Accreditation & Compliance Lead

Baylor Scott & White Health; Wylie (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

Baylor Scott & White Health seeks a compliance professional to oversee accreditation efforts and ensure readiness for surveys. The role acts as an internal consultant to interpret standards and assess overall compliance across hospital operations.

You will support continuous improvements, coordinate survey activities, and report to senior leadership on changes in accreditation standards and licensure requirements. Strong communication and data analysis skills are essential.

Qualifications

• Bachelor's degree required.
• Minimum 3 years of experience in accreditation/compliance.

Responsibilities

• Coordinate Joint Commission activities to ensure facility compliance with standards.
• Review and recommend changes to policies and procedures; evaluate care, safety, and information management plans.
• Provide consultative support for action plan development; track progress and report status to leadership.
• Prepare written responses and develop corrective actions for Joint Commission recommendations.
• Educate on accreditation requirements and facilitate quality improvement teams.
• Coordinate accreditation survey preparation and execution; follow-up on deliverables.
• Serve as liaison to surveyors from TDSHS during investigations and surenges.

Skills

Strategic planning

Verbal communication

Written communication

Statistical analysis

Data reporting

Accreditation standards knowledge

Cross-functional collaboration

Data collection

Education

Bachelor's Degree

Tools

Epic

MS Office

Job description

Baylor Scott & White Health seeks a compliance professional to oversee accreditation efforts and ensure readiness for surveys. The role acts as an internal consultant to interpret standards and assess overall compliance across hospital operations.

You will support continuous improvements, coordinate survey activities, and report to senior leadership on changes in accreditation standards and licensure requirements. Strong communication and data analysis skills are essential.