Interim Regulatory & Accreditation Consultant

The Position

An Interim Regulatory & Accreditation Consultant is needed to provide regulatory compliance, accreditation readiness, and performance improvement support for a 180-bed healthcare facility.

Reporting to the Interim Vice President of Quality, this leader will collaborate with Risk Management, Compliance, and Quality and Safety teams to ensure regulatory readiness and organizational compliance.

Key responsibilities include overseeing accreditation readiness activities, ensuring compliance with The Joint Commission (TJC) standards, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, and Massachusetts Department of Public Health regulations. This leader will focus on identifying compliance gaps, implementing corrective actions, and preparing the organization for successful accreditation surveys.

The ideal candidate will be an experienced healthcare regulatory and accreditation professional with a strong background in hospital compliance, survey preparation, and performance improvement. This individual should demonstrate a collaborative, detail-oriented, and hands-on leadership style, with strong organizational and communication skills.

Must be available to start within 2-3 weeks of acceptance.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, or an equivalent field required; Master's degree preferred.

Minimum of five years of experience in healthcare regulatory compliance, accreditation, or a related field preferred.

Previous experience with The Joint Commission (TJC) accreditation standards, CMS Conditions of Participation, and hospital regulatory readiness strongly preferred.

Compensation Details

Compensation Range: $190,000 to $200,000 annually.

The final compensation rate will be determined based on experience, education, training, location, internal equity, and budget considerations, in accordance with Fair Market Value evaluation. Additionally, some candidates may be eligible for a comprehensive benefits package, depending on the specific role, including but not limited to health insurance coverage and retirement benefits.

The listed base compensation range represents a good faith estimate of potential earnings at the time of this job posting and may be subject to future adjustments.

Interim Leadership with B.E. Smith

Becoming an Interim Leader through BE Smith provides an exceptional opportunity to rapidly make meaningful improvement in healthcare settings. Is the interim leadership lifestyle right for you? Apply now and discover how Interim Leadership could revolutionize your career path.

Joining the B.E. Smith team means you could receive a full benefits package upon accepting roles. This includes health, dental, and vision insurance, life insurance, AD&D, and a flexible spending account, with some benefits varying based on the job's type and duration.

As a B.E. Smith employee, we manage your taxes by handling withholdings and also paying the employer portion of your FICA contributions.

Interim positions come with varying travel requirements. B.E. Smith and the client cover all travel, accommodation, and work-related expenses. You receive bi-weekly trips home at the client's expense, plus a rental car and comfortable lodging for a convenient living experience.

Some roles may require specific licenses. A compact nursing license allows registered nurses to work in any state that is part of the Nurse Licensure Compact without needing separate state licenses. Stay up to date on new legislation, and confirm licensure requirements with the recruiter.

B.E. Smith is continuously addressing the challenges of the COVID-19 pandemic with a commitment to transparent communication. We strive to mitigate its impact on clients, healthcare workers, employees, and stakeholders of B.E. Smith. Upholding our integrity, we remain dedicated to sharing timely updates and insights, guided by our core value of “Doing the Right Thing.”

Please direct all inquiries, applications, and referrals to:

Peter Benson

Senior Executive Recruiter

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