Compliance & Safety Director

Express Pain And Urgent Care•San Antonio, TX

1d•Onsite

About The Position

Compliance & Safety Director Full-Time | Monday–Friday | 8:00 AM–5:00 PM About Us Epic Pain Management is a growing, patient-centered healthcare organization committed to delivering exceptional patient care while maintaining the highest standards of regulatory compliance, workplace safety, and operational excellence. As we continue to expand across South Texas, we are seeking an experienced Compliance & Safety Director to lead our organization-wide compliance and safety initiatives across our clinics and Ambulatory Surgery Center (ASC). Why Join Epic? At Epic, every patient interaction matters. You'll be part of a collaborative leadership team where your expertise directly supports patient safety, regulatory compliance, employee well-being, and organizational integrity.

Requirements

Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or a related field.
Minimum of five (5) years of healthcare compliance experience.
Minimum of three (3) years of leadership or management experience.
Strong knowledge of: HIPAA, OSHA, Healthcare compliance regulations, Risk management principles, Regulatory audits and investigations, Policy and procedure development, Ambulatory Surgery Center (ASC) regulations.
Experience conducting compliance audits, investigations, and risk assessments.
Experience developing and implementing compliance and safety programs.
Excellent leadership, communication, organizational, and analytical skills.
Ability to manage multiple priorities while maintaining strict attention to detail.
Proficiency in Microsoft Office Suite.

Nice To Haves

Certified in Healthcare Compliance (CHC) or another relevant compliance certification.
Experience in pain management, ambulatory surgery centers (ASC), or multi-site healthcare organizations.
Experience with Quad A accreditation standards and survey readiness.
Experience with quality improvement and healthcare risk management.
Master's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or a related field.

Responsibilities

Develop, implement, and oversee the organization's compliance program across all clinic and ASC locations.
Ensure compliance with all applicable federal, state, and local healthcare regulations.
Monitor changes in healthcare laws and regulations and communicate updates to leadership.
Maintain organizational compliance policies, procedures, and standards.
Conduct internal compliance audits, risk assessments, and regulatory reviews.
Coordinate organizational readiness for accreditation surveys, inspections, and regulatory audits, including Quad A standards.
Develop and monitor corrective action plans following audits and investigations.
Maintain compliance documentation and reporting required by regulatory agencies.
Investigate compliance concerns, HIPAA incidents, regulatory violations, and workplace safety issues.
Identify organizational risks and implement corrective and preventive actions.
Collaborate with leadership to reduce operational and regulatory risk.
Maintain confidentiality and documentation throughout investigative processes.
Oversee workplace safety initiatives and OSHA compliance.
Monitor compliance with radiation safety, medication management, controlled substance regulations, and infection prevention standards.
Promote employee and patient safety through proactive safety initiatives.
Coordinate emergency preparedness and workplace safety programs.
Develop and deliver compliance and safety training programs for employees and leadership.
Provide guidance regarding regulatory requirements and organizational policies.
Partner with physicians, department leaders, and executive leadership to promote a culture of compliance and accountability.
Support organizational quality improvement and risk management initiatives.