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DescriptionThe Manager of Quality and Regulatory Operations is responsible for coordinating and managing the operational activities that support regulatory compliance, accreditation readiness, policy oversight, and quality improvement across the health system.
Reporting to the Corporate Vice President of Regulatory Affairs, this position plays a critical role in supporting continuous - Always Patient Ready - managing regulatory and performance data, and overseeing the system-wide policy management program.
The Manager of Quality and Regulatory Operations works closely with corporate and facility leaders to ensure that quality and regulatory operations are aligned with system goals and meet the highest standards of compliance, safety, and performance.
The Manager, Quality & Regulatory Affairs Operations, will play a pivotal role serving as an operational point person and liaison in the management of the portfolio of system regulatory affairs initiatives.
Regulatory and Accreditation Operations:
Leads and drives the successful execution of Regulatory Affairs initiativesCoordinate and support system-wide regulatory readiness activities, including mock surveys, audits, tracer rounds, and pre/post-survey action plansMaintain and communicate timelines, documentation, and operational readiness plans for scheduled and unscheduled regulatory eventsSystem Policy Program Oversight:
Oversees the system policy program, including oversight of the system policy review process and committees and serves as administrator for the system policy management applicationEnsuring that all policies are current, compliant, and accessibleCoordinate routine policy review cycles and manage policy approval workflows across departments and leadership groupsCollaborate with stakeholders to draft, revise, retire, and disseminate policiesMaintain the centralized policy repository and support staff access, training, and communication related to policy updatesData Management and Performance Monitoring:
Manage the collection, analysis, and reporting of regulatory compliance and quality metrics to inform decision-making and performance improvementDevelop and maintain dashboards and reporting tools to track system-level and facility-level performance against regulatory benchmarksIdentify trends, risks, and improvement opportunities using data insights and collaborate with leadership to address gapsProject and Program Support:
Support or lead projects focused on improving survey readiness, quality outcomes, and regulatory performance across the systemAssist in the development and implementation of initiatives that promote a culture of - Always Patient Ready - and proactive complianceEnsure program milestones, deliverables, and goals are met through effective planning and cross-functional coordinationCommunication and Reporting:
Prepare high-quality reports, presentations, and briefings for executive leaders, regulatory bodies, and internal stakeholdersServe as a communication bridge between the Corporate VP of Regulatory Affairs and operational teams, ensuring timely dissemination of regulatory updates and expectationsEducation and Coordination
Help coordinate and support regulatory education and training efforts for staff, leaders, and quality teams across the system.Serve as a resource to departments on regulatory policy, survey readiness tools, and system expectations for complianceTravel: Less than 10% of the time may be required
Work Type: On-site - Works in the office at a physical workplace, interacting with colleagues face-to-face
Minimum Required Qualifications:
Education - Bachelor's Degree Public Health, Healthcare administration, Nursing, or a related field requiredExperience Minimum of 5-7 years of experience in regulatory affairs, healthcare quality, or a related field Previous leadership or project management experience preferredKnowledge, skills, and abilities (required):
Ability to collect, analyze and present data to drive improvement and monitor complianceExcellent written, communication, presentation, and interpersonal skills, with the ability to engage and coach teams at all levels of the organizationProven ability to work collaboratively within a matrixed environment, balancing corporate priorities with facility needsDetail-oriented, organized, and capable of managing multiple initiatives simultaneouslyStrong judgement, problem solving, and critical thinking skillsWorking knowledge of improvement science tools and methodsPreferred Qualifications Education
Master's Degree in Public Health, Healthcare administration, Nursing, or a related field requiredExperience - 8 years minimum experience ExperienceClinical background preferred
PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional DetailsEmory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred
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