Accreditation Program Manager
Core
Ensures hospital readiness for regulatory and accreditation surveys, serving as the primary liaison between surveyors and leadership while integrating compliance into daily operations.
Role type
Senior IC Accreditation Program Manager
Builds
Regulatory compliance posture and survey readiness for the hospital
Domain
Healthcare regulatory compliance and accreditation
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Knowledge of healthcare regulatory/accreditation standards (CoP), interpreting complex regulations, managing compliance documentation and audits, developing plans of correction, facilitating mock surveys and tracers, policy management, leading interdisciplinary teams
Preferred skills
Clinical background, background in quality/patient safety/performance improvement, experience with Quality/Patient Safety initiatives
Technologies
Policy management systems
Responsibilities
Lead survey preparation activities and monitor regulatory compliance, serve as point of contact for announced and unannounced surveys, identify gaps and guide corrective action planning, oversee the policy management system, oversee the Accreditation Specialist, facilitate the Accreditation Readiness Committee (ARC) and Policy Advisory Committee (PAC), lead post-survey follow-up including plan of correction development
Seniority
Senior, hands-on IC with leadership responsibilities