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Hybrid Manager, Regulatory Readiness

at Highmark Health
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Posted 2 weeks ago

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About the role

  • Create a culture of continuous regulatory readiness through continual proactive measures.
  • Educate all levels of staff, including managers, directors and senior leaders to regulatory requirements including regulations and standards in development.
  • Conduct regular assessments through audits (formal and informal), mock tracers and mock surveys.
  • Respond to actual or potential noncompliance identified via these assessments by ensuring that appropriate corrective measures have been taken and that they have successfully eliminated the risk or deficiency; oversee ongoing monitoring to ensure sustained regulatory compliance.
  • Support and participate in the Network continuous survey readiness effort: host mock surveys; participate in other hospitals mock surveys; participate in other hospitals investigations, inspections and surveys as appropriate.
  • Manage all aspects of investigations, inspections and surveys conducted by regulatory and accrediting agencies: prepare for and facilitate visits, ensuring appropriate oversight of the regulators/surveyors; respond to deficiencies by ensuring that appropriate corrective measures have been taken and that they have successfully eliminated the deficiency; oversee ongoing monitoring to ensure sustained regulatory compliance.
  • Serves as the hospital's liaison with regulatory and accrediting agencies, including but not limited to: The Joint Commission, The PA Department of Health, OSHA, and the FDA. In this role, represent the hospital during surveys and hearings before regulatory agencies.
  • Ensure that hospital policies and procedures are consistent with laws, regulations and standards; ensure compliance with hospital policies via education, auditing, communicating results of audits, ensuring corrective actions are taken by management staff and overseeing sustained compliance.

Requirements

  • Minimum Bachelor's degree in healthcare, regulatory or compliance or relevant experience and/or education as determined by the company in lieu of bachelor's degree
  • 1 - 3 years work experience in the regulatory, accreditation or compliance field
  • 1 - 3 years supervisory experience
  • 3 - 5 years experience facilitating or coordinating investigations or surveys conducted by regulatory or accrediting agencies
  • Preferred Master's degree in healthcare, regulatory or compliance
  • 3 - 5 years work experience in the regulatory, accreditation or compliance field
  • Certified Joint Commission Professional

Benefits

  • Health insurance
  • 401(k)
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities

Job title

Manager, Regulatory Readiness

Job type

Full Time

Experience level

Junior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

HybridErieUnited States

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