Regulatory Affairs & Licensing Specialist

St. Charles Health System Inc.; Bend (OR); On-site; USD 48,000 - 72,000; Full time

Job summary

St. Charles Health System in Bend, Oregon seeks a Regulatory Affairs, Accreditation & Licensing Specialist to ensure regulatory readiness across Joint Commission, CMS, and state agencies.

The role collaborates with Quality Management and organizational leadership to maintain compliant documentation, reporting, and timely improvements. The position focuses on coordinating licensing, accreditation activities, and emergency preparedness, with 40 weekly hours, first shift, and a pay range of

Qualifications

• Required: Bachelor’s degree in related field or a combination of education and experience.
• Preferred: Master’s degree in related field. Formal training in lean, process improvement, accreditation and licensing.
• Required: Minimum two (2) years experience in healthcare accreditation, regulatory compliance, quality, or related healthcare operations.
• Preferred: Clinical and/or advanced experience with Joint Commission, CMS Conditions of Participation, OHA and OSHA.

Responsibilities

• Organizes, prepares, and leads regulatory programs (Joint Commission, Oregon Health Authority, CMS, OSHA) for SCHS.
• Leads preparation for regulatory surveys, inspections, licensing reviews, and unannounced visits; serves as liaison with regulatory agencies.
• Maintains regulatory reporting and submissions, including Joint Commission systems, licensure documentation, and required follow-up actions.
• Interprets and applies Oregon staffing laws and regulations, providing guidance to leaders on operational impact, compliance requirements, and risk mitigation strategies.
• Audits hospital and department compliance with standards using direct observation, chart review, data analysis, mock surveys, and tracers.

Education

Bachelor’s degree in related field

Master’s degree in related field

Job description

St. Charles Health System in Bend, Oregon seeks a Regulatory Affairs, Accreditation & Licensing Specialist to ensure regulatory readiness across Joint Commission, CMS, and state agencies.

The role collaborates with Quality Management and organizational leadership to maintain compliant documentation, reporting, and timely improvements. The position focuses on coordinating licensing, accreditation activities, and emergency preparedness, with 40 weekly hours, first shift, and a pay range of