Compliance Specialist, Healthcare

Mainspring Recovery is a mission-driven behavioral health organization built on the belief that healing happens when the right people are in the room. We provide care across multiple levels, including Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), supporting individuals and families throughout the recovery process.

Every role at Mainspring, clinical and non-clinical alike, contributes to creating safe, structured, and effective environments where people can rebuild their lives. We invest in strong teams, clear systems, and thoughtful leadership, believing meaningful impact comes from doing the work well, supporting one another, and holding ourselves to high standards across the organization.

Compliance Specialist

Reports To:
Jessica Daniels, Compliance Manager

Department:
Compliance

Location:
On-site, Dumfries, VA, Triangle, VA

The Compliance Specialist is responsible for the day-to-day execution and oversight of the Compliance Program at our Dumfries/Lynchburg facilities. This role requires strong attention to detail, integrity, initiative, and excellent time management and interpersonal skills.

• Monitor, evaluate, and report incoming serious incidents to the state within 24 hours.
• Maintain accurate and up-to-date incident report data.
• Conduct on site investigations into serious incidents, including allegations of abuse and/or neglect.
• Assist the Director of Compliance in compiling reports, identifying corrective actions, and implementing preventive measures.
• Perform root cause analyses and assist with comprehensive reviews where appropriate.
• Track incident trends and contribute to data-driven quality improvements.

Quality & Safety

• Coordinate the organization and facilitation of Quality Council meetings.
• Support the implementation of Mainspring’s safety program by:
• Translating safety policies into actionable procedures.
• Ensuring completion of regular facility inspections in compliance with safety standards.
• Collaborating with Operations to conduct monthly safety drills.
• Participating in Mainspring’s Safety Committee.

Training & Compliance Support

• Conduct or coordinate required safety and compliance training, including weekly new hire orientation compliance training, for staff.
• Assist with licensing and accreditation readiness.
• Collaborate with HR to ensure staff compliance with OSHA standards and required training.

Administrative Duties

• Respond to incoming medical records requests.
• Perform additional duties as assigned in support of organizational compliance goals.

Minimum Qualifications

• Bachelor’s degree in business, healthcare administration, public health, legal studies, or a related field

• 2–5 years of experience in a compliance, quality assurance, or regulatory role
• Experience working with regulatory agencies or in a heavily regulated industry (e.g., HIPAA, OSHA, CMS, DOJ, OIG, state licensing boards)
• Experience conducting internal audits, incident investigations, and risk assessments
• Background in healthcare, behavioral health, substance use disorder treatment, or mental health preferred

• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and compliance-related tools
• Familiarity with compliance management systems, EHRs (e.g., Kipu, Epic), or document control platforms
• Strong understanding of federal and state regulations relevant to the industry (e.g., HIPAA, 42 CFR Part
  2)
• Excellent attention to detail and organizational skills
• Strong verbal and written communication skills
• Ability to handle confidential information with discretion
• Analytical thinker with problem-solving and root cause analysis skills
• Comfortable working independently and collaboration across teams
• Strong ethical judgment and proactive approach to resolving issues
• Ability to train and educate others on compliance matters clearly and effectively
• Ability to manage multiple priorities in a fast-paced, remote or hybrid environment

• Full-time
• This is an on-site position requiring regular travel between Dumfries locations.
• Occasional evening or weekend work may be required, often performed remotely.

• The…