Corporate Director, Regulatory Affairs

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Work Location: Atlanta GA

The Corporate Director of Regulatory Affairs is an operational leader responsible for managing day-to-day regulatory activities and readiness across the health system.

The Corporate Director of Regulatory Affairs ensures that all facilities consistently meet federal state and accrediting body requirements by implementing and supporting system-wide regulatory initiatives.

The Corporate Director of Regulatory Affairs partners with clinical and administrative leaders to promote a culture of safety quality and continuous survey readiness aligned with the organizations commitment to being Always Patient addition the Corporate Director of Regulatory Affairs facilitates the development implementation and sustainability of regulatory strategies providing expert guidance and operational support to drive ongoing quality improvement strengthen patient safety and minimize regulatory risk across all Emory Healthcare facilities.

Regulatory Compliance and Accreditation Support:

1. Implement system-wide processes to ensure compliance with CMS The Joint Commission OSHA state agencies and other applicable regulatory and accrediting bodies
2. Support Emory Healthcare facilities in preparing for inspections audits and surveys by coordinating mock surveys facilitating readiness reviews and ensuring corrective actions are implemented and sustained
3. Serve as a key point of contact to support regulatory activities ensuring regulatory requirements are understood and applied consistently across all facilities
4. Assists sites interpret and operationalize requirements in alignment with health system policies

Policy Procedure and Program Implementation:

1. Assists in the development and system-wide rollout of policies procedures and standard operating practices to ensure consistent application across all facilities
2. Partners with operational leaders and department managers to embed regulatory requirements into workflows providing guidance and tools to support successful implementation
3. Supports the creation and sustainability of programs that integrate regulatory readiness into routine operations reinforcing a proactive compliance culture

Crisis and Incident Management:

1. Deliver education and training programs to help leaders and frontline teams understand and implement regulatory standards in daily practice
2. Assists with the operational aspects of survey management before during and after the survey
3. Function as a regulatory resource and coach to all EHC teams across the system reinforcing best practices and consistent understanding of regulatory requirements and expectations

Monitoring and Reporting:

1. Implement and maintain systems for tracking regulatory compliance including dashboards audit tools and reporting templates
2. Provide regular updates and performance summaries to leadership translating compliance data into actionable insights for operational leaders
3. Assist facilities with preparing documentation and evidence required for regulatory surveys and reviews ensuring completeness and accessibility

Crisis and Incident Management:

1. Support regulatory response efforts during incidents and emergencies ensuring documentation communication and reporting meet regulatory requirements
2. Serve as a health system regulatory lead during internal reviews of sentinel events supporting root cause analysis and the implementation of corrective actions
3. Monitor and follow up on regulatory-related incidents to ensure action plans are implemented sustained and shared across the system to promote learning

Travel: Less than 10% of the time may be required

Work Type: On-site - Works in the office at a physical workplace interacting with colleagues face-to-face

Minimum Required Qualifications:

• Education - Masters Degree Public Health Healthcare administration Nursing or a related field required
• Experience -
  • Minimum of 8 - 10 years of experience in regulatory affairs healthcare quality or a related field with at least 5 years in a leadership role within a large complex matrixed healthcare organization
  • Proven record of developing and implementing a system-wide continuous survey readiness program with measurable improvements in compliance survey outcomes and organizational readiness
  • Direct experience working with CMS The Joint Commission DNV OSHA and other federal and state regulatory agencies

Knowledge skills and abilities (required):

• Deep understanding of healthcare regulations accreditation standards and survey processes
• Strong ability to interpret complex regulatory requirements and translate them into practical sustainable operational strategies
• Exceptional leadership communication and facilitation skills with the ability to collaborate effectively across departments and disciplines
• Proficient in the use of regulatory data dashboards and performance metrics to guide decision-making and improvement efforts
• Ability to lead change coach others and foster a culture of continuous compliance and - Always Patient Ready - performance
• Excellent communication presentation and interpersonal skills with the ability to engage and coach teams at all levels of the organization

Preferred Qualifications Education

• Masters Degree in Public Health Healthcare administration Nursing or a related field required
• Experience - 10 years minimum experience with at least 5 years in a management position
• Experience - Clinical background preferred

PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs. 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking Occasional sitting Close eye work (computers typing reading writing) Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste chemicals/gases/fumes/vapors Communicable diseases Electrical shock Floor Surfaces Hot/Cold Temperatures Indoor/Outdoor conditions Latex Lighting Patient care/handling injuries Radiation Shift work Travel may be required. Use of personal protective equipment including respirators environmental conditions may vary depending on assigned work area and work tasks.

JOIN OUR TEAM TODAY! Emory Healthcare (EHC) part of Emory University (EUV) is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated the Emory Clinic and more than 425 provider locations. The Emory Healthcare Network established in 2011 is the largest clinically integrated network in Georgia with more than 3450 physicians concentrating in 70 different subspecialties.

Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred