Accreditation and Regulatory Specialist (Local / Hybrid)

Vanderbilt University Medical Center•Nashville, TN

1d•Hybrid

About The Position

The Accreditation and Regulatory Specialist ensures organizational compliance by interpreting, implementing, and monitoring adherence to complex federal and state regulations. The role collaborates across departments to identify compliance gaps, mitigate institutional risk, and support continuous quality improvement across Vanderbilt Health. The specialist uses data analytics to identify potential regulatory risks, helps develop corrective action plans with unit leadership, may initiate or advise on policy drafts and revisions, and facilitates the review, response, and documentation of complaints from external parties. The position also supports obtaining additional systemwide licensures, accreditations, and certifications and may assist with regulatory visits. The role is part of the Department of Quality, Safety, and Risk Prevention, which supports safe, timely, effective, efficient, and patient-centered care across Vanderbilt Health’s Main Campus, Regional Hospitals, and Ambulatory Divisions. The position calls for healthcare data analysis, regulatory compliance, documentation, and project management capabilities, with two years of relevant work experience and a bachelor’s degree listed in the qualifications.

Requirements

Two years of relevant work experience.
Bachelor’s degree.
Accreditation and regulatory experience is strongly preferred.
Nursing experience is preferred but not required.
Some project management experience is preferred.
Healthcare data analysis capability at the intermediate level.
Regulatory compliance capability at the intermediate level.
Regulatory strategy capability at the novice level.
Regulatory documentation capability at the novice level.
Project management capability at the intermediate level.

Nice To Haves

Accreditation and regulatory experience.
Nursing experience.
Some project management experience.

Responsibilities

Use proactive data analytics to identify potential regulatory risks.
Help draft and implement corrective action plans with unit leadership.
May initiate and advise on policy drafts and revisions.
Facilitate the review, response, and documentation of complaints received from external parties, occasionally with guidance.
Facilitate obtaining additional licensures, accreditations, and certifications across the health systems.
May assist with regulatory visits.
Perform additional duties as assigned.