Compliance Specialist

The Compliance Specialist is responsible for developing, implementing, and overseeing the organization’s compliance and quality assurance programs in medical and dental healthcare services. This includes infection control oversight, X-ray certification compliance across mobile and clinic settings, adherence to Joint Commission standards for dental clinics, guidance and support for employee health-related matters, and training program oversight. The specialist ensures all operations, processes, and outcomes meet regulatory requirements, industry standards, and organizational goals while fostering a culture of excellence and accountability across all departments.

Regulatory Compliance

• Support compliance initiatives to enhance patient outcomes, improve operational efficiencies, and ensure adherence to applicable regulations and standards (e.g., OSHA, CDC, HIPAA, CLIA, Radiology).
• Collaborate with cross-functional teams to integrate compliance management systems into daily operations.
• Ensure compliance with all applicable healthcare regulations, Joint Commission and other accreditation requirements, and industry standards.
• Oversee the organization’s X-ray certification program, ensuring compliance with state and federal requirements across all mobile and clinic settings.
• Support infection control programs by developing and enforcing protocols, conducting routine inspections, and providing staff training to mitigate infection risks in clinical environments.
• Serve as the organization’s subject matter expert on infection control and Joint Commission standards for dental clinics, leading efforts to maintain accreditation.

Compliance and Program Support

• Monitory and support implemented policies, procedures, and protocols to ensure the organization complies with regulatory and accreditation standards.
• Monitor and analyze key compliance indicators to identify trends, gaps, and opportunities for improvement.
• Support internal and external audits, inspections, and accreditation processes, including compliance with Joint Commission requirements for dental clinics.
• Support the incident reporting and root cause analysis system.

Infection Control Oversight

• Monitor infection control policies and practices to meet or exceed industry standards and regulatory requirements.
• Conduct regular infection control audits and inspections to identify areas for improvement and ensure compliance.
• Provide education and training to staff on infection prevention best practices, including sterilization, disinfection, and proper use of personal protective equipment (PPE).
• Collaborate with clinical leadership to investigate and manage infection-related incidents, implementing corrective actions as needed.

Training Support

• Support the development, implementation, and delivery of training programs for clinical and administrative staff to ensure understanding and compliance with quality standards, infection control practices, and regulatory requirements.
• Conduct or facilitate training sessions, workshops, and competency assessments for staff at all levels.
• Help evaluate the effectiveness of training programs and make necessary updates

Qualifications

Education and Experience

• Bachelor’s degree in Healthcare Administration, Nursing, Dentistry, Radiology, Public Health, or a related field.
• Minimum of 2 years of experience in compliance and quality assurance.
• Experience with regulatory compliance, X-ray certification programs, infection control oversight, training program development, employee health programs, quality improvement methodologies (e.g., Six Sigma, Lean), and accreditation processes (e.g., Joint Commission, AAAHC).

Skills and Competencies

• Strong knowledge of healthcare compliance standards, clinical operations, infection control practices, and regulatory requirements.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication and interpersonal skills, with the ability to influence and collaborate with diverse stakeholders.
• Proficiency in data analysis tools and compliance management software.

Certifications

• Certification in infection control (e.g., CIC) and radiology expertise or certifications are a plus.

Work Environment and Physical Requirements

• This position operates in a professional office environment and healthcare facilities.
• Occasional travel may be required for site visits, training, and audits.