Compliance Specialist, Healthcare

Job Title

Compliance Specialist

Jessica Daniels, Compliance Manager

Compliance

On-site, Dumfries, VA, Triangle, VA

The Compliance Specialist is responsible for the day-to-day execution and oversight of the Compliance Program at our Dumfries facilities. This role requires strong attention to detail, integrity, initiative, and excellent time management and interpersonal skills.

• Monitor, evaluate, and report incoming serious incidents to the state within 24 hours.
• Maintain accurate and up-to-date incident report data.
• Conduct on site investigations into serious incidents, including allegations of abuse and/or neglect.
• Assist the Director of Compliance in compiling reports, identifying corrective actions, and implementing preventive measures.
• Perform root cause analyses and assist with comprehensive reviews where appropriate.
• Track incident trends and contribute to data-driven quality improvements.

• Coordinate the organization and facilitation of Quality Council meetings.
• Support the implementation of Mainspring’s safety program by:
• Translating safety policies into actionable procedures.
• Ensuring completion of regular facility inspections in compliance with safety standards.
• Collaborating with Operations to conduct monthly safety drills.
• Participating in Mainspring’s Safety Committee.

• Conduct or coordinate required safety and compliance training, including weekly new hire orientation compliance training, for staff.
• Assist with licensing and accreditation readiness.
• Collaborate with HR to ensure staff compliance with OSHA standards and required training.

• Respond to incoming medical records requests.
• Perform additional duties as assigned in support of organizational compliance goals.

• Bachelor’s degree in business, healthcare administration, public health, legal studies, or a related field

• 2–5 years of experience in a compliance, quality assurance, or regulatory role
• Experience working with regulatory agencies or in a heavily regulated industry (e.g., HIPAA, OSHA, CMS, DOJ, OIG, state licensing boards)
• Experience conducting internal audits, incident investigations, and risk assessments
• Background in healthcare, behavioral health, substance use disorder treatment, or mental health preferred

• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and compliance-related tools
• Familiarity with compliance management systems, EHRs (e.g., Kipu, Epic), or document control platforms
• Strong understanding of federal and state regulations relevant to the industry (e.g., HIPAA, 42 CFR Part
  2)
• Excellent attention to detail and organizational skills
• Strong verbal and written communication skills
• Ability to handle confidential information with discretion
• Analytical thinker with problem-solving and root cause analysis skills
• Comfortable working independently and collaboratively across teams
• Strong ethical judgment and a proactive approach to resolving issues
• Ability to train and educate others on compliance matters clearly and effectively
• Ability to manage multiple priorities in a fast-paced, remote or hybrid environment

• Full-time
• This is an on-site position requiring regular travel between Dumfries locations.
• Occasional evening or weekend work may be required, often performed remotely.

• The Compliance Specialist plays a critical role in ensuring the safety, quality, and integrity of care provided to our clients. In a behavioral health and substance use treatment setting, adherence to regulatory and licensing standards is essential to protecting client rights, maintaining accreditation, and supporting positive treatment outcomes.
• This position is responsible for investigating incidents, identifying areas of risk, and ensuring that each Dumfries location remains in full compliance with state and federal requirements. Through timely reviews, accurate documentation, and proactive follow-up, the Compliance Specialist helps prevent regulatory deficiencies and promotes continuous improvement across our programs.

Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.

Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.

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