Assistant Vice President (AVP), Regulatory & Accreditation Services
Assistant Vice President (AVP), Regulatory & Accreditation Services
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Job Description
Schedule: Days: MF
Job Location Type: Remote/Hybrid
Your experience matters:
At Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team youll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier.
More about our team:
The Regulatory and Accreditation Services team partners with Lifepoint facilities to ensure compliance with federal state and accreditation standards. We provide coaching mentorship and oversight to help facilities stay survey-ready while supporting continuous improvement in quality safety and patient outcomes.
How youll contribute:
A Director Regulatory and Accreditation Services who excels in this role will:
Demonstrate a thorough understanding of The Joint Commission (TJC) CMS and other regulatory requirements
Provide guidance support and mentorship on CMS Conditions of Participation accreditation and survey readiness activities
Collaborate with Hospital Operations Clinical and Quality teams to advance regulatory compliance and patient safety outcomes
Participate in Survey Readiness Assessments (SRAs) to evaluate facility performance and improvement opportunities
Serve as a resource for accreditation CMS compliance performance improvement patient safety and infection control processes
Provide oversight and tracking to ensure facilities maintain compliance with local state and federal regulations
Support the process of applying for and maintaining accreditations
Coordinate internal audits SRAs and ensure documentation for surveys is complete and accurate
Participate in policy development and maintenance for compliance and accreditation matters
Train Quality staff and other leaders on regulatory requirements and compliance expectations
Maintain tracking records reports and correction plans; provide guidance on corrective actions
Act as a liaison between HSC leadership facilities and regulatory bodies for accreditation and compliance matters
Why join us:
We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:
Comprehensive Benefits: Multiple levels of medical dental and vision coverage for full-time and part-time employees
Financial Protection & PTO: Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off
Financial & Career Growth: Higher education and certification tuition assistance loan assistance and 401(k) retirement package with company match
Employee Well-being: Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs)
Professional Development: Ongoing learning and career advancement opportunities
What were looking for:
Applicants should bring a strong background in healthcare regulatory and accreditation with at least 7 years of experience including 5 years in a leadership role. Additional requirements include:
RN with a masters degree in healthcare administration/management or related field; PharmD considered
Current professional license in discipline required at time of hire and maintained throughout employment
CPHQ and/or CPPS preferred
Experience supporting TJC CMS and state regulatory compliance
Knowledge and experience in Quality Management evidence-based clinical practice and data analysis of quality indicators
Familiarity with OPPE/FPPE processes
Strong skills in team facilitation education program development problem-solving and regulatory coaching
Work environment & travel:
Overnight travel required depending on business needs (50%-60%)
EEOC Statement:
Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Work Authorization:
You must be authorized to work in the United States without employer sponsorship.
Required Experience:
Chief
Employment Type
Full-Time
