Regulatory Compliance Program Manager

VMFH Division Support Services • Seattle, WA

1d • $50 - $82

About The Position

The Regulatory Compliance Program Manager helps ensure that patient safety considerations are identified and integrated into comprehensive plans so Virginia Mason Franciscan Health (VMFH) can provide high standards of patient care. The role facilitates ongoing regulatory compliance through extensive rounding in clinical and non-clinical departments. It ensures assigned hospitals and clinics remain aligned with The Joint Commission standards and applicable state and federal regulations; oversees implementation of policies and procedures; and leads survey preparation, survey processes, and follow-up on findings. The manager assesses compliance vulnerabilities, reports actionable findings to stakeholders, and develops and delivers targeted training for management, educators, and staff to address identified or potential deficiencies.

Requirements

• Bachelor's degree in healthcare administration, nursing, or another healthcare-related field.
• Five years of progressively responsible related work experience demonstrating requisite job knowledge.
• At least three years of progressive management responsibility in an acute care setting, including at least one year managing an organization's or department's Quality, Safety, or Regulatory Program.
• At least two years of clinical, patient experience, or equivalent experience.
• Experience developing and implementing clinical, service, and operational process initiatives at both small and large scales.
• Alternatively, an equivalent combination of education and experience that meets the requirements and provides the knowledge, skills, and abilities to perform the essential functions.
• Regulatory expertise, patient safety acumen, and strong analytical and problem-solving skills.

Nice To Haves

• Active Washington State Registered Nurse License.
• Certified Professional in Healthcare Quality (CPHQ).

Responsibilities

• Ensure assigned hospitals and clinics continuously align with The Joint Commission standards and applicable state and federal regulations.
• Drive ongoing regulatory compliance activities through extensive rounding and engagement with clinical and non-clinical departments across VMFH facilities.
• Oversee effective implementation of policies and procedures to ensure regulatory adherence.
• Lead and coordinate survey preparation, manage survey processes, and ensure follow-up on findings.
• Assess standards compliance, identify potential vulnerabilities, and report findings to stakeholders with actionable insights.
• Develop and conduct targeted training for management, educators, and staff in response to identified or potential deficiencies.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager