Accreditation Program Specialist Senior

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Job Summary:

Key Position Details:

• 1.0 FTE (40-hours per week)
• 8-hour day shifts
• No weekends

Job Description:

Provides accreditation, certification, and regulatory program leadership and oversight at the business unit level. Partners with site or service line teams to operationalize accreditation, certification, and regulatory requirements to ensure compliance and incorporate high-reliability principles and tools into these efforts. Actively leads the development, implementation and evaluation of site/clinical service line accreditation, certification, and regulatory initiatives. Leads data analysis, gap assessments, and presentations related to priority accreditation, certification, and regulatory standards, as well as processes and projects at the site level. Supports system Physician and Clinical and Operational Leaders to mobilize teams to improve compliance with accreditation, certification, and regulatory standards to optimize patient outcomes.

Principle Responsibilities

• Develops and implements processes to meet accreditation, certification, and regulatory standards, reduces duplication of efforts and gain efficiency in the program.
  • Leads development of site accreditation, certification, and regulatory processes including internal surveys, application updating, system contracts, and internal tracers.
  • Establishes a sustainable approach to regulatory compliance.
  • Serves as lead surveyor during internal surveys.
  • Serves as survey leader during external surveys.
• Collaborates with and provides expert level guidance and support to business unit leadership, clinical and departmental teams in functional area.
  • Incorporates HRO principles and improvement tools into regulatory/accreditation project implementation and sustainment.
  • Serves as consultant and key content expert for clinical and operational team members.
  • Provides expert advice in complex situations, and is a key leader in decision-making.
• Leading system and site policy and procedure development, revision and implementation to ensure alignment to accreditation, certification, and regulatory requirements.
  • Identifies existing and needed regulatory processes and procedures, and ensure accreditation expertise/perspective is included in clinical and operational policies.
  • Leads teams to develop or revise policies and procedures.
  • Collaborates with key leaders to reliably implement policies and procedures in alignment with safety & quality principles and practices.
• Possesses and provides expert level knowledge in accreditation, certification and regulatory tasks and addresses problems.
  • Establishes and facilitates relationship with accrediting body and department of health surveyors and key contacts.
  • Serves as a key content and subject matter expert and primary contact for business unit and across the system as appropriate.
• Other duties as assigned.

Required Qualifications

• Bachelor's degree in Nursing, Public Health, Pharmacy, Health Care Administration, Engineering or other health care related field required
• 2+ years experience in accreditation, certification, or regulatory required (actively leading survey readiness or formal accreditation/regulatory role)
• 5+ years healthcare experience in related field

Preferred Qualifications

• Master's degree in Nursing, Public Health, Pharmacy, Health Care Administration, Engineering or other health care related field required

Physical Demands

• Sedentary:
• Lifting weightUp to 10 lbs. occasionally, negligible weight frequently

Pay Range

Benefit Summary

Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members.

Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes up to $100 in well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.

In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events.

Benefits include:

• Medical/Dental

• PTO/Time Away

• Retirement Savings Plans

• Life Insurance

• Short-term/Long-term Disability

• Paid Caregiver Leave

• Voluntary Benefits (vision, legal, critical illness)

• Tuition Reimbursement or Continuing Medical Education as applicable

• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

• Allina Health is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.