SSM Health · 6 hours ago
Regulatory Specialist (S)
Greater St. Louis
Full-time
Onsite
Entry Level
1+ years expSSM Health is a leading healthcare organization committed to innovation, quality, and compassionate service. They are seeking a Regulatory Specialist to ensure compliance with healthcare regulations and standards while collaborating with cross-functional teams to develop and implement regulatory policies that safeguard patient safety and organizational integrity.
Health Care
Responsibilities
Possesses a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing Act standards and regulations and stays current with changes to these standards and regulations
Reviews current standards and ensures awareness of new and revised standards. Possesses a working knowledge of organizational policies and procedures and assists with development and revision of Policies and Procedures to ensure compliance with hospital regulations
Maintains a state of continual readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific regulations. Supports the hospital(s) using the SSM Regulatory Model Scope of Service approach and tools to ensure a state of constant readiness for survey and compliance laws and regulations
Provides education, consultation and interpretation of regulations and accreditation standards, with an emphasis on hospital, ambulatory and behavioral health standards and/or regulations
Assists in facilitating an integrated organizational approach to assessing and meeting regulatory requirements and process improvements. Supports and facilitates coordination of regulatory surveys for the outpatient and inpatient practice
Organizes and leads surveys at assigned ministry. Also provides ongoing support to other region ministries for survey activity and/or other compliance needs. Utilizes team leading and facilitation skills to support meetings, action plans, development of measures and goals, and data collection
Coordinates all hospital related regulatory inquiries. Facilitate all state, CMS, and TJC on-site visits and remote complaints/investigations. Responsible for developing and monitoring action plans to address compliance issues. Ensures all required regulatory related reports within the hospital and region are completed and submitted to regulatory agencies accurately and timely
Plans and implements systems for assessment and improvement of processes related to hospital operations to ensure regulatory compliance. Coordinates and facilitates hospital wide and clinic tracers. Gathers data from tracers and chart audits to create departmental scorecards related to key compliance issues. Communicates findings to administrative teams
Facilitates the completion of the annual Intracycle Monitoring (ICM), a complete gap analysis of compliance with TJC standards. Works with leaders to develop, implement and monitor action plans for any identified non-compliance
Conducts investigations and audits to identify areas of risk. Drafts plans for improving compliance practices to address those risks, and monitors to ensure the program is following best practices and standards
Performs other duties as assigned
Qualification
Required
Possesses a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing Act standards and regulations and stays current with changes to these standards and regulations
Reviews current standards and ensures awareness of new and revised standards. Possesses a working knowledge of organizational policies and procedures and assists with development and revision of Policies and Procedures to ensure compliance with hospital regulations
Maintains a state of continual readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific regulations. Supports the hospital(s) using the SSM Regulatory Model Scope of Service approach and tools to ensure a state of constant readiness for survey and compliance laws and regulations
Provides education, consultation and interpretation of regulations and accreditation standards, with an emphasis on hospital, ambulatory and behavioral health standards and/or regulations
Assists in facilitating an integrated organizational approach to assessing and meeting regulatory requirements and process improvements. Supports and facilitates coordination of regulatory surveys for the outpatient and inpatient practice
Organizes and leads surveys at assigned ministry. Also provides ongoing support to other region ministries for survey activity and/or other compliance needs. Utilizes team leading and facilitation skills to support meetings, action plans, development of measures and goals, and data collection
Coordinates all hospital related regulatory inquiries. Facilitate all state, CMS, and TJC on-site visits and remote complaints/investigations. Responsible for developing and monitoring action plans to address compliance issues. Ensures all required regulatory related reports within the hospital and region are completed and submitted to regulatory agencies accurately and timely
Plans and implements systems for assessment and improvement of processes related to hospital operations to ensure regulatory compliance. Coordinates and facilitates hospital wide and clinic tracers. Gathers data from tracers and chart audits to create departmental scorecards related to key compliance issues. Communicates findings to administrative teams
Facilitates the completion of the annual Intracycle Monitoring (ICM), a complete gap analysis of compliance with TJC standards. Works with leaders to develop, implement and monitor action plans for any identified non-compliance
Conducts investigations and audits to identify areas of risk. Drafts plans for improving compliance practices to address those risks, and monitors to ensure the program is following best practices and standards
Bachelor's degree or equivalent combination of education and experience
One year experience in related field
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc
Frequent keyboard use/data entry
Occasional bending, stooping, kneeling, squatting, twisting and gripping
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs
Rare climbing
Benefits
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Company
SSM Health
SSM Health is a Catholic, not-for-profit health system.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Joy Grosser
Chief Information Officer
Kim Henrichsen
President
Recent News
Springfield Business Journal
2026-01-22
Springfield Business Journal
2026-01-05
2025-12-11
Company data provided by crunchbase