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Quality & Compliance Manager

Spaulding Hospital - Boston and Cambridge
Boston, MA Full Time
POSTED ON 12/9/2025 CLOSED ON 12/19/2025

What are the responsibilities and job description for the Quality & Compliance Manager position at Spaulding Hospital - Boston and Cambridge?

Summary: Responsible for overseeing and ensuring the quality and compliance of healthcare services within the organization. This position involves developing, implementing, and monitoring quality improvement programs, ensuring adherence to regulatory requirements, and leading initiatives to improve patient care, safety, and operational efficiency. Does this position require Patient Care? No Essential Functions: Execute quality and clinical compliance strategy within the organization, ensuring adherence to standardized processes around quality measurement, strategy, prioritized areas, and performance improvement while also providing critical feedback about issues and needs that are arising within. -Track & execute necessary improvement for CMS conditions of participation, government, and private payer pay for performance activities in the quality and equity domains. -Responsible for partnering with the data and analytics team as needed to ensure that reporting to CMS and other regulatory bodies is timely and correct. -Execute and track any performance improvements as a result of safety events. -Executes quality performance improvement plans and partners with local teams and department or floor-based teams to implement improvements as needed. -Executes compliance activities, ensuring adherence to standardized processes around tracer activity, site-level preparedness activities, and measuring/monitoring compliance. -Staff member for all compliance activities, ensuring the organization meets or exceeds all those measures. -Supports local training and educational programs as needed. -Understand data provided by the system team and use knowledge of local practices and culture to identify areas of opportunity for improvement as well as communicate to the system areas that are at risk.

Education
Bachelor's Degree Related Field of Study required

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

Licenses and Credentials
RN license: preferred


Experience
Experience in quality and clinical compliance within a hospital 3-5 years required and Clinical background experience 3-5 years preferred

Knowledge, Skills and Abilities
- Knowledge of principles of quality measurement, governmental and regulatory quality requirements, patient safety, risk management, patient family relations, clinical compliance, and process improvement.
- 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, health care law, health care services
- Excellent and effective verbal and written communication skills, as well as organization.
- Ability to interact with individuals and groups at any level; good decision-making skills; personnel management skills
- Excellent organizational skills, ability to work on multiple projects under multiple deadlines; highly energetic and able to embrace challenges and change.



Physical Requirements

  • Standing Occasionally (3-33%)
  • Walking Occasionally (3-33%)
  • Sitting Constantly (67-100%)
  • Lifting Occasionally (3-33%)
  • Carrying Occasionally (3-33%)
  • Pushing Rarely (Less than 2%)
  • Pulling Rarely (Less than 2%)
  • Climbing Rarely (Less than 2%)
  • Balancing Occasionally (3-33%)
  • Stooping Occasionally (3-33%)
  • Kneeling Rarely (Less than 2%)
  • Crouching Rarely (Less than 2%)
  • Crawling Rarely (Less than 2%)
  • Reaching Occasionally (3-33%)
  • Gross Manipulation (Handling) Constantly (67-100%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)


The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law. If you need a reasonable accommodation in coming to or participating in the interview process, please let us know.

 

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