Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades.

Position Summary:

Serve as the lead for organizational policy governance, regulatory readiness, and quality-related compliance activities. Partner with Quality, Patient Safety, Compliance, Regulatory, and operational leaders to ensure alignment with accreditation and regulatory standards (e.g., TJC, CMS) and to support survey readiness and continuous improvement efforts.

Education, Experience, & Licensing Requirements:

Education:

Bachelor's degree in one of the following or a closely related field (preferred) - Healthcare Administration, Health Services Administration, Nursing or other clinical discipline,

Business Administration, Quality Management Experience:

3-5 years of experience in one or more of the following healthcare settings - Hospital or health system, Healthcare quality, patient safety, or performance improvement, Policy management, regulatory compliance, or accreditation support, Healthcare operations or clinical administration. Demonstrated experience with Policy development, review, approval, and document control processes, Regulatory and accreditation standards (e.g., TJC, CMS), Survey readiness activities, audits, or tracers, Interdisciplinary collaboration with clinical and non-clinical leaders. Benefits for a

Better You:

Day one benefits package Pension Plan & 401K Competitive compensation

FSA & HSA

options PTO programs available

Education Assistance Why You Belong Here:

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.