CommonSpirit Health · 2 weeks ago
Regulatory Compliance Program Manager
Seattle, WA
Full-time
Onsite
Senior Level
$49.78/hr - $74.05/hr
5+ years expCommonSpirit Health is seeking a dedicated Regulatory Compliance Program Manager to provide essential operational support and strategic coordination for their Patient Safety, Accreditation, and Licensing programs. This role ensures compliance with healthcare regulations and standards, promoting continuous readiness and high-quality patient care.
Health CareMedicalNon Profit
Responsibilities
Provide operational support and overall strategic implementation for Patient Safety and Accreditation and Licensing programs, ensuring a cohesive and comprehensive approach
Ensure assigned hospitals and clinics are continuously aligned with The Joint Commission (TJC) standards and all applicable state and federal regulations
Drive ongoing regulatory compliance activities through extensive rounding and engagement with both clinical and non-clinical departments across VMFH facilities
Oversee the effective implementation of policies and procedures to ensure regulatory adherence
Lead and coordinate all aspects of survey preparation, manage survey processes, and ensure diligent follow-up on findings
Proactively assess standards compliance, identify potential vulnerabilities, and report findings to key stakeholders with clear actionable insights
Develop and conduct targeted training programs for management, educators, and staff in response to identified or potential deficiencies, fostering a culture of compliance
Assist in the review and trending of incident report information, providing valuable quality data for internal quarterly reviews and ongoing physician performance evaluations
Offer expert guidance and coaching to management, empowering them to achieve and maintain a state of continuous readiness for all licensure, accreditation, and certification programs, as well as ensuring ongoing compliance with state and federal rules and regulations
Qualification
Required
Bachelor's degree in healthcare administration, nursing or other healthcare-related field
Five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge
Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization's or department Quality, Safety, or Regulatory Program
Minimum of two (2) years of clinical, patient experience or equivalent
Experience developing, and implementing clinical, service and operation process initiatives, both small and large scale
Any equivalent combination of education and experience which meets requirements and provides the required knowledge, skills and abilities to perform the essential functions of the position
In-depth knowledge of The Joint Commission (TJC) standards, CMS regulations, state licensing requirements, and other relevant federal healthcare compliance mandates
Strong understanding of patient safety principles, methodologies, and quality improvement processes
Exceptional analytical ability to assess complex situations, identify compliance risks, and develop effective, practical solutions
Excellent verbal, written, and presentation skills to effectively communicate complex regulatory information to diverse audiences, from frontline staff to senior leadership
Proven ability to provide effective guidance, coaching, and training to staff and management, fostering self-sufficiency in compliance
Superior organizational abilities to manage multiple projects, priorities, and deadlines across various facility departments
A strong sense of initiative and a proactive approach to identifying and addressing compliance challenges
Preferred
Active Washington State Registered Nurse License
Certified Professional in Healthcare Quality (CPHQ)
Company
CommonSpirit Health
Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Wright Lassiter
Chief Executive Officer
Christine Brocato
System VP, Strategic Innovation
Recent News
2026-01-20
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2026-01-20
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