Risk Management and Accreditation Compliance Coordinator

About the role

The Risk Management and Accreditation Compliance Coordinator leads the organization’s quality improvement (QI), risk management, credentialing and accreditation efforts to ensure safe, effective, and patient‑centered outpatient care at the Pat Walker Health Center. This role oversees compliance with the Accreditation Association for Ambulatory Health Care (AAAHC) standards for medical and mental health clinics and advances continuous quality improvement across clinical and administrative functions.

Responsibilities

• Oversee compliance with AAAHC standards for medical and mental health clinics.
• Lead quality improvement initiatives (e.g., PDSA, RCA) and write policies.
• Prepare for accreditation or regulatory surveys.
• Build simple dashboards, perform trend analyses, and use Microsoft 365 (Word, Excel, PowerPoint, Teams, SharePoint).
• Work with electronic health records and clinical services software.
• Support ambulatory operations by collaborating with clinical and administrative teams.
• Identify, mitigate, and learn from risk while strengthening systems that promote high‑quality care.
• Maintain regular, reliable, non‑disruptive attendance (Monday‑Friday, 8 AM–5 PM).
• Foster collegial, harmonious working relationships with staff.

Qualifications

Minimum qualifications:

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field from an accredited institution.
• At least three years of experience in ambulatory/outpatient quality, compliance, or risk management.
• Demonstrated experience leading quality improvement projects (e.g., PDSA, RCA), writing policies, and preparing for accreditation or regulatory surveys.
• Experience building simple dashboards, trend analyses and proficiency with Microsoft 365 (Word, Excel, PowerPoint, Teams, SharePoint).
• Experience with electronic health records and clinical services software.

Preferred qualifications:

• Master’s degree (MHA, MPH, MSN, or related) from an accredited institution.
• Relevant certification(s): RHIA, RHIT, CPHQ, CPPS, CHC, or ARM/CPHRM.
• AAAHC or JCAHO accreditation experience in an ambulatory/college health or outpatient setting.
• Experience with incident reporting systems, policy management tools, and QI/risk software.

Skills

• Ability to proactively and independently identify compliance and operational risks and implement appropriate solutions with minimal oversight.
• Ability to adapt to evolving regulatory requirements, organizational priorities, navigate ambiguity, and remain effective under pressure.
• Skill in developing effective working relationships and establishing credibility with clinical and non‑clinical stakeholders.
• Skill in communicating complex regulatory, compliance, and operational concepts clearly to diverse audiences.
• Ability to evaluate processes, identify inter‑dependencies, and develop sustainable improvements.
• Skill in analyzing data and analytics to support decision‑making, prioritize initiatives, and demonstrate outcomes.

Pay

$70,000 per year

Benefits

• University contributions to health, dental, life and disability insurance.
• Tuition waivers for