Director of Compliance

Kinston Community Health Center (KCHC) is seeking a seasoned and mission-driven Director of Quality, Compliance, and Risk Management (QCRM) to oversee our quality initiatives, compliance programs, risk management systems, and regulatory alignment. This vital leadership role directly impacts patient safety, operational integrity, and the future success of our Federally Qualified Health Center (FQHC).

Position Overview

The Director of QCRM is a senior leader responsible for ensuring compliance with all applicable state and federal regulations, HRSA Bureau of Primary Health Care guidelines, and internal policies. This role includes leading the center’s compliance program, managing quality improvement initiatives, overseeing risk and claims management, coordinating HIPAA/privacy functions, and ensuring a culture of safety and accountability across the organization.

Key Responsibilities

Compliance

• Develop, implement, and oversee KCHC’s Compliance Program

• Conduct internal audits, risk assessments, and regulatory monitoring

• Investigate suspected unethical conduct and implement corrective actions

• Provide quarterly reports to the CEO and Board of Directors

• Lead compliance training for employees, contractors, vendors, and board members

• Collaborate with Human Resources on disciplinary actions when necessary

Privacy Officer Duties

• Lead HIPAA Privacy Rule compliance efforts, including staff training and policy development

• Monitor and respond to privacy breaches and complaints

• Maintain and retain documentation in accordance with privacy regulations

• Coordinate with IT and legal counsel to ensure data security and privacy

Risk Management

• Oversee patient safety and risk prevention programs

• Investigate and report adverse events, sentinel events, and safety incidents

• Lead root cause analyses, safety reviews, and system improvements

• Serve as liaison with external agencies regarding reporting and investigations

• Support just culture initiatives and continuous safety education

Claims Management

• Develop and implement claims management procedures

• Investigate claims and lawsuits for causes and systemic improvements

• Communicate risk mitigation strategies and lessons learned to all staff

• Ensure immediate reporting of claims to HHS Office of General Counsel as needed

Quality Improvement

• Lead quality initiatives to support PCMH, FTCA, and UDS performance goals

• Coordinate audits, evaluations, and development of improvement plans

• Develop and deliver QI reports to the Board and executive leadership

• Lead cross-functional committees focused on clinical and operational excellence

• Facilitate patient satisfaction surveys and report results quarterly

Safety Officer Responsibilities

• Monitor occupational safety and ensure OSHA compliance

• Investigate accidents and hazardous situations; develop safety protocols

• Deliver health and safety training and maintain emergency preparedness

• Document and analyze incidents to implement preventive measures

Supervisory Responsibilities

• Supervise departmental staff and oversee daily workflow

• Manage scheduling, timesheets, and time-off requests

• Train new hires, evaluate performance, and provide coaching and feedback

• Resolve team issues in accordance with the KCHC chain of command

Qualifications

Education:

• Bachelor’s degree in a healthcare-related field required

• Professional certifications in compliance, risk management, or quality improvement preferred

Experience:

• Minimum of 3 years’ related experience, preferably in a clinical setting

• At least 2 years in a supervisory or leadership role

Skills:

• Proficient in Microsoft Office, EHR systems, and regulatory platforms

• Strong knowledge of HIPAA, HRSA, OSHA, and healthcare regulatory standards

• Exceptional communication, leadership, and decision-making skills

• Ability to manage confidential and complex issues with professionalism

Core Competencies

• Communication: Strong written, verbal, and interpersonal skills with cultural sensitivity

• Judgment/Decision-Making: High-level analytical and strategic thinking

• Accountability: Self-directed with integrity and commitment to organizational goals

• Problem-Solving: Proactive in identifying challenges and driving solutions

• Collaboration: Effective across multidisciplinary teams and community partners

Why Join KCHC?

• Make a direct impact on community health outcomes

• Serve in a respected leadership role at a mission-driven FQHC

• Competitive salary with a robust benefits package

• Opportunities for ongoing professional growth and development

To learn more about Kinston Community Health Center, visit www.kinstonhealth.org for more information.