**Description** This position is incentive eligible. Salary Estimate: $117249.60 - $179483.20 / year Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Want to join a team of daring managers who care without reservations or limits? Our HCA HealthOne team is looking for a Director of Regulatory Compliance and Accreditation. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years. **Benefits** HCA HealthOne, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Director Regulatory Compliance and Accreditation and be a part of the innovation of ideas. **Job Summary and Qualifications** ​​The Director of Regulatory Compliance and Accreditation is responsible for administration and oversight of all activities concerning the achievement of continuous regulatory and accreditation readiness, quality excellence, and corporate safety compliance for the organization. The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external agencies for regulatory compliance. This position works closely with the quality and safety department, facility leadership, and department leaders across the organization to support facilitation, development, and implementation of systems to ensure compliance with external accrediting and regulatory bodies, while driving process improvement and safety across the facility.​ ·​Provides administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations. ·​Directs strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization. ·​Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency. ·​Maintains knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance. ·​Establishes and maintains proactive system for continual survey readiness with key stakeholders and department leaders. Manages the system’s tracer process and audits where appropriate. Recommends monitoring activities and determines effectiveness of interventions to meet desired outcomes. ·​Develops and leads CMS, TJC, and state hospital licensure regulatory and quality compliance plan for the organization. + ​Monitors the organization’s survey readiness activities for compliance. + ​Identifies opportunities and notifies appropriate leaders of necessary changes. + ​Serves as an internal resource to address and resolve any accreditation questions or issues. + ​Coaches others in the development of accreditation improvement capabilities. + ​Identifies areas of improvement for the organization based on the information that flows through this position, working with others in the organization to encourage improvement. + ​Demonstrates knowledge and application of TJC standards and elements of performance, CMS Conditions of Participation, and state hospital licensure requirements. + ​Oversees activities related to safety regulations, ensuring that all TJC, CMS, and state guidelines for the physical Environment of Care standards at the facility remain compliant. + ​Prepares and distributes accurate and timely reports on quality and survey monitoring efforts regarding regulatory requirements and standards. ·​Manages post-survey activities. Works with key stakeholders to identify and address areas of non-compliance and to develop, submit, and implement plans of correction. Oversees post-survey compliance activities to ensure successful implementation of process changes. Monitors re-evaluation results to ensure performance improvement. ·​Develops and maintains strong, collaborative relationships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, etc. **What qualifications you will need:** + Bachelors Degree required, Master's preferred + ​1+ years of technical and managerial experience in accreditation + ​Certified Professional in Healthcare Quality (CPHQ) within 12 months of hire + ​Certification in Healthcare Quality Management (CHCQM) within 12 months of hire ​Honors our Mission and Values:Ability to build trust and act with authenticity to cultivate a culture of integrity, inclusion, and mutual respect. ​Communicates with Impact:Ability to deliver information in a clear, concise, and compelling manner to effectively engage others and achieve desired results. ​Attains and Leverages Strategic Relationships:Ability to develop and strengthen collaborative relationships with both internal and external stakeholders to advance the care of our patients and the growth of HCA Healthcare. ​Leads and Develops Others:Ability to lead others to accomplish organizational goals and objectives, to provide meaningful coaching and mentoring to increase the capabilities of individuals and teams, and to drive employee engagement. ​Effective Decision Making:Ability to make timely, informed decisions that are in the best interest of our patients, employees, providers, community, and HCA Healthcare. ​Achieves Success through Change:Ability to identify opportunities for improvement and innovation, remove barriers and resistance, and enable desired behaviors. ​Drives Execution and Financial Results:Ability to commit to the success and financial wellbeing of HCA Healthcare by challenging others to excel and by holding themselves and others accountable for achieving results. ​Service and Quality Excellence:Ability to demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients. As part of HCA Healthcare, we at HealthONE® (https://healthonecares.com/) serve the **metro Denver area as the largest healthcare system, with more than 11,000 employees** . Our hospitals – **The Medical Center of Aurora, North Suburban Medical Center, Presbyterian/St. Luke’s Medical Center, Rocky Mountain Hospital for Children, Rose Medical Center, Sky Ridge Medical Center, Swedish Medical Center and Spalding Rehabilitation Hospital** work together to provide a higher level of care. In addition, our system includes eight hospital freestanding emergency departments and numerous ambulatory surgery centers, eight CareNow urgent care centers and occupational medicine clinics, physician practices, medical imaging centers and AirLife Denver, which provides critical care air and ground transportation serving Colorado and surrounding states. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) Director Regulatory Compliance and Accreditation and **help us improve more lives in more ways** . We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.