Senior Manager, Accreditation & Regulatory Compliance

Adventist Health; Temple City (CA); On-site; USD 140,000 - 180,000; Full time

Job summary

Adventist Health in Temple City, CA seeks an experienced regulatory compliance leader to direct accreditation readiness and licensing programs across the hospital network. You will oversee internal audits, mock surveys, tracer programs and staff education to ensure CMS, Joint Commission, and state standards compliance.

You will lead a team of professionals, coordinate with nursing, medical staff and operations to implement corrective actions, develop plans of correction, and maintain continuous

Qualifications

• Bachelor's degree required.
• Master's degree preferred.
• Five years of healthcare or related experience preferred.
• Three years in accreditation, regulatory compliance or process improvements preferred.
• Two years leadership experience preferred.

Responsibilities

• Align regulatory compliance programs with organizational strategy, quality initiatives, patient safety priorities and risk reduction goals.
• Lead a team safeguarding facility licensing status, maintain accreditations/certifications, and ensure regulatory compliance.
• Manage surveys and regulatory compliance with CMS, Joint Commission, and state requirements.
• Design and implement systems for continual regulatory, licensure and accreditation compliance; oversee mock surveys and documentation.
• Prepare reports, action plans and responses to citations; conduct root cause analyses as needed.
• Collaborate with Risk Management, Quality, Medical staff and other departments on policy planning and implementation.
• Perform internal reviews and audits to ensure compliance procedures are followed.

Skills

Regulatory compliance

Leadership

Quality improvement

Risk management

Education & training

Education

Bachelor's degree

Master's degree

Job description

Adventist Health in Temple City, CA seeks an experienced regulatory compliance leader to direct accreditation readiness and licensing programs across the hospital network. You will oversee internal audits, mock surveys, tracer programs and staff education to ensure CMS, Joint Commission, and state standards compliance.

You will lead a team of professionals, coordinate with nursing, medical staff and operations to implement corrective actions, develop plans of correction, and maintain continuous