Program Manager, HR Compliance & Regulatory Audit

Audit Coordination & Accreditation Readiness

• Serves as the primary HR coordinator for external and internal audits and regulatory reviews.
• Captures, validates, and provides required documentation during surveys and inspections.
• Develops and maintains audit-ready documentation and supporting records.
• Tracks audit findings and corrective action plans through completion.

Licenses, Certifications & Credential Compliance

• Oversees processes to monitor employee licenses, certifications, registrations, and required credentials.
• PARTNERS WITH MEDICAL STAFF SERVICES, OCCUPATIONAL HEALTH, AND DEPARTMENT LEADERS TO ENSURE WORKFORCE COMPLIANCE WITH LICENSING AND CERTIFICATION REQUIREMENTS.
• DEVELOPS REPORTING AND TRACKING MECHANISMS FOR LICENSE RENEWALS AND EXPIRATIONS.
• INVESTIGATES LICENSE COMPLIANCE ISSUES AND COORDINATES RESOLUTION ACTIVITIES.
• MONITORS COMPLIANCE WITH MANDATORY WORKFORCE REQUIREMENTS AND HEALTHCARE CERTIFICATIONS.

Workforce Records & Documentation Management

• OVERSEES COMPLIANCE WITH WORKFORCE RECORD RETENTION REQUIREMENTS.
• DEVELOPS PROCEDURES TO ENSURE EMPLOYEE FILES AND DOCUMENTATION MEET REGULATORY AND ACCREDITATION STANDARDS.
• CONDUCTS PERIODIC AUDITS OF PERSONNEL RECORDS, I-9 DOCUMENTATION, LICENSED RECORDS, AND REQUIRED EMPLOYEE CERTIFICATIONS.
• MANTAINS DOCUMENTATION SUPPORTING WORKFORCE COMPLIANCE ACTIVITIES AND REGULATORY REPORTING.

HR Policy & Governance

• LEADS PERIODIC REVIEWS OF HR POLICIES AND PROCEDURES TO ENSURE REGULATORY COMPLIANCE.
• COORDINATES WITH HR LEADERSHIP AND LEGAL TO CREATE AND REVISE POLICIES BASED ON REGULATORY CHANGES.
• ENSURES CONSISTENT INTERPRETATION AND APPLICATION OF HR POLICIES ACROSS THE ORGANIZATION.
• SUPPORTS INVESTIGATIONS INVOLVING POTENTIAL COMPLIANCE CONCERNS.

Regulatory Reporting & Workforce Compliance Analytics

• COORDINATES PREPARATION OF WORKFORCE-RELATED REGULATORY REPORTS AND COMPLIANCE SUBMISSIONS.
• COLLABORATES WITH HUMAN RESOURCES TEAMS TO ENSURE DATA INTEGRITY.
• DEVELOPS DASHBOARDS AND REPORTING TO MONITOR:
  • LICENSE COMPLIANCE
  • CERTIFICATION COMPLETION
  • AUDIT FINDINGS
  • CORRECTIVE ACTION STATUS
  • POLICY ACKNOWLEDGEMENTS
  • REQUIRED TRAINING COMPLIANCE
• IDENTIFIES TRENDS AND RECOMMENDS RISK MITIGATION STRATEGIES.

Training & Education

• PROVIDES GUIDANCE TO HR STAFF AND LEADERS REGARDING WORKFORCE COMPLIANCE REQUIREMENTS.
• SERVES AS AN INTERNAL SUBJECT MATTER EXPERT ON HR COMPLIANCE AND WORKFORCE REGULATORY ISSUES.