Quality & Patient Safety Specialist - Regulatory

Quality & Patient Safety Specialist – Regulatory

About the role

At NewYork-Presbyterian Hospital, every day is an opportunity to elevate the standard of care. Our state-of-the-art environment empowers continuous improvement, innovation, and collaboration. With an unwavering commitment to quality excellence, we remain one of the nation’s top hospitals – enhancing processes, supporting our teams, and delivering exceptional outcomes for patients. Join us and be part of the team that Makes it Possible.

Responsibilities

• Support the hospital’s response to unannounced CMS and DOH surveys
• Provide on-site support throughout onsite survey activity
• Work with clinical teams to develop and implement post-survey plans of correction
• Support ongoing regulatory readiness efforts across multiple hospital sites
• Provide consultation, analysis, and improvement facilitation for quality, safety, and compliance initiatives
• Assess organizational compliance with CMS, DOH, and Joint Commission regulatory standards
• Collaborate with departments, service lines, and clinical teams to implement and sustain accreditation and regulatory processes
• Analyze internal and external quality and regulatory data to identify trends, opportunities, and strategic priorities
• Serve as a recognized resource for regulatory compliance
• Partner closely with Quality and Patient Safety colleagues across the enterprise as part of one integrated team

Qualifications

• The ideal candidate brings strong experience in CMS and DOH regulatory survey activity, regulatory compliance, and quality improvement.
• This full-time position requires flexibility to travel across the NewYork-Presbyterian enterprise as needed. While the home base may vary, time is often spent at our key Manhattan sites (Weill Cornell, Columbia, or Corporate).
• Preferred Criteria:
• Master’s degree in a related field
• Clinical licensure (RN, NP, PA, RD, PT/OT, or PharmD) with hands-on experience and leadership in a hospital setting
• Project Management Professional (PMP) or Six-Sigma Lean certification
• 3+ years of project management experience, including leading cross-functional initiatives, managing timelines, and coordinating project teams
• Extensive knowledge of CMS Conditions of Participation, DOH regulations and connection to hospital operations and policies
• Expertise in organizational patient readiness, patient safety protocols, and quality improvement methodologies
• Required Criteria:
• Bachelor's degree or equivalent experience
• Minimum 5 years of experience in healthcare, with a focus on regulatory, quality and performance improvement
• Knowledge of Joint Commission, CMS and DOH requirements and/or experience with Joint Commission or regulatory survey activity
• Experience with managing and interpreting data

Benefits

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Pay

$92,000-$152,500/Annual