Senior Director Regulatory and Accreditation

DescriptionThis position is incentive eligible.IntroductionDo you want to join an organization that invests in you as a Senior Director Regulatory and Accreditation? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.BenefitsHCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Free counseling services and resources for emotional, physical and financial wellbeing

401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

Employee Stock Purchase Plan with 10% off HCA Healthcare stock

Family support through fertility and family building benefits with Progyny and adoption assistance.

Referral services for child, elder and pet care, home and auto repair, event planning and more

Consumer discounts through Abenity and Consumer Discounts

Retirement readiness, rollover assistance services and preferred banking partnerships

Education assistance (tuition, student loan, certification support, dependent scholarships)

Colleague recognition program

Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)Note: Eligibility for benefits may vary by location.You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Senior Director Regulatory and Accreditation like you to be a part of our team.Job Summary and QualificationsThe primary purpose of the Regulatory and Accreditation Services Department is to promote safe, high quality and effective patient care through maintaining accreditation, certification and licensure compliance of all facilities. HCA Healthcare clinical strategies and regulatory compliance are foundational to the work of the department.The Senior Director, Regulatory and Accreditation Services is responsible for assisting in the management, direction, reporting, and measurement of the HCA Healthcare Continual Survey Readiness Evaluation (CSRE) for the operational support, consultation, and guidance to all HCA Healthcare hospitals and ambulatory surgery centers. The HCA Healthcare CSRE serves as the internal clinical audit function for HCA Healthcare and thus is the entity responsible to the executive management and board for identification and reporting of facility operational performance. The Senior Director, Regulatory and Accreditation Services serves as a leader within the CSRE team and provides direction, oversight, and planning for the high-risk response team and follow-up strategies for facilities preparing for or responding to regulatory and accreditation activity. The senior director provides leadership with regard to the development and implementation of strategies and tools to provide consultation and education to HCA Healthcare facilities for clinical performance improvement and foundational standards of operational compliance including The Joint Commission (TJC)/Accreditation Association for Ambulatory Health Care (AAAHC), Centers for Medicare and Medicaid Services (CMS), and other healthcare standard setting and enforcement entities. The senior director may also serve as a team lead or team surveyor on CSRE team that performs proactive regulatory and accreditation readiness assessments. In the environment of increasing pressure on regulatory standards and accrediting organizations, this position is critical to the HCA Healthcare mission and clinical strategies.This job may require 75% or more travel. This role will be based out of Nashville, TN.Major Responsibilities:Collaborates with direct reports to ensure accurate production of CSRE metrics for senior HCA Healthcare executives and board members based on the analysis of facility data and interpretation of cumulative data trends throughout the enterpriseTravels to provide onsite expert consultation and survey for HCA Healthcare CSRE to HCA Healthcare hospital and ambulatory surgery center (ASC) administrator/chief executive officers, chief nursing officers, and other hospital/ASC board of trustee and medical staff leaders regarding clinical performance improvement and foundational operational standards requiring facility complianceRole complements and provides guidance to division vice president, quality or director, quality and risk managementDaily prioritization and management of CSRE work flow, identifying and escalating critical patient safety and regulatory issues to senior department leadershipIdentifying CSRE work process improvements to resolve operational problems and collaborating with other team members to ensure implementation of identified improvementsProvides oversight with regard to CSRE data produced by department; collaborate with involved team members to ensure most accurate and efficient means are utilized in production of data setsMaintaining Regulatory and Accreditation Services staff effectiveness.Education & Experience:Master's degree requiredDoctoral degree (Ph.D., DNP, Pharm.D, MD, etc.) preferred3+ year(s) of experience in a leadership role preferred5+ years of management experience requiredOr equivalent combination of education and/or experienceLicenses, Certifications, & Training:Registered nurse, registered pharmacist, or other, equivalent experience with five years’ experience of oversight of clinical strategies, accreditation, certification, and/or licensure for hospitals and/or ambulatory care centerKnowledge, Skills, Abilities, Behaviors:Demanding, extended periods of standing, walking, and focused concentration. On-site consultation days may exceed 10-14 hours based on organization-specific need.Technology expertise to guide use of technology to support onsite consultation and educationExpert knowledge and total command of clinical performance improvement, standards, regulations, and Conditions of Participation to guide hospital/ASC quality and risk directors in their position requirements and to counsel CEO/Administrator, CNO, COO, medical staff, and board leaders in continuous patient care improvement in a foundationally compliant manner.HCA Healthcare (Corporate) , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities , every person has a solid foundation for success. Nashville is also home to our Executive Development Program , where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-FounderWe are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Director Regulatory and Accreditation opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.