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Regulatory Compliance Specialist
2 months ago
The Regulatory Compliance Specialist plays a crucial role in overseeing and coordinating regulatory functions within the healthcare organization. This position is essential for ensuring that all operations adhere to the necessary regulatory standards, including those set by CMS, DNV, state health departments, OSHA, and FDA, as well as various disease-specific accreditations.
Key Responsibilities:
- Oversee and manage ongoing compliance with regulatory agencies, ensuring the hospital maintains readiness for inspections and audits.
- Act as the primary resource for regulatory standards, staying updated on any changes or new requirements.
- Lead the Quality Management System (QMS) Audit Program, ensuring that auditors are well-trained and that audit logs are meticulously maintained.
- Coordinate mock surveys and participate in patient tracers to prepare for regulatory assessments.
- Gather and manage data required for accreditation and regulatory bodies, providing support for software used in compliance documentation.
- Develop and implement training programs for leadership and staff regarding accreditation standards and compliance readiness.
- Ensure that corrective action plans effectively address identified issues and that responses to regulatory requests are timely.
- Prepare and present reports on regulatory compliance metrics, maintaining a dashboard of key performance indicators.
- Facilitate the organization of all survey visits, both announced and unannounced.
- Establish a systematic approach for reviewing and updating hospital policies and procedures.
Qualifications:
- Education: A Bachelor's degree in a healthcare-related field is required.
- Experience: A minimum of 5 years in healthcare, including at least 3 years in a regulatory role.
Skills and Competencies:
- Strong knowledge of CMS regulations and accreditation standards.
- Familiarity with ISO 9001 standards and their application.
- Excellent relationship-building skills with both internal teams and external regulatory bodies.
- Ability to manage tight deadlines and respond effectively to regulatory inquiries.
- Proficient in Microsoft Office applications.
- Strong problem-solving abilities and experience in leading multidisciplinary teams.
- Detail-oriented with exceptional organizational skills.
- Outstanding communication skills, both written and verbal.
Work Environment:
- Ability to work for extended periods at a desk.
- Standard office environment.
- Proficient in operating necessary office equipment.
This job description outlines the essential functions and responsibilities of the role. It is not intended to be an exhaustive list of all duties that may be required.
