Director-Accreditation

Mayo Career Site US • Rochester, MN

3d

About The Position

Mayo Clinic seeks an accomplished, visionary leader to serve as the Director of Accreditation, the enterprise executive responsible for system‑wide oversight of accreditation across hospitals, critical access hospitals, ambulatory and home care settings, behavioral health, disease‑specific certifications, and other programs as assigned. The Director will ensure sustained readiness and exemplary performance against federal and accrediting body requirements, including CMS, HHS, State Departments of Health, The Joint Commission (TJC), and DNV Healthcare—translating complex regulations into clear, reliable practices that create safer systems for patients and elevate care. The successful candidate views accreditation as a catalyst for transformation and measurable improvement in patient outcomes. This leader harmonizes scientific rigor with practical execution—making standards intuitive, embedding reliability into daily workflow, and ensuring that continuous readiness translates into safer care for patients and teams alike. Mayo Clinic’s Accreditation Program is recognized as best‑in‑class, with standardized proactive readiness strategies, tools, and resources that enable clinicians to focus on delivering safe, exceptional care while maintaining an unwavering compliant posture. The Director will elevate this foundation—linking standards to safety, modernization, and enterprise value.

Requirements

• Master’s degree in business, health care administration, or related field; minimum 10 years of progressive healthcare management or regulatory compliance experience.
• Demonstrated excellence in written and verbal communication; proven change leadership, strategic planning, and operational execution; high integrity, executive presence, and creativity.
• Expertise in conflict management; systems thinking; team dynamics; outcomes management; continuous improvement methodologies; and risk assessment/management.
• Significant experience with Joint Commission standards, CMS Conditions of Participation, and external regulatory requirements.

Nice To Haves

• Clinical degree (e.g., RN, PT, RT) or advanced certifications in compliance/accreditation preferred; CPHQ, CPHRM, or HACP are valued.

Responsibilities

• Enterprise Strategy & Governance: Set the vision and strategic direction for Mayo Clinic’s Accreditation Program; lead planning, implementation, and evaluation of accreditation and regulatory activities across all sites to maintain accreditation status and CMS certification.
• Continuous Readiness & Risk Mitigation: Advance proactive tracer methods and readiness practices that integrate survey, tracer, and operational data to identify risk early, reduce harm, and accelerate improvement.
• Survey Excellence: Direct end‑to-end survey management, including onsite regulatory surveys and investigations by accrediting, state, and federal agencies; oversee corrective actions and ensure sustained outcomes post‑survey.
• Modernization & Automation: Champion modernization of accreditation tools and processes—leveraging data, automation, and AI‑enabled regulatory monitoring—to reduce burden, increase reliability, and measurably enhance patient safety.
• Education & Communication: Lead enterprise interpretation of standards and communicate requirements in accessible, actionable ways; equip leaders and frontline teams with resources that embed accreditation into daily clinical practice.
• External Representation: Serve as Mayo Clinic’s liaison to accrediting, licensing, and regulatory bodies; provide leadership and advocacy through participation in accrediting body committees and national policy forums.
• People & Financial Stewardship: Manage accreditation staff across the enterprise and provide financial oversight for the accreditation budget, fostering a high‑performing, mission‑driven team.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees