Total Rewards

Expected pay for this position is $36.04 - $42.40/hour. Actual pay will be determined by experience, skills and internal equity. This is a Salaried position.

Overview

POSITION SUMMARY:

The Regulatory Affairs Specialist serves as the subject matter expert (SME) for all accreditation, certification, and regulatory programs (e.g., TJC, IDPH, specialty certifications) and is accountable for providing feedback to operating units for continuous survey readiness and sustained compliance. This role leads mock surveys, tracers, and readiness assessments; prepares and submits regulatory violation responses; facilitates recovery and performance improvement efforts; and monitors corrective action plans for completion and effectiveness. In partnership with clinical and operational leaders, the Specialist proactively identifies regulatory risk, develops and communicates an annual risk assessment to prioritize high-risk monitoring, and serves as a primary liaison during surveys and certifications. The role provides expert regulatory guidance and supports quality, safety, and compliance goals.

The ideal candidate brings experience working in acute care hospitals, health systems, or other clinical environments, along with a strong understanding of hospital accreditation and regulatory standards, including CMS, Joint Commission, DNV, and state agency requirements. They should also have hands-on experience conducting internal audits, investigations, and compliance-related reviews to support regulatory readiness and quality assurance initiatives.

Qualifications

REQUIRED QUALIFICATIONS:

Education: Bachelor's degree in a clinical field

Experience: 2 years of practice in healthcare area of expertise

Other Skills/ Knowledge:

• Excellent interpersonal and communication skills.
• Solid computer skills, including proficiency with Microsoft software.
• Strong analytical and problem-solving skills, with the ability to be detail oriented.

PREFERRED QUALIFICATIONS:

Experience:

• Background working in acute care hospitals, health systems, or clinical environments.
• Background with hospital accreditation and regulatory standards, such as CMS, Joint Commission, DNV, or state agencies
• Practical experience conducting internal audits and investigations

Licensure/ Certification: Active RN license, current state license in field of study, Certified Professional in Patient Safety (CPPS), and/or Certified Professional in Healthcare Quality (CPHQ)