Hybrid Manager, Regulatory Readiness

at Highmark Health

• Job title: Manager, Regulatory Readiness
• Job type: Full Time
• Experience level: Junior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Erie, United States

About the role

• Manager overseeing regulatory compliance and readiness at healthcare facilities, including audits and investigations.

Responsibilities

• 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