Staff Specialist, Quality and Clinical Compliance

Site: Brigham and Women's Faulkner Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Summary:

-Provides support for key initiatives involving different teams across the hospital related to quality and clinical compliance at the direction of site Office of the Chief Medical Officer leadership. The role will help ensure smooth operations and contribute to the hospital's commitment to providing high-quality patient care. This role will support the execution of long and short-term goals for the MGB quality and clinical compliance programs. Responsible for the execution of the clinical compliance programs for the hospital and is responsible for a variety of functions within the Quality Department, including database management, data collection, analysis, and reporting, as well as providing support to the department in achieving departmental and organizational quality goals.

Does this position require Patient Care? No

• Essential Functions:
• -Completes compliance activities, ensuring adherence to standardized processes around tracer activity, site-level preparedness activities, and measuring/monitoring compliance.
• -Supports the Quality and Clinical Compliance team in completing compliance activities to ensure regulatory standards are met.
• -Responsible for submitting required documentation and reports to relevant accrediting and regulatory bodies.
• -Executes quality performance improvement plans and partners with local teams and department or floor-based teams to implement improvements as needed.
• -Executes and tracks the performance of process changes or performance improvement activities.
• -Understands data provided by the system team and uses knowledge of local practices to identify areas of opportunity for improvement, as well as communicate to the system areas that are at risk.
• -Maintains established hospital and departmental policies and procedures, objectives, confidentiality, patient satisfaction, employee satisfaction, quality improvement program, safety, compliance, and environmental standards.

Qualifications

Education

Bachelor's Degree Related Field of Study required

• Can this role accept experience in lieu of a degree?
• No

Experience in quality and clinical compliance 2-3 years required

Knowledge of principles of quality measurement, governmental and regulatory quality requirements, process improvement 2-3 years required

2-3 years clinical experience strongly preferred.

• Knowledge, Skills and Abilities
• - Possess strong interpersonal skills to effectively communicate with cross-functional teams, including staff at all levels of the organization.
• - Demonstrated knowledge in executing improvements in clinical care, as well as holding themselves accountable to sustaining improvement over time.
• - Demonstrated ability to execute a local quality performance and improvement portfolio.
• - Other areas of knowledge include medical records systems, management information systems, applicable statutes and regulatory agency requirements, problem assessment and problem-solving techniques, and healthcare services.
• - Excellent and effective communication skills, both verbal and written, and organizational skills.

Additional Job Details (if applicable)

Remote Type

Hybrid

Work Location

891 Centre Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$79,560.00 - $115,720.80/Annual

Grade

7

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2810 Brigham and Women's Faulkner Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.