Director, Regulatory & Accreditation

City of Hope•Duarte, CA

4d•Onsite

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. The Director of Regulatory & Accreditation is a key leadership role responsible for driving regulatory compliance and accreditation excellence across the organization. This leader will oversee strategy, readiness, and execution to ensure City of Hope consistently meets and exceeds federal, state, and accrediting body requirements—supporting our mission of delivering high-quality, safe patient care.

Requirements

Advanced degree in Healthcare Administration, Public Health, Nursing, or a related field (or equivalent experience)
3+ years of experience in clinical nursing, quality, risk, or regulatory functions
5+ years of progressive leadership experience
Strong knowledge of regulatory and accrediting organizations (e.g., Joint Commission, CMS)
Proven experience with accreditation readiness, audits, and compliance programs
Strong analytical, communication, and leadership skills

Nice To Haves

Experience with data analysis, performance improvement, and process optimization preferred
Certification such as CPHQ or HACP preferred

Responsibilities

Lead enterprise-wide regulatory compliance and accreditation initiatives across clinical and operational areas
Serve as the subject matter expert on regulatory standards (Joint Commission, CMS, CDPH, and others)
Drive accreditation strategy, survey readiness, and continuous improvement efforts
Oversee preparation for external surveys, including mock surveys and corrective action planning
Develop and maintain policies, procedures, and documentation to ensure audit readiness
Monitor regulatory changes and translate requirements into actionable organizational strategies
Build dashboards, metrics, and reporting tools to track performance and compliance trends
Partner with clinical, legal, and operational leaders to ensure alignment across the organization
Provide leadership education and training on regulatory and accreditation requirements
Present regulatory updates and compliance insights to senior leadership and governing bodies