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Compliance Manager
Indianapolis, IN

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IU Health

Accreditation and Regulatory Consultant

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Job Description

Job Description Overview Location:

University Hospital

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Onsite Position:
Accreditation and Regulatory Consultant Shift:

Day shift Mon-Fri IU Health is Indiana's largest and most comprehensive healthcare system, committed to maintaining the highest standards of accreditation and regulatory compliance. We are seeking a dedicated accreditation and regulatory professional to facilitate compliance activities, support survey readiness, and serve as a liaison with regulatory agencies across facilities. ________________________________________

Position Overview:

The Accreditation and Regulatory Consultant oversees accreditation and regulatory compliance activities within assigned facilities and provides interfacility readiness support across IU Health. This role involves education, consultation, and advisement with key stakeholders on interpretations of accreditation and regulatory standards, coordinating survey preparation, managing onsite surveys, and ensuring comprehensive post-survey follow-up. The consultant proactively reviews new or revised services and spaces for compliance, participates in performance improvement activities, and provides regular updates to leadership on compliance status. They serve as the primary liaison for communication with the Indiana Department of Health and other accrediting organizations. ________________________________________

Key Responsibilities:

Facilitate accreditation and regulatory compliance activities within assigned facilities.

  • Provide education, consultation, and advisement to stakeholders and leaders on standards and survey readiness.
  • Coordinate and manage onsite survey activities, including preparation and post-survey follow-up, including corrective action plans.
  • Review new or revised services and spaces for compliance with applicable standards.
  • Participate in performance improvement activities to achieve or restore compliance.
  • Serve as the facility liaison for communication with the Indiana Department of Health and accrediting agencies.
  • Provide periodic updates to leadership regarding compliance and readiness status.
  • Support organization-wide compliance initiatives and continuous improvement efforts.

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Qualifications & Requirements:
    Education:
    • Bachelor's Degree required.
    Experience & Certifications:
    • 3-5 years of relevant experience in healthcare compliance or accreditation.
    • Healthcare regulatory certification such as Certified Professional in Healthcare Quality (CPHQ) or similar endorsed by IU Health System Regulatory Affairs required within two years of employment.
    • Healthcare Leadership Experience Preferred
    Licensure & Licenses:
    • Current state of Indiana license as a healthcare professional (e.g., RN with active Indiana license, Respiratory Therapist, Pharmacist, or Rehabilitation license).
    Additional Requirements:
    • Interfacility travel for surveying and in-state overnight stays is required. ________________________________________ Why Join IU Health?
    • Play a vital role in ensuring compliance and excellence in patient safety.
    • Support continuous improvement across multiple facilities.
    • Collaborate with dedicated professionals committed to quality care.
    • Contribute to maintaining IU Health's reputation for regulatory excellence.

    To learn more about our benefits, visit: careers.iuhealth.org/pages/benefits-designed-for-you We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

    Benefits

    • Dental Insurance