Quality & Compliance Specialist

Job Summary 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.

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.

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 KPIs related to patient safety, clinical quality, operational performance, and regulatory compliance. Identify non-conformities and implement 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 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.