Quality Systems Coordinator

2600 White Plains Hospital Medical Center; United States; On-site; USD 83,000 - 125,000; Full time

Job summary

White Plains Hospital Medical Center in White Plains, NY, seeks a quality and compliance leader for the Laboratory Services department. The role emphasizes maintaining CPQA standards, coordinating training, and supporting hospital initiatives with data-driven quality improvements.

Responsibilities include auditing, CAPA, QMS documentation, and cross-functional collaboration to ensure CLIA/CAP/NYS compliance. Excellent communication and problem-solving are essential.

Qualifications

• Bachelor's degree in Medical Laboratory Science, Biology, Chemistry, or related field
• ASCP or equivalent MLS/MT certification, NYSDOH license preferred
• Minimum 3-5 years clinical lab experience, with 1-2 in quality/compliance

Responsibilities

• Ensure delivery of high-quality department services meeting hospital and regulatory standards
• Oversee staff competency, orientation, training, and ongoing education
• Lead audits, CAPA, and regulatory inspections; maintain QMS documentation
• Analyze QC data and prepare quality performance reports for leadership

Job description

City/State: White Plains, New York

Department: Lab Laboratory Services_5

Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: Day

Hours Per Pay Period: 75

Pay Rate/Range: $83,239.4550 - $124,880.9250

Essential Functions and Responsibilities

Ensure the delivery of high-quality department/clinical services in compliance with hospital and regulatory standards. Maintain a safe environment for both employees and patients. Monitor compliance with accrediting agencies and ensure all documentation meets required standards. Oversee staff competency, orientation, training, and ongoing education. Participate in committees, task forces, and special projects as needed. Work collaboratively with interdisciplinary teams to support hospital-wide initiatives. Foster positive employee relations and customer service while ensuring adherence to behavioral standards. Serve as a change agent to support hospital initiatives and technological advancements. Maintain effective communication within and outside the department. Analyze business and clinical workflows to optimize system functionality. Design database queries and generate reports using appropriate tools. Review and ensure compliance with the laboratory’s Quality Management System (QMS). Ensure compliance with CLIA, CAP, NYS and other applicable regulatory and accreditation requirements. Review and coordinate with supervisors to develop and update Standard Operating Procedures (SOPs) to align with best practices and regulatory guidelines. Conduct internal audits and facilitate external inspections, including CAP and state health department audits. Investigate and resolve non-conformities, implementing corrective and preventive actions (CAPA). Monitor and evaluate quality control (QC) data, proficiency testing (PT) performance, and laboratory indicators. Conduct root cause analysis (RCA) for quality issues and ensure corrective actions are implemented. Review and analyze incident reports, deviations, and complaints to drive quality improvements. Ensure documentation of quality assurance activities and maintain quality records. Provide ongoing training to laboratory staff on quality policies, best practices, and regulatory updates. Work with department supervisors to organize competency assessments and continuing education to maintain staff proficiency. Collaborate with department leads to ensure adherence to quality and safety protocols. Identify opportunities for process optimization and workflow improvements. Lead quality improvement initiatives. Perform risk assessments and implement strategies to mitigate potential errors in laboratory testing. Serve as the primary liaison for quality-related communications between laboratory leadership, staff, and external regulators. Prepare and present quality performance reports to leadership. Maintain awareness of industry trends and regulatory changes that may impact laboratory operations. Compile Monthly Quality Reports to present for Medical Director review. Strong understanding of laboratory regulatory and accreditation standards (CLIA, CAP, NYS). Proficiency in quality management principles, root cause analysis Excellent problem-solving, analytical, and decision-making skills. Strong written and verbal communication skills for policy writing, reporting, and training. Ability to manage multiple projects, prioritize tasks, and work collaboratively across departments. Experience with Laboratory Information Systems (LIS) and data analysis tools. Flexible Scheduling for Audits and Off shift reviews. Perform additional duties as assigned to support departmental and organizational goals.

Education & Experience Requirements

• Bachelor's degree in Medical Laboratory Science, Biology, Chemistry, or a related field (required).
• ASCP, or equivalent certification as a Medical Laboratory Scientist (MLS) or Medical Technologist (MT), NYSDOH license (preferred).
• Minimum of 3-5 years of clinical laboratory experience, with at least 1-2 years in a quality or compliance role.

Equal Employment Opportunity

White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

White Plains Hospital is a proud member of the Montefiore Health System, serving as its tertiary hub of advanced care in the Hudson Valley. The Hospital is a 292-bed not-for-profit health care organization with the primary mission of providing exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas. White Plains Hospital has outpatient medical facilities across Westchester, including multispecialty practices in Armonk, Hawthorne, Larchmont, New Rochelle, Rye Brook, Scarsdale, Somers, Yonkers and Yorktown Heights; and Scarsdale Medical Group locations in Harrison and Scarsdale. The Hospital is fully accredited by the Joint Commission, and in 2025 received another 5-star rating from the Centers for Medicare & Medicaid Services (CMS) - the highest distinction offered by the federal agency - for the fourth consecutive year. In addition, the Hospital received its third Magnet designation from the American Nurses Credentialing Center (ANCC), a distinction held by only two percent of hospitals in the country. White Plains Hospital has consistently received the Outstanding Patient Experience Award from Healthgrades, and in 2025 was awarded an “A” Safety Grade from the Leapfrog Group for the 14th consecutive time.