Regulatory & Compliance HC Specialist 4 - Risk Management - FT Days

UC Irvine; Orange (CA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical insurance

Retirement savings plans

Employee discounts

Job summary

UCI Health seeks an experienced Regulatory Compliance professional to coordinate accreditation, regulatory, and licensing activities for the Medical Center. You will oversee submissions to CDPH, The Joint Commission, and CMS, aligning compliance with organizational operations.

You will develop policies, teach hospital teams, and serve as a bridge for complex regulatory issues, ensuring timely, accurate resolutions and ongoing program improvement.

Qualifications

• Knowledge of CMS Conditions of Participation, Federal and State regulations, and Joint Commission standards.
• Experience in a key role in CMS and Joint Commission surveys.
• Strong analytical skills for complex reports and actionable decisions.
• Excellent written and verbal communication skills in English.
• Ability to manage multiple projects with effective priority setting.

Responsibilities

• Coordinate accreditation, regulatory, and licensing activities for UCI Health.
• Review regulatory controls and programs; develop policies from a strategic perspective.
• Educate hospital and medical staff on compliance regulatory standards.
• Communicate regulatory issues to appropriate resources for investigation and resolution.

Skills

CMS Regulations knowledge

Regulatory compliance

Analytical skills

Communication skills

Presentation skills

Customer service skills

English proficiency

Leadership/mentorship

Education

Bachelor's Degree in health-related field

RN license or equivalent

Master's Degree in health-related field

Job description

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary: Supports the coordination of accreditation, regulatory, and licensing activities for UCI Health. The incumbent independently performs a wide range of functions related to the Medical Center’s Regulatory Compliance Program including the submission of necessary documentation to regulatory/accreditation entities such as the California Department of Public Health (CDPH), The Joint Commission (TJC), and Centers for Medicare and Medicaid (CMS). Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective; keeps abreast of regulatory issues, plans for changes and / or integration as new healthcare affiliations are assumed. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution.

What It Takes to be Successful

Required Qualifications:

• Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards. experience in a key role in CMS and Joint Commission surveys
• Strong analytical skills to comprehend complex reports and provide an analysis to support actionable decision making
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must have excellent presentation and computer skills
• Must demonstrate customer service skills appropriate to the job
• Must be able to work flexible hours and locations based on the organization's needs
• Minimum of five years’ experience in a quality or regulatory compliance role within a hospital or health care organization
• Excellent written and verbal communication skills in English
• Effective written and verbal communication skills; ability to communicate with customers/staff with diverse educational backgrounds
• Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role
• Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety
• Ability to manage numerous diverse projects simultaneously through effective priority setting
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System
• Ability to be self-directed and function independently with minimal supervision/direction

Preferred Qualifications:

• Recent experience leading a CMS or Joint Commission survey
• Master's Degree in health related field
• Knowledge of University and medical center organizations, policies, procedures and forms
• Current RN License

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [e-mail] or at [phone], Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization.