Compliance Coordinator

Tewksbury Hospital, part of the Massachusetts Department of Public Health (DPH), is seeking a dynamic Compliance Coordinator to lead meaningful work that directly impacts patient experience including overseeing complaint investigations, guiding incident reporting, and ensuring organizational readiness for product recalls. As a visible and trusted partner across departments, the Compliance Coordinator helps shape a culture of accountability, transparency, and high reliability while working closely with quality leadership to advance strategic safety initiatives

This position is ideal for a detail-oriented professional who thrives in a collaborative environment and enjoys translating data into action. You will play an essential role in leading safety committees, supporting patient and family engagement efforts, and presenting key insights to leadership and staff. Candidates will gain broad exposure to hospital operations, regulatory standards, and quality improvement practices, making this an excellent opportunity for someone looking to grow their career in healthcare quality, risk management, or compliance while making a measurable difference every day.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

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  Conduct investigations on patient complaints received electronically, by paper, or through the Incident Reporting system.

• Oversee the Online Incident Reporting process and prepare monthly reports for Quality Management committees, including Employee Safety, Patient & Family Advisory, Quality & Patient Safety, Pain, and Regulatory Readiness Committees.

• Lead employee Quality Safety Committee meetings, maintain action plans, and report employee safety and patient complaint data at relevant committees.

• Serve as co-chair for the Patient and Family Advisory Committee (PFAC) and present patient and family satisfaction survey findings, coordinating follow-up actions.

• Collaborate with the Chief Quality Officer to develop and implement quality and safety action plans.

• Attend hospital-wide safety huddles, escalate safety concerns, and represent Quality Management during hospital orientation sessions.

• Manage administrative operations of the Quality Management department, including planning, organizing, and reviewing progress toward departmental goals with direct reports.

• Ensure hospital compliance with product recalls and provide summary reports to Environment of Care (EOC) and Quality & Patient Safety (QPS) committees.

• Foster and maintain collaborative relationships across all services and departments to support an integrated quality and safety environment.

Required Qualifications:

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  Ability to lead multidisciplinary committees, facilitate meetings, maintain action plans, and coordinate reporting to hospital leadership and advisory councils.

• Skilled in data collection, analysis, and reporting activities to enhance informed decision-making and quality improvement efforts.

• Excellent communication skills including ability to effectively communicate quality and safety initiatives to staff and patients.

Preferred Qualifications:

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  Experience in healthcare quality and patient safety programs, including investigating patient complaints, managing incident reporting systems, and leading quality or safety committees.

• Strong leadership and collaborative skills, with the ability to coordinate cross-departmental initiatives, develop action plans, and foster relationships across clinical and administrative teams.

DPH Mission and Vision:

The mission of the Massachusetts Department of Public Health (DPH) is to promote and protect health and wellness and prevent injury and illness for all people, prioritizing racial equity in health by improving equitable access to quality public health and health care services and partnering with communities most impacted by health inequities and structural racism.

We envision a Commonwealth with an equitable and just public health system that supports optimal well-being for all people in Massachusetts, centering those with systemically and culturally oppressed identities and circumstances.

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

For questions concerning this requisition, please contact Employment and Staffing Customer Service at 1-800-510-4122, #4.

For technical questions accessing MassCareers, please contact Mass HR at 617-979-8500.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

Qualifications

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) four years of full-time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, and (B) of which at least one year must have been in a supervisory capacity, or (C) any equivalent combination of the required experience and the substitutions below.

Substitutions:

I. A Bachelor's degree with a major in business administration, business management or public administration may be substituted for a maximum of two years of the required (A) experience.*

II. A Graduate degree with a major in business administration, business management or public administration may be substituted for a maximum of three years of the required (A) experience.*

III. A Bachelor's or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required (A) experience.*

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  Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

NOTE: No substitutions will be permitted for the required (B) experience.

Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

Title 101 CMR 23.00 (“Regulation”) requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this for this role

Official Title : Program Coordinator III

Primary Location : United States-Massachusetts-Tewksbury-365 East Street

Job : Administrative Services

Agency : Department of Public Health

Schedule : Full-time

Shift : Day

Job Posting : Apr 15, 2026, 10:56:47 AM

Number of Openings : 1

Salary : 78,834.86 - 115,284.78 Yearly

If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator : Sandra Semedo: [email protected] - 6173488482

Bargaining Unit : 06-NAGE - Professional Admin.

Confidential : No

Potentially Eligible for a Hybrid Work Schedule : No