Regulatory & Accreditation Program Lead

1100 Endeavor Health Clinical Operations; Glenview (IL); On-site; USD 99,000 - 154,000; Full time

Benefits offered by this job

Premium pay

Career pathways

Medical insurance

Dental options

Tuition reimbursement

Free parking

Wellness program

Savings plan

HSA options

401(k) match

Paid time off

Community involvement

Job summary

Endeavor Health seeks a Program Manager, Regulatory/Accreditation to coordinate complex accreditation and regulatory activities across facilities. You will lead readiness for Joint Commission, ACHC, AAAHC, IDPH, and CMS, ensuring standardization and timely responses.

Reporting to the AVP of Accreditation, Regulatory and Compliance, you will work with cross-functional teams to implement regulatory strategies, oversee ESIs, and educate leaders on regulatory requirements.

Qualifications

• Bachelor’s Degree required.
• 5+ years in a clinical setting.
• 3+ years in quality, risk management, or regulatory/accreditation.
• Familiarity with TJC, CoP, IDPH, EPIC and hospital clinical workflows.

Responsibilities

• Lead preparation for regulatory activities at assigned entities, departments, business lines, and institutes.
• Collaborate with content area experts to maintain continuous readiness across the organization.
• Develop compliance strategies and tactics with senior leaders.
• Oversee entity regulatory reporting with quality and other departments.
• Lead responses to Joint Commission and IDPH related to ESC or post-survey activities.
• Assist with survey preparation and readiness assessments.

Skills

Data analysis

MS Excel

Written and verbal communication

Regulatory understanding

Project management

Education

Bachelor's Degree

Tools

EPIC

MS Excel

Job description

Endeavor Health seeks a Program Manager, Regulatory/Accreditation to coordinate complex accreditation and regulatory activities across facilities. You will lead readiness for Joint Commission, ACHC, AAAHC, IDPH, and CMS, ensuring standardization and timely responses.

Reporting to the AVP of Accreditation, Regulatory and Compliance, you will work with cross-functional teams to implement regulatory strategies, oversee ESIs, and educate leaders on regulatory requirements.