance activities, audits, and QI projects.

• Participate in root cause analyses (RCAs) and failure mode and effects analyses (FMEAs) to address system inefficiencies and risks.

• Prepare reports for leadership and external regulators.

• Ensure timely submission of required documentation to accrediting bodies.

Training & Education:

• Provide compliance and quality improvement training to staff and leadership.
• Develop educational materials and resources on regulatory updates and QI best practices.

Collaboration & Communication:

• Serve as a liaison between regulatory agencies and the organization.
• Work closely with clinical and operational departments to align compliance and QI efforts.
• Participate in cross-functional committees and workgroups.

Qualifications:

Education/Experience:

• Bachelor's degree in healthcare administration or a related field-Required
• 2 years of experience in quality improvement, compliance, or healthcare operations
• Familiarity with regulatory and accreditation standards (e.g., CMS, Joint Commission).

Skills & Competencies:

• Strong analytical and problem-solving skills.
• Excellent organizational and project management abilities.
• Proficiency in data analysis tools (e.g., Excel) and quality improvement methodologies (e.g., Lean, Six Sigma).
• Effective communication and presentation skills.
• Detail-oriented with the ability to manage multiple priorities.

Work Environment:

• May require occasional travel for training, audits, or external meetings.
• Exposure to emotionally intense situations; ability to manage stress and maintain a calm, professional demeanor.