Compliance, Risk & Safety Director

Compliance, Risk & Safety Director

East Houston Medical Center

Position Summary

The Compliance, Risk, and Safety Director provide expert leadership in the

development, implementation, and oversight of organization-wide programs addressing

regulatory compliance, risk management, patient and staff safety, and quality initiatives.

This position ensures adherence to federal, state, and local regulations, promotes a

safe and effective healthcare environment, and fosters an organizational culture that

prioritizes ethical practices, operational excellence, and continuous improvement.​

Key Responsibilities

 Lead and manage all compliance, risk, and safety programs to ensure alignment

with healthcare regulations (TJC, OSHA, CMS, HIPAA) and organizational

policies.​

 Oversee risk assessments, mitigation strategies, incident investigations, and root

cause analyses, reporting findings and corrective actions to senior leadership.​

 Develop, implement, and regularly review policies, protocols, and best practices

for regulatory compliance, privacy, and staff credentialing.​

 Maintain and enhance the patient safety program, coordinate quality

improvement initiatives, and monitor performance indicators to drive optimal

patient care outcomes.​

 Serve as the organization’s liaison with regulatory agencies and lead responses

to audits, site visits, and compliance surveys.​

 Supervise and mentor direct reports, ensuring ongoing education, competency,

and professional development in compliance and safety domains.​

 Facilitate training and education for all employees on compliance, risk

management, and workplace safety.​

 Manage investigations of adverse events and non-compliance issues, promoting

transparent reporting and timely resolution.​

 Lead continuous process improvement projects to optimize workflow efficiency,

minimize risk and enhance safety culture across the facility.​

 Prepare and present clear, actionable compliance and risk reports to executive

management and the Board.​

Required Qualifications

 Bachelor’s degree in healthcare administration, Nursing (BSN preferred), or

related field; Master’s degree, JD, or advanced certification desired (CHC,

CHRC, CHPC, RHIA, CPMA).​

 6+ years of progressive experience in healthcare compliance, risk management,

and patient safety roles.​

 In-depth knowledge of current federal and Texas healthcare laws, regulations,

and accreditation standards.​

 Demonstrated ability to lead teams, drive culture change, manage multifaceted

projects, and interpret regulations into practical applications.​

 Superior communication, analytical, and collaboration skills; able to influence at

all organizational levels.​

 Experience developing, maintaining, and refining quality monitoring systems and

compliance documentation.​

Preferred Qualifications

 RN license in Texas or other clinical background.

 Experience in large, multi-site healthcare systems.

 Advanced certifications (CHC, CHPC, JD, MBA).

 Proficiency in Lean, Six Sigma, or other quality/process improvement

methodologies.​

Work Conditions

 Full-time, exempt position.

 Reports to Chief Executive Officer or Board, and Chief Nursing Officer

 In-charge of regulatory and audit activities.​

Equal Opportunity

East Houston Medical Center is committed to equal employment opportunity, diversity,

and the highest ethical standards. All applicant information is handled with complete

confidentiality as required by state and federal law.​

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person