Program Manager, Accreditation & Regulatory Affairs

Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.At Harris Health, we prioritize the well-being of our most valuable asset--our people--ensuring a culture of compassion, collaboration and excellence in serving Harris County's most in need. With integrity and accountability at our core, we commit to 'leading with love', embodying our dedication to quality care, education, and a steadfast respect for every individual's contribution to our mission.Job Summary The Program Manager, Accreditation & Regulatory Affairs leads the development and execution of regulatory survey readiness strategies across hospital and ambulatory settings, ensuring sustained compliance with accreditation and certification standards. This role oversees all aspects of survey coordination, from preparation through post-survey follow-up, while driving continuous improvement through program evaluation and targeted education initiatives. The position partners with clinical, operational, and technical leaders to integrate regulatory requirements into system processes and serves as a key change agent to promote alignment with federal, state, and accrediting body standards.Minimum QualificationsLicenses & Certifications:Certified Quality Auditor (Or) Cert Prof in Hlth Care Quality (Or) Equivalent; Hospital Accreditation, Quality or Risk Management Degrees:Bachelor's Degree Nursing, Allied Health or Business PreferredMaster's Degree Nursing or Allied Health Preferred Work Experience:Five (5) Years Work ExperienceHealthcare related fields. With Project management experience. Management Experience:Years of Experience Area of ExperiencePreferredThree (3) Years of Management ExperienceHealth care quality assessment, performance improvement, accreditation, regulatory affairs, or risk management Preferred Communication Skills:Above Average Verbal Communication (Heavy Public Contact)High-level interpersonal communication skills needed to interact effectively with all levels of personnelWriting/CorrespondenceDemonstrates accurate and concise writing abilities.Writing/Reports Demonstrates ability to develop regulatory reportsKnowledge/Skills/Abilities:Analytical AbilitiesAble to transform clinical and operational data into actionable insights for quality and performance improvement activityDesign Knowledge and SkillsAble to apply evidence-based design principles to improve safety, efficiency and patient outcomesMathematicsRequires basic knowledge to support data interpretationMedical Terminology KnowledgeMedical, accreditation and regulatory terminologyOther Knowledge Skills or AbilitiesData visualization skills required to trend and support decision-makingResearch Knowledge and AbilitiesAbility to incorporate clinical practice guidelines, best practices and interpretation of regulatory requirementsStatistical Knowledge and AbilitiesRequires the ability to analyze, interpret, and validate data Work Schedule:FlexibleOvertimeDuring onsite survey activities. Extended hours will be required.Eligible for TelecommuteTravel Other Requirements:May require extended hours for special projects or audit activity.MS Word IntermediateMS PowerPoint IntermediateMS Excel IntermediateMS Outlook IntermediateMS Project basicPC Intermediate