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.