Compliance Program Mgr

MultiCare Health System; Tacoma (WA); On-site; USD 95,000 - 137,000; Full time

Job summary

MultiCare Health System is hiring a Fire Life Safety & Environment of Care Compliance Program Manager to lead regulatory compliance and preparedness across Facilities Management. The role ensures consistent processes, procedures, and policies to meet Joint Commission and other regulatory requirements.

The position requires 5+ years in fire and life safety, environment of care, or healthcare compliance, with a strong background in healthcare settings and regulatory environments.

Qualifications

• BA/BS degree in Facilities Management, Safety, Compliance, Healthcare Administration, or related field or equivalent training/experience.
• Minimum of 5 years of experience in fire and life safety, environment of care, healthcare compliance, or related field.
• Extensive knowledge of fire and life safety codes, environment of care regulations, and healthcare compliance requirements.
• Experience working in a healthcare or regulatory compliance environment preferred.

Responsibilities

• Collaborates with Facilities Management to ensure JC compliance across MHS and ensures integrated and consistent standards are applied throughout MultiCare Health System
• Supports organizational readiness through partnership with the Quality and Regulatory Readiness Team
• Participates in Mock Survey’s, educating and mentoring staff, and completing detailed reports to support corrective action planning
• Supports HOPD site review and assessments
• Provides code interpretation to support organizational construction projects and readiness
• Manages organizational construction closeout and commissioning process for all large construction projects
• Develops, updates, communicates, and implements assessments for successful Facility Management compliance and preparedness Ensure MultiCare Health System has integrated, consistent processes, procedures, policies, and work practices to meet applicable JC and other regulatory compliance
• Provides regulatory input on capital projects and Facilitates surveys and recommendations by MHS property insurance carriers
• Maintains current knowledge of national, state, and local codes, applicable laws and regulations, including but not limited to Joint Commission, Department of Health, State Fire Marshall, and industry standards (NFPA, CMS, DOH, TJC, ASHRAE, OSHA, ASTM, etc.)
• Coordinates the department’s approach to JC standards and serves as a partner with Quality Department and EOC leadership for JC readiness and response for Fire/Life Safety and Environment of Care

Skills

Fire & life safety codes

Healthcare compliance

Regulatory environments

Education

BA/BS degree in Facilities Management, Safety, Compliance, Healthcare Administration, or related field

Job description

Join a team that shares your calling

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

Join a team that shares your calling

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

FTE: 1.0, Shift: Day, Schedule: _

Position Summary

The Fire Life Safety & Environment of Care (FLS/EOC) Compliance Program Manager is responsible for leading and supporting regulatory compliance and Facilities Management preparedness initiatives for the MHS. This role ensures the system maintains integrated, consistent processes, procedures, policies, and work practices that meet applicable Joint Commission (JC) and other regulatory requirements.

Responsibilities

• Collaborates with Facilities Management to ensure JC compliance across MHS and ensures integrated and consistent standards are applied throughout MultiCare Health System
• Supports organizational readiness though partnership with the Quality and Regulatory Readiness Team:
• Participates in Mock Survey’s, educating and mentoring staff, and completing detailed reports to support corrective action planning
• Supports HOPD site review and assessments
• Provides code interpretation to support organizational construction projects and readiness
• Manages organizational construction closeout and commissioning process for all large construction projects
• Develops, updates, communicates, and implements assessments for successful Facility Management compliance and preparedness Ensure MultiCare Health System has integrated, consistent processes, procedures, policies, and work practices to meet applicable JC and other regulatory compliance
• Provides regulatory input on capital projects and Facilitates surveys and recommendations by MHS property insurance carriers
• Maintains current knowledge of national, state, and local codes, applicable laws and regulations, including but not limited to Joint Commission, Department of Health, State Fire Marshall, and industry standards (NFPA, CMS, DOH, TJC, ASHRAE, OSHA, ASTM, etc.)
• Coordinates the department’s approach to JC standards and serves as a partner with Quality Department and EOC leadership for JC readiness and response for Fire/Life Safety and Environment of Care

Requirements

• BA/BS degree in Facilities Management, Safety, Compliance, Healthcare Administration, or a related field. or equivalent combination of technical training /certification and additional qualifying work experience may be substituted for education
• Minimum of 5 years of experience in fire and life safety, environment of care, healthcare compliance, or a related field.
• Extensive knowledge of fire and life safety codes, environment of care regulations, and healthcare compliance requirements.
• Experience working in a healthcare or regulatory compliance environment preferred.

Why MultiCare?

Rooted in the local community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.

Growth and education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.

Well-being and support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.

Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Belonging for all

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.

Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a comprehensive range of compensation for candidates hired into each position. The pay scale is $94,889.60 - $136,572.80 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.