Accreditation & Compliance Lead

UC Health (Cincinnati); Cincinnati (OH); On-site; USD 75,000 - 110,000; Full time

Job summary

UC Health Cincinnati is seeking an Accreditation Coordinator to drive regulatory readiness across hospital inpatient and outpatient departments. You will lead accreditation surveys, coordinate mock surveys, develop action plans, and build dashboards for leadership review.

The role requires strong regulatory knowledge, data analysis and adult education experience, with the ability to collaborate across clinical and administrative teams to maintain compliance and promote continuous improvement.

Qualifications

• Working knowledge of The Joint Commission, CMS Conditions of Participation, and state regulations.
• Strong analytical, organizational, and project management skills.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Experience with adult education & continuous improvement principles.
• Ability to design innovative tools and dashboards to support tracking and trending of regulatory compliance.

Responsibilities

• Lead preparation for internal and external accreditation surveys.
• Partner with inpatient and outpatient operators to conduct mock surveys, audits and tracers to assess compliance and readiness.
• Monitor and interpret regulatory updates and translate them into action plans and tools to close identified gaps.
• Collaborate with clinical and operational leaders to close identified compliance gaps.
• Develop dashboards, reports, and scorecards for leadership and operational teams.
• Serve as a liaison between inpatient and outpatient operations and internal regulatory, legal, risk, quality teams.

Skills

Regulatory knowledge

Project management

Data analysis

Communication skills

Adult education

Dashboards & reporting

Education

Bachelor's degree in Nursing or healthcare field

Master's degree preferred

Tools

AMP system

Job description

UC Health Cincinnati is seeking an Accreditation Coordinator to drive regulatory readiness across hospital inpatient and outpatient departments. You will lead accreditation surveys, coordinate mock surveys, develop action plans, and build dashboards for leadership review.

The role requires strong regulatory knowledge, data analysis and adult education experience, with the ability to collaborate across clinical and administrative teams to maintain compliance and promote continuous improvement.