Evercare is seeking a qualified Quality & Compliance Specialist to ensure compliance with healthcare quality standards, regulatory requirements, and patient safety practices. The ideal candidate must have hands-on experience with CBAHI accreditation, healthcare quality management systems, and continuous quality improvement initiatives.
Key Responsibilities
- Implement, monitor, and maintain healthcare quality management systems, policies, and procedures.
- Ensure compliance with CBAHI (Saudi Central Board for Accreditation of Healthcare Institutions) standards and applicable healthcare regulations.
- Lead and coordinate CBAHI accreditation preparation, including gap assessments, documentation, mock surveys, and corrective action follow-up.
- Conduct internal quality audits, compliance inspections, and departmental assessments.
- Develop, review, and update policies, procedures, and Standard Operating Procedures (SOPs).
- Monitor Key Performance Indicators (KPIs) related to patient safety, clinical quality, operational performance, and regulatory compliance.
- Identify non-conformities and implement Corrective and Preventive Actions (CAPA).
- Support patient safety initiatives, incident reporting, near-miss investigations, and Root Cause Analysis (RCA).
- Conduct risk assessments and support the implementation of healthcare risk management strategies.
- Monitor compliance with infection prevention and control (IPC), patient identification, medication safety, and other applicable patient safety requirements.
- Conduct quality improvement projects using methodologies such as PDCA, PDSA, and Lean Six Sigma.
- Prepare quality performance reports, dashboards, and compliance documentation for management.
- Coordinate with clinical and non-clinical departments to improve service quality and accreditation readiness.
- Deliver staff training and awareness sessions on quality standards, patient safety, and regulatory compliance.
- Support continuous improvement initiatives to enhance patient outcomes and patient satisfaction.
Qualifications & Requirements
- Bachelor's degree in Quality Management, Healthcare Quality, Healthcare Administration, or a related field.
- More than 3 years of experience in healthcare quality management and compliance.
- Mandatory hands-on experience with CBAHI accreditation standards, including implementation and survey preparation.
- Professional certification in Quality Management is required, such as CPHQ, Lean Six Sigma, or an equivalent recognized certification.
- Strong knowledge of Saudi healthcare regulations, accreditation requirements, and patient safety standards.
- Experience in internal auditing, risk management, incident investigations, and quality improvement.
- Strong analytical, problem-solving, and reporting skills.
- Excellent communication, organizational, and cross-functional coordination skills.
- Proficiency in Microsoft Office, particularly Excel and PowerPoint.
- Good command of English, both written and spoken.
Preferred Qualifications
- Certified Professional in Healthcare Quality (CPHQ).
- Experience in healthcare accreditation surveys and quality improvement projects.
- Familiarity with healthcare quality indicators, clinical audits, and patient safety reporting systems.