Regulatory Compliance Program Manager

About the role

Regulatory Compliance Program Manager

Location: Seattle, Washington

Virginia Mason Franciscan Health (VMFH) is seeking a Regulatory Compliance Program Manager to ensure all facets of patient safety are identified and integrated into comprehensive plans.

Responsibilities

• Ensure assigned hospitals and clinics are continuously aligned with The Joint Commission (TJC) standards and all applicable state and federal regulations.
• Drive ongoing regulatory compliance activities through extensive rounding and engagement with both clinical and non-clinical departments across VMFH facilities.
• Oversee the effective implementation of policies and procedures to ensure regulatory adherence.
• Lead and coordinate all aspects of survey preparation, manage survey processes, and ensure diligent follow-up on findings.
• Proactively assess standards compliance, identify potential vulnerabilities, and report findings to key stakeholders with clear actionable insights.
• Develop and conduct targeted training programs for management, educators, and staff in response to identified or potential deficiencies, fostering a culture of compliance.

Requirements

• Bachelor's degree in healthcare administration, nursing or other healthcare-related field.
• Five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge.
• Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization’s or department Quality, Safety, or Regulatory Program.
• Minimum of two (2) years of clinical, patient experience or equivalent.
• Experience developing, and implementing clinical, service and operation process initiatives, both small and large scale.