The Field Compliance & Operations Manager (FCOM) supports consistent patient safety, regulatory compliance, and operational standards. The FCOM oversees quality improvement initiatives and maintains compliance with healthcare regulations. The FCOM travels across more than 20 Urology practices in the central and southern regions of the state to audit, educate and ensure regulatory requirements are met. Serves as the point person when regulators visit practices, fields questions and guides them on walkthroughs as needed. The FCOM ensures practices remain survey ready.

Key Responsibilities:

• Develop and implement policies and procedures: Prepare practice policies, standard operating procedures (SOP)'s and quality manuals to ensure consistent care standards
• Monitor and assess quality: Conduct audits, risk assessments, and performance evaluations to identify areas for improvement in patient care and practice operations
• Regulatory operations: Responsible for operational regulatory compliance, with escalation to USUP Legal/Compliance as appropriate. Ensure adherence to accreditation standards such as NJDOH, CMS, OSHA, AAAHC, CLIA and other regulatory requirements.
• Data analysis and reporting: Collect, analyze and report quality metrics to track performance against established benchmarks
• Staff training and development: Provide education, tools and techniques to associate, maintain and improve quality standards. Serve as the point person for questions from associates regarding patient safety and regulatory compliance. Partners with practice leaders and associates to identify gaps, recommend appropriate remediation steps, and support follow-up activities to promote sustained compliance and operational consistency to support survey readiness.
• Coordination and communication: Liaise with clinical and administrative teams, as well as external regulatory bodies to maintain quality systems and certifications
• Continuous improvement initiatives: Lead projects to enhance patient safety, satisfaction, and operational efficiency
• Regulatory changes: Stays current on all regulatory requirements and ensures that updated posters are placed in areas that are prominently displayed in practices

What We Expect from You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

• Five plus years in ambulatory healthcare, physician practice, hospital outpatient operations, quality, regulatory compliance or patient safety.
• Bachelor's degree in relevant fields of study such as Healthcare Administration or Business Administration is required. Master's Degree preferred.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine correspondence. Ability to speak effectively before individuals or groups of people.

Computer Skills

To perform this job successfully, an individual should have knowledge of basic computer software. Must be proficient in Microsoft Office, including Word, Excel, Outlook, PowerPoint and Teams. Familiarization with spreadsheets and reporting tools for audit, compliance with the analytical ability to identify patterns across 20+ sites. Ability to assess quality and operational data using shared files, and virtual communication platforms to support multiple practice locations.

Other Skills and Abilities

• Requires project management skills
• Requires great attention to detail and organization
• Ability to develop and maintain effective relationships with physicians, staff, leadership and external entities.
• Proficiency in Microsoft Office software
• Reliability, ability to educate associates on the importance of patient safety
• Ability to maintain strict confidentiality
• Ability to work independently
• Ability to work under pressure

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee is required to travel between practices to ensure continuity of safety requirements are being followed. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee may lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Travel

Travel is primarily local during the business day.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, approximately 8 hours per workday.

Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.