Compliance Officer I

Commonwealth of Massachusetts • Canton, MA

11h • Onsite

About The Position

The Massachusetts Department of Public Health is seeking a Compliance Officer I to play an essential role in promoting regulatory compliance, patient rights, quality, and accountability within a hospital setting. Reporting to the Chief Clinical Officer, you will help ensure hospital policies, procedures, and practices align with federal and state requirements, including applicable CMS Conditions of Participation, Joint Commission standards, MassHealth regulations, and other governing requirements. This is an excellent opportunity for a detail-oriented professional who enjoys investigative work, analyzing information, identifying risks, and helping healthcare organizations strengthen their practices.
In this role, you will work across departments and collaborate with clinical, administrative, and senior leadership teams on compliance monitoring, audits, grievances, patient rights, corrective action planning, and quality and patient safety initiatives. You will have the opportunity to participate in hospital committees and translate audit findings and regulatory requirements into practical recommendations that support safe, compliant, and patient-centered care. Candidates with experience in regulatory, investigative, compliance, healthcare, or related work are encouraged to apply.

Requirements

• Knowledge of report-writing principles and the ability to communicate information clearly, concisely, and logically in written form.
• Ability to gather, investigate, evaluate, and accurately document information through interviews, observation, records review, and other investigative techniques.
• Ability to analyze data and information, draw appropriate conclusions, and develop sound recommendations based on findings.
• Ability to understand, interpret, explain, and apply laws, regulations, policies, procedures, standards, specifications, and guidelines governing assigned activities.
• Ability to prepare accurate reports and maintain organized and complete records in accordance with established procedures.
• Ability to exercise sound judgment and discretion, including when handling confidential information and addressing sensitive or complex situations.
• Strong interpersonal and communication skills, including the ability to establish rapport and maintain effective working relationships with individuals from diverse backgrounds.
• Ability to communicate instructions and information clearly and effectively, both orally and in writing, and to follow written and verbal directions.
• Ability to remain calm and effective in stressful or emergency situations, adapt to varied work environments, and work independently.
• Ability to motivate and work collaboratively with others; knowledge of agency forms and investigative techniques may be acquired on the job.
• Two years of full-time, or equivalent part-time, experience in investigatory, law enforcement or regulatory administration work, or an equivalent combination of the required experience and the substitutions below.
• A Bachelor's or higher degree may be substituted for the required experience. Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

Nice To Haves

• Experience in healthcare compliance, regulatory affairs, quality assurance, risk management, or a related field.
• Experience interpreting and applying federal and state healthcare laws, regulations, standards, and accreditation requirements.
• Familiarity with CMS Conditions of Participation, Joint Commission standards, MassHealth regulations, and other healthcare regulatory requirements.
• Experience conducting compliance audits, investigations, monitoring activities, or internal reviews and developing corrective action recommendations.
• Experience working with patient rights, grievances, complaints, informed consent, abuse and neglect reporting, or patient advocacy processes.
• Experience analyzing medical records, clinical documentation, or other healthcare records for regulatory compliance, quality, or medical necessity.
• Strong written and verbal communication skills, with experience preparing compliance reports, presentations, audit findings, or recommendations for leadership.
• Experience collaborating effectively with clinical, administrative, quality, legal, behavioral health, social work, or other multidisciplinary teams.
• Demonstrated ability to exercise sound judgment, maintain confidentiality, identify regulatory risks, and recommend practical solutions in a complex healthcare environment.

Responsibilities

• Review and audit hospital policies, procedures, and practices to ensure compliance with applicable federal and state laws, regulations, Joint Commission standards, and CMS Conditions of Participation.
• Conduct internal compliance monitoring and audits of hospital services, including reviews related to MassHealth requirements, quality, medical necessity, and regulatory standards.
• Investigate compliance concerns, patient complaints, and grievances, and coordinate appropriate resolution and implementation of corrective actions.
• Monitor compliance with patient rights and responsibilities, including informed consent, interpreter and translator services, and admission and discharge requirements.
• Support compliance with protective services requirements, including abuse and neglect reporting timelines and resolution.
• Prepare detailed reports, presentations, findings, and recommendations regarding compliance, audit results, and identified areas of risk.
• Collaborate with department leaders, Patient Advocacy, Social Work, Behavioral Health, and other stakeholders to promote adherence to patient rights, policies, and regulatory requirements.
• Participate actively in hospital committees, councils, task forces, and quality and patient safety initiatives, including reviewing committee deliverables for compliance.
• Coordinate medical records submissions and related documentation for MassHealth reviews and other regulatory or compliance activities.
• Assist senior leadership with corrective action planning, risk mitigation, and implementation of compliance improvements, while performing related duties as assigned.

Benefits

• Comprehensive Benefits
• Outstanding suite of employee benefits that add to the overall value of your compensation package.
• Work experience that supports you, your loved ones, and your future.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level