Facilities Compliance Coordinator

The Massachusetts Department of Public Health at Tewksbury Hospital is looking for a Facilities Compliance Coordinator to join its team. This role is responsible for planning, administering, coordinating, and evaluating regulatory compliance programs that support the safe, efficient, and lawful operation of Tewksbury Hospital utilities systems. The incumbent applies their knowledge of The Joint Commission (TJC), CMS, NFPA Life Safety, federal, state, and local laws, regulations, accreditation standards, as well as Massachusetts Department of Public Health policies to maintain compliance, safety, and smooth facilities operations.

This is an excellent opportunity for a candidate with a strong background in operations, leadership, regulatory compliance, environmental programs, emergency preparedness, project coordination, and contract and budget administration.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Coordinate and oversee administrative activities supporting the operation of Tewksbury Hospital and its associated utility systems to ensure compliance with applicable regulatory requirements, organizational policies, and operational standards.

• Coordinate preventive maintenance documentation and tracking programs to ensure required inspections, testing, certifications, and maintenance activities are scheduled, documented, and retained in accordance with regulatory and operational requirements.

• Collect, analyze, and compile operational, maintenance, environmental, safety, and utility system data to support regulatory reporting, performance monitoring, management decision-making, and continuous operational improvement.

• Monitor and evaluate utility systems to ensure compliance with The Joint Commission, NFPA, and other laws, regulations and standards.

• Prepare, maintain, track, and submit all required regulatory reports, permit applications, renewals, certifications, inspections, and compliance filings to applicable federal, state, and local regulatory agencies.

• Maintain a comprehensive compliance calendar and tracking system to ensure timely completion of regulatory deadlines, inspections, testing requirements, corrective actions, permit renewals, and reporting obligations.

• Coordinate environmental compliance reporting, inspections, permit requirements, and corrective actions related to the hospital utilities systems and environmental health and safety programs.

• Participate in the Hospital Environment of Care, Emergency Management, Hazardous Materials Management, Safety, and other multidisciplinary committees to support regulatory compliance and continuous readiness.

• Support the Facilities management team as directed with maintenance projects, utility system improvements, capital construction, and infrastructure initiatives.

• Develop, review, implement, and maintain standard operating procedures, administrative policies, compliance programs, and departmental documentation related to facility and utility system operations.

• Assist in the preparation, administration, and monitoring of operating and capital budgets by tracking expenditures, maintaining supporting documentation, preparing financial reports, and coordinating purchasing and procurement activities.

• Serve as the administrative liaison among regulatory agencies, contractors, consultants, hospital leadership, and internal departments on environmental, safety, facilities, and regulatory compliance matters.

Required Qualifications:

• Knowledge of the methods of general report writing.

• Ability to analyze and determine the applicability of data, to draw conclusions and make appropriate recommendations.

• Ability to gather Information by examining records and documents and by questioning individuals.

• Ability to assemble items of information in accordance with established procedures.

• Ability to maintain accurate records.

• Ability to prepare and use charts, graphs and tables.

• Ability to prepare general reports.

• Ability to write concisely, express thoughts clearly and to develop ideas in logical sequence.

• Ability to follow written and oral instruction.

• Ability to give written and oral instructions in a precise, understandable manner.

About the Department of Public Health:

The mission of the Massachusetts Department of Public Health (DPH) is to prevent illness, injury, and premature death, to assure access to high quality public health and health care services, and to promote wellness and health equity for all people in the Commonwealth.

We envision a Commonwealth in which all people enjoy optimal health. Massachusetts ranks among the healthiest states according to comparative analyses, but we face numerous challenges, including chronic and infectious disease, substance abuse, violence, preventable hospitalizations, and health disparities.

DPH coordinates programs and policies to address specific diseases and conditions and offer services to address the needs of vulnerable populations. We also develop, implement, promote, and enforce regulations and policies to assure that the conditions under which people live are most conducive to health and enable people to make healthy choices for themselves and their families. We license health professionals, healthcare facilities and a variety of businesses that impact public health. We operate the state laboratory and four public health hospitals. We monitor health status and manage vital records including births, marriages and deaths. We educate people about public health issues and work closely with local boards of health and community partners to identify and solve public health problems.

More information can be found at: MA Department of Public Health

Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.