Clinical Quality

About the Role

The Clinical Quality & Compliance Coordinator is a highly organized and detail-oriented individual who supports regulatory compliance and quality improvement activities across multiple ambulatory surgery center (ASC) locations nationwide. This full-time remote role ensures the timely management of licensure, accreditation, and quality program documentation. The ideal candidate is meticulous, self-motivated, and comfortable collaborating with clinical and administrative leaders in a fast-paced, multi-site environment.

Work hours:7:00 am to 4:00 pm MST (10:00 pm to 7:00 pm PHT)

Work set-up: Remote

What you'll do

• Regulatory & Accreditation Compliance

• Track and manage all applications, renewals, and expirations for:

• State ASC licenses

• Key dentist and anesthesia provider licenses (site-specific)
• Key RN licenses
• AAAHC or ACHC accreditation
• CLIA certification ○ Radiation permits
• Other site-specific certifications as required
• Maintain an internal system of reminders and documentation to ensure no licenses or accreditations lapse.

• Governance & Quality Meeting Support

• Draft and prepare annual Governing Body (GB) meeting agendas and minutes, in coordination with site leadership.

• Prepare agendas and take accurate minutes for quarterly GB and QAPI (Quality Assurance and Performance Improvement) meetings.
• Track follow-up actions and ensure timely closure of quality items across all sites.

• Peer Review Coordination

• Support the clinical leadership team by coordinating timely peer review processes for dentists, anesthesiologists, and nursing staff.

• Develop and maintain provider-specific peer review scorecards.
• Ensure all peer review data is complete, current, and documented according to policy.

What You Bring

• 3+ years of proven experience in Healthcare Quality/Compliance: Direct experience in a Hospital Quality Department, particularly as a Quality Data Person, is highly desirable.
• Global Compliance Knowledge: Strong experience in healthcare compliance, accreditation, or licensing processes. Experience can be Philippine-based or from any similar international healthcare system; US-specific exposure is preferred but not mandatory.
• Process Improvement Skills: Demonstrated ability to help staff design and document process improvement activities.
• Administrative & Data Management: Proven ability to manage complex, detailed administrative tasks, including processing 20+ page license applications and managing data for 200+ providers.
• Organizational Systems Mastery: Must be proficient with Google Workspace and Microsoft Office
• Familiarity with specific healthcare tools is a plus, but the candidate must be willing to learn quickly, as training will be provided.
• Exceptional attention to detail—accuracy and follow-through are critical.
• Strong organizational and time management skills; ability to manage multiple concurrent deadlines.
• Excellent written communication skills.
• Ability to work independently and communicate professionally with physicians, nurses, and administrators.
• Prior experience in healthcare, licensure tracking, credentialing, compliance, or ASC operations preferred.

Don't meet every single requirement? At Penbrothers we are committed to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but you don't feel 100% aligned with the qualifications, we encourage you to apply anyway. You may just be the right fit for this or other roles.

Hiring Process

We utilize AI tools to enhance our hiring efficiency and ensure a fair evaluation of all candidates. As a result, candidates who passed our initial evaluations should expect an AI Interviewer as a component of our recruitment process. This is supervised by Human Talent Acquisition Experts who will also engage with you throughout your application journey.