University of Southern California
Quality and Regulatory Specialist - Quality Assurance - Full Time 8 Hour Days (E
University of Southern California, Los Angeles, California, United States, 90079
Quality and Regulatory Specialist – Quality Assurance (Full Time)
The University of Southern California is seeking a Quality and Regulatory Specialist to lead system‑wide activities that evaluate and improve adherence to accreditation standards as well as state and federal regulatory agencies (e.g., Centers for Medicare and Medicaid Services, local State Department of Public Health). The role includes facilitating and ensuring ongoing survey readiness for accreditation and regulatory complaint investigations, interpreting standards in relation to clinical operations policies, conducting patient and system observations, consulting with quality teams, and serving as the primary interface with regulatory agencies. The Specialist will support Regulatory Readiness & Accreditation and Patient Safety activities, maintain documentation systems, plan corrective actions, collaborate across departments, communicate audit findings, provide education, and ensure compliance with evolving regulations. This position plays a vital part in enhancing organizational performance through improvement activities and process engineering.
Responsibilities
Assess survey readiness and implement all applicable Patient Safety initiatives; evaluate prior survey deficiencies, coordinate survey readiness rounds, and disseminate action plans to senior leadership.
Gather, analyze, and report on organizational metrics such as KPIs, utilization, patient satisfaction, and after‑hours care for leadership presentations.
Consult individuals and departments on regulatory standards, interpret new or revised standards, and recommend methods to achieve compliance.
Implement corrective actions, including written responses to RFIs or audit deficiencies, and ensure database updates with corrective action plans.
Collaborate with the healthcare team to promote an organized approach to the hospital’s survey process, facilitate readiness teams, and provide coverage across Quality and Outcomes Management and Peer Review processes.
Communicate audit findings and proposed action plans to senior leadership and attend relevant committee meetings.
Provide in‑service education to clinical and medical staff to ensure survey preparedness.
Oversee incident reporting systems (RL Datix, RL6 Administration), trend incidents, and present findings.
Stay current on all regulatory changes affecting organization licensure and update policies and procedures as needed.
Participate in the policy and forms committee and work closely with the policy coordinator.
Supervise and provide oversight for regulatory compliance staff, ensuring a cohesive, well‑informed team.
Perform other duties consistent with professional training and department goals and functions.
Required Qualifications
• Bachelor's degree in Health‑Related Professions (e.g., Healthcare Administration, Nursing, or related field).
• 3–5 years of regulatory, accreditation, and quality improvement experience.
• Working knowledge of regulatory agencies, accreditation, and regulatory requirements.
• Ability to facilitate working sessions with cross‑functional teams.
Preferred Qualifications
• Master’s degree (MHA, MBA, Regulatory Science or equivalent).
• Experience in an ambulatory care setting.
• Experience with multiple facility‑wide accreditation surveys.
Required Licenses / Certifications
• Certified Professional in Healthcare Quality (CPHQ) – certification required within 2 years of hire.
• Fire Life Safety Training (LA City) – must be obtained within 30 days of hire if not already held.
Salary and Benefits The annual base salary range for this position is $81,120.00 – $133,010.00. Benefits include health, dental, vision, retirement, and other standard University of Southern California employee benefits.
Employment Details
Seniority Level – Mid‑Senior
Employment Type – Full‑time
Job Function – Legal / Regulatory
Industry – Higher Education
Location – Los Angeles, CA
#J-18808-Ljbffr
Responsibilities
Assess survey readiness and implement all applicable Patient Safety initiatives; evaluate prior survey deficiencies, coordinate survey readiness rounds, and disseminate action plans to senior leadership.
Gather, analyze, and report on organizational metrics such as KPIs, utilization, patient satisfaction, and after‑hours care for leadership presentations.
Consult individuals and departments on regulatory standards, interpret new or revised standards, and recommend methods to achieve compliance.
Implement corrective actions, including written responses to RFIs or audit deficiencies, and ensure database updates with corrective action plans.
Collaborate with the healthcare team to promote an organized approach to the hospital’s survey process, facilitate readiness teams, and provide coverage across Quality and Outcomes Management and Peer Review processes.
Communicate audit findings and proposed action plans to senior leadership and attend relevant committee meetings.
Provide in‑service education to clinical and medical staff to ensure survey preparedness.
Oversee incident reporting systems (RL Datix, RL6 Administration), trend incidents, and present findings.
Stay current on all regulatory changes affecting organization licensure and update policies and procedures as needed.
Participate in the policy and forms committee and work closely with the policy coordinator.
Supervise and provide oversight for regulatory compliance staff, ensuring a cohesive, well‑informed team.
Perform other duties consistent with professional training and department goals and functions.
Required Qualifications
• Bachelor's degree in Health‑Related Professions (e.g., Healthcare Administration, Nursing, or related field).
• 3–5 years of regulatory, accreditation, and quality improvement experience.
• Working knowledge of regulatory agencies, accreditation, and regulatory requirements.
• Ability to facilitate working sessions with cross‑functional teams.
Preferred Qualifications
• Master’s degree (MHA, MBA, Regulatory Science or equivalent).
• Experience in an ambulatory care setting.
• Experience with multiple facility‑wide accreditation surveys.
Required Licenses / Certifications
• Certified Professional in Healthcare Quality (CPHQ) – certification required within 2 years of hire.
• Fire Life Safety Training (LA City) – must be obtained within 30 days of hire if not already held.
Salary and Benefits The annual base salary range for this position is $81,120.00 – $133,010.00. Benefits include health, dental, vision, retirement, and other standard University of Southern California employee benefits.
Employment Details
Seniority Level – Mid‑Senior
Employment Type – Full‑time
Job Function – Legal / Regulatory
Industry – Higher Education
Location – Los Angeles, CA
#J-18808-Ljbffr