Policy Governance and Quality Specialist

About the role

Serve as the lead for organizational policy governance, regulatory readiness, and quality-related compliance activities. Partner with Quality, Patient Safety, Compliance, Regulatory, and operational leaders to ensure alignment with accreditation and regulatory standards (e.g., TJC, CMS) and to support survey readiness and continuous improvement efforts.

Requirements

• Bachelor’s degree in Healthcare Administration, Health Services Administration, Nursing or other clinical discipline, Business Administration, Quality Management, or a closely related field (preferred)
• 3–5 years of experience in one or more of the following healthcare settings:
  • Hospital or health system
  • Healthcare quality, patient safety, or performance improvement
  • Policy management, regulatory compliance, or accreditation support
  • Healthcare operations or clinical administration
• Demonstrated experience with:
  • Policy development, review, approval, and document control processes
  • Regulatory and accreditation standards (e.g., TJC, CMS)
  • Survey readiness activities, audits, or tracers
  • Interdisciplinary collaboration with clinical and non-clinical leaders

Benefits

• Day one benefits package
• Pension Plan & 401K
• Competitive compensation
• FSA & HSA options
• PTO programs available
• Education Assistance

Why join us

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke’s family to be a part of making life better for our patients, their families, and one another.