We have an exciting opportunity to join our team as a Compliance Analyst.
In this role, the successful candidate supports Director, Quality and Regulatory, Clinical Laboratory and Anatomic Pathology in maintaining inspection readiness for all NYU Langone Health laboratory sites for Clinical Laboratory and Anatomic Pathology. Assists with assigning staff training and assessing compliance with assigned training. Maintains records and licensure required for regulatory inspections. Documents audit findings to assess compliance with standards for The Joint Commission, NYS Department of Health, College of American Pathologists, Environmental Protection Agency, and FDNY. Assists with approval, training, and modification of department and system wide policies. Assists with annual reapplications to accrediting agencies and orders for proficiency testing and educational activities.
Assists the Regulatory Compliance manager with performing all departmental regulatory audits for assessment of compliance with CAP, DOH, CMS, JC, and EPA regulations. Issues detailed reports with findings and suggests corrective actions for each non-compliant finding.
Performs follow up audits to assess compliance with corrective actions stemming from regulatory inspections and quality improvement initiatives
Facilitate and monitor staff compliance with NYULH required trainings including Regulatory training, Lab Manual training, Environmental Health & Safety training. Follows up with any individuals that are out of compliance. Assigns training to individuals in FOCUS as needed.
Keeps track of licenses for MD, PhD, Technical staff and Reference Labs and ensure they are within the expiration date. Works with school of medicine and FGP staff to ensure staff and MD files, including licenses, are up to date and accurate.
Data Compilation: Critical Values, dashboard data, quarterly internal QIC submission
Reviews any reports of diagnosis of communicable diseases and reports them to NYC and/or NYS as required by city and/or state law.
Special projects: Assists the Director, Quality & Regulatory with projects and special assignments as requested.
2+ years experience in clinical hospital setting
Experience interpreting regulations and preparing for regulatory inspections in the field of healthcare
Must excellent Microsoft Office suite computer skills (Outlook, Word, Excel, PowerPoint, etc.) and superb organization skills
Masters degree in business and or healthcare related discipline.
Legal background a plus.
Experience with hospital regulatory compliance.
Knowledge of the laboratory sciences.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.