Quality & Patient Safety Regulatory Specialist

NewYork-Presbyterian Hospital

1d•$92,000 - $152,500•Hybrid

About The Position

The Quality & Patient Safety Regulatory Specialist serves as a resource and subject matter expert for hospital teams navigating Joint Commission, CMS, and DOH requirements. The role supports continuous readiness across inpatient and ambulatory settings by helping teams assess compliance, identify gaps, and implement sustainable solutions. Working with clinical and operational leaders, departments, and service lines, the Specialist helps standardize accreditation and regulatory processes across the enterprise. The role facilitates the development and monitoring of corrective action plans, analyzes and interprets data, and provides strategic recommendations to strengthen regulatory readiness and advance quality and patient safety. This is a full-time, day-shift hybrid position with four days in the office and the ability to work remotely one day per week. It primarily supports northern locations, including Hudson Valley, Westchester, and The One, with travel to other NewYork-Presbyterian hospitals, joint ventures, medical groups, and physician organizations as needed. Employees must live within a commutable distance to NYP; travel expenses will not be reimbursed.

Requirements

Bachelor’s degree or equivalent experience.
Minimum of 5 years in healthcare-related roles.
Knowledge of Joint Commission, CMS, and DOH requirements and/or experience with Joint Commission or regulatory survey activities.
Experience managing, analyzing, and interpreting data.
Advanced proficiency with Microsoft Outlook, Word, Excel, PowerPoint, and other web-based applications, along with knowledge of database concepts.
Demonstrated ability to manage multiple priorities and meet deadlines.
Excellent written and verbal communication skills.
Proven ability to collaborate effectively across departments and levels of leadership.

Nice To Haves

Master’s degree in a related field.
Clinical licensure (RN, NP, PA, RD, PT/OT, or PharmD).
Project Management Professional (PMP) or Lean Six Sigma certification.
3+ years of project management experience, including developing project plans, managing scope and timelines, leading initiatives, and providing direction and support to project teams.
Experience with Joint Commission or other regulatory survey activities in inpatient and ambulatory settings.

Responsibilities

Serve as a resource and subject matter expert for hospital teams navigating Joint Commission, CMS, and DOH requirements.
Support continuous readiness efforts across inpatient and ambulatory settings.
Help teams assess compliance, identify gaps, and implement sustainable solutions.
Work with clinical and operational leaders, departments, and service lines to standardize accreditation and regulatory processes across the enterprise.
Facilitate the development and monitoring of corrective action plans.
Analyze and interpret data.
Provide strategic recommendations to strengthen regulatory readiness and advance quality and patient safety.
Support northern locations, with travel to other NYP hospitals, joint ventures, medical groups, and physician organizations as needed.