Quality & Compliance Specialist

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Opportunity The Quality & Compliance Specialist in the Department of Pathology at Mass General Brigham plays a key role in supporting laboratory quality assurance, safety, licensing, accreditation, and regulatory compliance activities. This position reports to the Administrative Director of Quality, Safety & Compliance, and works closely with the Pathology Vice Chair for Quality, the Quality, Safety & Compliance team, as well as operations teams throughout Mass General Brigham Pathology. Job Summary Essential Functions: 1. Works in collaboration with quality and operational leadership to provide analytic and methodological support for the creation of quality measurement initiatives. Examples include developing key performance indicators, designing dashboards, establishing process and outcome metrics for performance improvement, and preparing written performance improvement plans. 2. Works with quality and operations teams to ensure ongoing readiness for audits and assessments by preparing applications, planning, escorting or scribing during reviews, and tracking responses for both internal (audits, mock inspections, gap analysis) and external (accreditation, licensure, proficiency testing) evaluations. 3. Participates in safety event and error management as well as workflow evaluation. Collaborates with quality and operational leaders by providing workflow mapping, conducting evaluations, offering recommendations, and supporting project management initiatives. Additionally, consults on process improvement and outcome measurement strategies. 4. Engage in the development and implementation of quality management policies, procedures, and training initiatives. Assess inquiries and offer guidance to quality, technical, and operational leaders on the application of enterprise policies and regulatory standards. 5. Offer expert guidance on utilizing the enterprise electronic quality management system. This includes oversight and support in the effective use of various modules: document control, personnel records, competency assessment, event reporting, and accreditation processes. 6. Collect and assess quality and safety data to evaluate and communicate the impact of quality and safety programs. Recognize areas of non-compliance with regulatory standards and work closely with quality and operational leaders to address and resolve these deficiencies. Qualifications What You'll Bring Qualification Requirements: Bachelor’s degree in medical laboratory science (MLS) or related field (e.g., PA, HTL) 3+ years clinical laboratory experience MLS (ASCP), BB (ASCP), PA (ASCP), HTL (ASCP) or related certification 2+ years Laboratory leadership experience such as Senior Tech, Supervisor, Manager, Quality & Compliance Microsoft Office Suite proficiency 1+ years experience with document control and/or electronic quality management system (e.g., MediaLab) 2+ years compliance, process improvement preferred Additional Knowledge, Skills & Abilities: 1. Ability to pay attention to detail, think critically and analyze complex problems. 2. Demonstrates the ability to comprehend sophisticated technical and clinical workflows, thereby supporting work units and other departments in devising effective solutions. 3. Ability to acquire knowledge and understanding of SOPs and regulations with demonstrated ability to review, develop and improve documentation and workflows. 4. Demonstrated capacity to work independently with minimal supervision, exhibiting self-direction, motivation, the ability to manage multiple priorities, and consistently complete tasks within established timeframes. 5. Consistently demonstrates a composed, professional, and encouraging attitude in all situations. 6. The position requires outstanding interpersonal abilities, advanced oral and written communication skills—including expertise in data visualization—and the capacity to foster positive and constructive working relationships with both clinical and operational leadership teams within and beyond the Department of Pathology, as well as with surveyors and inspectors. 7. Familiarity or experience with meeting regulatory and accreditation standards, such as those set by CLIA, FACT, CAP, TJC, AABB, or the FDA. Additional Job Details (if applicable) Schedule and Work Model Full-Time (40 hours) Monday through Friday Hybrid Work Model Location: The team has touch down space at BWH, MGH and Assembly Row. Travel to community hospitals occasionally. Days i