Direct Jobs
Director Regulatory and Accreditation - Quality Services Regulatory
Direct Jobs, Hershey, Pennsylvania, United States, 17033
Penn State Health
-
Hershey Medical Center Location:
US:PA: Hershey
Work Type:
Full Time
FTE:
1.00
Shift:
Day
Hours:
8-hour shifts
Recruiter Contact:
Taryn Blydenburgh at tblydenburgh@pennstatehealth.psu.edu Lead with Purpose. Elevate with Excellence.
Are you a solutions-focused leader with expertise in healthcare regulatory compliance and accreditation readiness? Penn State Health Milton S. Hershey Medical Center invites you to join our transformational environment as the Director of Regulatory & Accreditation—a pivotal leadership role driving compliance, survey readiness, and a culture of continuous improvement.
Hershey Medical Center ranks in the top 25% of academic medical centers nationwide for quality and safety and has a proven record of successful disease-specific surveys. In this role, you will collaborate with leaders across the organization, engaging teams through rounding, leading regulatory strategies, and guiding departments toward survey success with The Joint Commission (TJC), CMS, Pennsylvania Department of Health, and other accrediting bodies.
Summary Reporting to the Chief Quality Officer, the Director of Regulatory & Accreditation provides strategic leadership to ensure organizational compliance with federal, state, and accrediting standards across the academic medical center and affiliated outpatient clinics. This role oversees the regulatory team and is accountable for maintaining continuous alignment with CMS, The Joint Commission, PA Department of Health, HHS/HRSA, and other applicable agencies.
Responsibilities Lead regulatory strategies and survey readiness efforts across the organization. Engage with leaders and staff through rounding. Guide departments toward survey success with TJC, CMS, PA Department of Health, and other accrediting bodies. Oversee the regulatory team and maintain alignment with applicable agencies.
Minimum Qualifications Bachelor’s degree related to healthcare Seven (7) years of experience directly related to regulatory/accreditation Five (5) years of management responsibility Extensive knowledge of Joint Commission (TJC) standards, CMS, PA Department of Health, and HHS/HRSA regulations
Preferred Qualifications Master’s degree - Certified Professional in Healthcare Quality (CPHQ), Healthcare Accreditation Certified Professional (HACP), or Certified Joint Commission Professional (CJCP) Experience leading regulatory/accreditation programs in a large organization or academic medical center Experience managing a complex portfolio of program accreditations and certifications
Why Penn State Health? Be Well - Employee Wellness Programs, fitness discounts (University Fitness Center, Peloton) Be Balanced - Generous Paid Time Off, Personal Time, and Paid Parental Leave Be Secured - Retirement plans, extended illness bank, life insurance, and identity theft protection Be Rewarded - Competitive pay, tuition reimbursement, and PAWS UP recognition program Be Supported - HR Solution Center, Employee Concierge Service, and learning resources to help you thrive Relocation Assistance - Available for eligible candidates
Why Penn State Health Milton S. Hershey Medical Center?
Central Pennsylvania’s only Academic Medical Center Level I Regional Adult and Pediatric Trauma Center Four-time Magnet-designated hospital A culture rooted in Respect, Integrity, Teamwork, and Excellence A commitment to professional development, specialty certifications, and career growth
Transform Care. Shape the Future.
This is more than a leadership role—it’s an opportunity to directly influence the culture of excellence, safety, and compliance at one of the nation’s leading academic medical centers.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person’s perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.
Union: Non Bargained
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-
Hershey Medical Center Location:
US:PA: Hershey
Work Type:
Full Time
FTE:
1.00
Shift:
Day
Hours:
8-hour shifts
Recruiter Contact:
Taryn Blydenburgh at tblydenburgh@pennstatehealth.psu.edu Lead with Purpose. Elevate with Excellence.
Are you a solutions-focused leader with expertise in healthcare regulatory compliance and accreditation readiness? Penn State Health Milton S. Hershey Medical Center invites you to join our transformational environment as the Director of Regulatory & Accreditation—a pivotal leadership role driving compliance, survey readiness, and a culture of continuous improvement.
Hershey Medical Center ranks in the top 25% of academic medical centers nationwide for quality and safety and has a proven record of successful disease-specific surveys. In this role, you will collaborate with leaders across the organization, engaging teams through rounding, leading regulatory strategies, and guiding departments toward survey success with The Joint Commission (TJC), CMS, Pennsylvania Department of Health, and other accrediting bodies.
Summary Reporting to the Chief Quality Officer, the Director of Regulatory & Accreditation provides strategic leadership to ensure organizational compliance with federal, state, and accrediting standards across the academic medical center and affiliated outpatient clinics. This role oversees the regulatory team and is accountable for maintaining continuous alignment with CMS, The Joint Commission, PA Department of Health, HHS/HRSA, and other applicable agencies.
Responsibilities Lead regulatory strategies and survey readiness efforts across the organization. Engage with leaders and staff through rounding. Guide departments toward survey success with TJC, CMS, PA Department of Health, and other accrediting bodies. Oversee the regulatory team and maintain alignment with applicable agencies.
Minimum Qualifications Bachelor’s degree related to healthcare Seven (7) years of experience directly related to regulatory/accreditation Five (5) years of management responsibility Extensive knowledge of Joint Commission (TJC) standards, CMS, PA Department of Health, and HHS/HRSA regulations
Preferred Qualifications Master’s degree - Certified Professional in Healthcare Quality (CPHQ), Healthcare Accreditation Certified Professional (HACP), or Certified Joint Commission Professional (CJCP) Experience leading regulatory/accreditation programs in a large organization or academic medical center Experience managing a complex portfolio of program accreditations and certifications
Why Penn State Health? Be Well - Employee Wellness Programs, fitness discounts (University Fitness Center, Peloton) Be Balanced - Generous Paid Time Off, Personal Time, and Paid Parental Leave Be Secured - Retirement plans, extended illness bank, life insurance, and identity theft protection Be Rewarded - Competitive pay, tuition reimbursement, and PAWS UP recognition program Be Supported - HR Solution Center, Employee Concierge Service, and learning resources to help you thrive Relocation Assistance - Available for eligible candidates
Why Penn State Health Milton S. Hershey Medical Center?
Central Pennsylvania’s only Academic Medical Center Level I Regional Adult and Pediatric Trauma Center Four-time Magnet-designated hospital A culture rooted in Respect, Integrity, Teamwork, and Excellence A commitment to professional development, specialty certifications, and career growth
Transform Care. Shape the Future.
This is more than a leadership role—it’s an opportunity to directly influence the culture of excellence, safety, and compliance at one of the nation’s leading academic medical centers.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person’s perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.
Union: Non Bargained
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