Program Manager, Accreditation & Regulatory Affairs

Job Summary

The Program Manager, Accreditation & Regulatory Affairs leads the development and execution of regulatory survey readiness strategies across hospital and ambulatory settings, ensuring sustained compliance with accreditation and certification standards. This role oversees all aspects of survey coordination, from preparation through post-survey follow-up, while driving continuous improvement through program evaluation and targeted education initiatives. The position partners with clinical, operational, and technical leaders to integrate regulatory requirements into system processes and serves as a key change agent to promote alignment with federal, state, and accrediting body standards.

Minimum Qualifications

• Licenses & Certifications:
  • Certified Quality Auditor (Or) Cert Prof in Hlth Care Quality (Or) Equivalent; Hospital Accreditation, Quality or Risk Management
• Degrees:
  • Bachelor's Degree Nursing, Allied Health or Business Preferred
  • Master's Degree Nursing or Allied Health Preferred
• Work Experience:
  • Five (5) Years Work ExperienceHealthcare related fields. With Project management experience.
• Management Experience:
  • Three (3) Years of Management ExperienceHealth care quality assessment, performance improvement, accreditation, regulatory affairs, or risk management Preferred
• Communication Skills:
  • Above Average Verbal Communication (Heavy Public Contact)
  • High-level interpersonal communication skills needed to interact effectively with all levels of personnel
• Knowledge/Skills/Abilities:
  • Analytical Abilities
  • Design Knowledge and Skills
  • Mathematics
  • Medical Terminology Knowledge
  • Data visualization skills required to trend and support decision-making
  • Research Knowledge and Abilities
  • Statistical Knowledge and Abilities

Work Schedule

Flexible
Overtime During onsite survey activities. Extended hours will be required.
Eligible for Telecommute

Other Requirements

• MS Word Intermediate
• MS PowerPoint Intermediate
• MS Excel Intermediate
• MS Outlook Intermediate
• MS Project basic
• PC Intermediate