Regulatory Compliance Program Manager

CommonSpirit Health; Seattle (WA); On-site; USD 68,576 - 113,156; Full time

Job summary

CommonSpirit Health in Seattle is seeking a Regulatory Compliance Program Manager to ensure the compliance of patient safety standards across Virginia Mason Franciscan Health facilities. This role involves leading regulatory compliance activities and overseeing the effective implementation of relevant policies.

The ideal candidate holds a Bachelor's in healthcare administration, has over five years of experience, including management in an acute care setting, and possesses a strong focus on patient safety. The position offers a competitive pay range of $49.78 - $82.14 per hour.

Qualifications

• 5+ years of progressively responsible work experience in healthcare.
• 3+ years of management responsibility in an acute care setting.
• 2+ years of clinical or patient experience.

Responsibilities

• Ensure hospitals comply with The Joint Commission standards.
• Facilitate ongoing regulatory compliance activities.
• Oversee implementation of policies and procedures.

Skills

Regulatory compliance

Patient safety

Healthcare administration

Management in healthcare

Education

Bachelor's degree in healthcare administration or related field

Job description

Job Summary and Responsibilities

As our Regulatory Compliance Program Manager, you will help ensure that all facets of patient safety are identified and integrated into comprehensive plans so that Virginia Mason Franciscan Health (VMFH) can provide the highest standards of patient care. Every day you will facilitate on‑going regulatory compliance activities through extensive rounding on clinical and non‑clinical departments at VMFH.

Key Responsibilities

• Compliance Leadership: Ensure assigned hospitals and clinics are continuously aligned with The Joint Commission (TJC) standards and all applicable state and federal regulations.
• Continuous Readiness Facilitation: Drive ongoing regulatory compliance activities through extensive rounding and engagement with both clinical and non‑clinical departments across VMFH facilities.
• Policy & Procedure Implementation: Oversee the effective implementation of policies and procedures to ensure regulatory adherence.
• Survey Preparedness & Management: Lead and coordinate all aspects of survey preparation, manage survey processes, and ensure diligent follow‑up on findings.
• Vulnerability Assessment & Reporting: Proactively assess standards compliance, identify potential vulnerabilities, and report findings to key stakeholders with clear actionable insights.
• Training & Education: Develop and conduct targeted training programs for management, educators, and staff in response to identified or potential deficiencies, fostering a culture of compliance.

Job Requirements

Required

• Bachelor's degree in healthcare administration, nursing or other healthcare‑related field.
• Five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge.
• Minimum of three years of progressive management responsibility in an acute care setting, at least one of which is related to managing an organization’s or department Quality, Safety, or Regulatory Program.
• Minimum of two years of clinical, patient experience or equivalent.
• Experience developing, and implementing clinical, service and operation process initiatives, both small and large scale.
• Any equivalent combination of education and experience which meets requirements and provides the required knowledge, skills and abilities.

Preferred

• Active Washington State Registered Nurse License
• Certified Professional in Healthcare Quality (CPHQ)

Where You'll Work

Virginia Mason Franciscan Health is located across the Puget Sound area with a network of 10 hospitals and nearly 300 care sites.

Pay Range

$49.78 - $82.14 /hour