Job Description
Job Location: Dumfries, VA 22026
Position Type: Full-time
Salary Range: $55,000.00 - $70,000.00 Salary
Job Shift: Day
Job Category: Direct CareJob
Summary:
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.
Responsibilities Include:
Incident Reporting & Risk Management
- 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.
Quality & Safety
- 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.
Training & Compliance Support
- 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.
Administrative Duties
- Respond to incoming medical records requests.
- Perform additional duties as assigned in support of organizational compliance goals.
QualificationsMinimum
Qualifications:
EDUCATION/CREDENTIALS
- Bachelor’s degree in business, healthcare administration, public health, legal studies, or a related field
EXPERIENCE
- 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
KNOWLEDGE/SKILLS
Technical Skills
- 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)
Soft Skills & Competencies
- 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
Mainspring Recovery conducts as needed, job-related background checks, fingerprints, drug testing, TB testing, verification of employment history and/or reference checks prior to employment.
Mainspring Recovery is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.
Job type: full-time, direct care position