Quality and Reg Program Assistant | SQM | Full Time
About The Position
This is a full-time role for a Quality and Reg Program Assistant. The position involves maintaining and managing the enterprise-wide quality and regulatory project tracker, tracking progress of various initiatives, coordinating follow-up on assigned tasks, and supporting implementation tracking for corrective action plans. The role also includes maintaining documentation systems, organizing survey and audit materials, assisting in preparing presentations, and optimizing the collection of evidence for compliance. Additionally, the assistant will coordinate committee meetings, track action items, maintain standardized documentation, support executive dashboards, and assist with quality dashboards and incident event reporting systems. The role serves as a communication hub and distributes updates related to quality initiatives and regulatory requirements.
Requirements
- Associates or Bachelors Degree in Healthcare Administration, Business Administration, Public Health, or related field
- 2–5 years of experience in healthcare administration, project coordination, quality support, regulatory compliance, or related field.
- Strong organizational and project management skills.
- Ability to track multiple projects, deadlines, and priorities simultaneously.
- High attention to detail and accuracy in documentation and reporting.
- Strong communication and interpersonal skills.
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and project tracking tools.
- Ability to work effectively with clinical and non-clinical stakeholders.
Nice To Haves
- Experience in a hospital, health system, or ambulatory care setting strongly preferred.
- Experience supporting quality improvement, accreditation, or regulatory programs is a plus.
- Understanding of healthcare operations, quality programs, or regulatory environments preferred.
Responsibilities
- Maintain and manage the enterprise-wide quality and regulatory project tracker, including timelines, milestones, deliverables, and responsible parties.
- Track progress of quality improvement initiatives, regulatory action plans, and Joint Commission readiness activities.
- Coordinate follow-up on assigned tasks from quality committees, regulatory surveys, and executive leadership meetings.
- Identify delays, barriers, and risks in project execution and escalate issues to the Senior Director of Quality & Regulatory Affairs.
- Support implementation tracking for corrective action plans related to audits, surveys, and performance improvement initiatives.
- Maintain documentation systems related to Joint Commission readiness, CMS compliance, and other regulatory requirements.
- Organize and support documentation for accreditation surveys, mock surveys, tracer activities, and compliance audits.
- Assist in preparing materials for regulatory reviews, board reports, and executive presentations.
- Optimize timely collection and organization of evidence required for accreditation and regulatory compliance.
- Coordinate scheduling, agendas, materials, and minutes for quality, patient safety, accreditation, and population health committees.
- Track committee action items and ensure completion of assigned follow-ups.
- Maintain standardized documentation for committee structures, reporting workflows, and governance requirements.
- Support preparation of executive dashboards, reports, and presentation materials.
- Assist in maintaining quality dashboards, spreadsheets, and tracking tools used for performance monitoring.
- Assist in maintaining the incident event reporting system and associated reports.
- Compile data from multiple departments to support reporting requirements for regulatory and quality programs.
- Support documentation standardization and administrative workflows across quality and regulatory functions.
- Ensure accuracy, consistency, and version control of quality and regulatory documents.
- Serve as a communication hub between clinical quality staff, regulatory teams, ambulatory and hospital leadership, and administrative departments.
- Distribute updates related to quality initiatives, regulatory requirements, and accreditation readiness activities.
- Facilitate timely communication of deadlines, deliverables, and regulatory requirements across departments.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
