Head of Regulatory Affairs & Accreditation for an Acute Care Health System

The Head of Regulatory Affairs & Accreditation serves as the organization’s senior authority on regulatory affairs, providing enterprise-wide leadership and oversight of licensure, accreditation readiness, and compliance programs that protect patient safety, care quality, and operational integrity. This senior leader ensures alignment with federal, state, and accrediting body requirements through strategic regulatory governance, proactive risk mitigation, and continuous compliance readiness. The role is responsible for developing and sustaining enterprise frameworks that support ongoing preparedness for surveys, inspections, and audits while fostering a culture of accountability, transparency, and continuous improvement.

Key Responsibilities

This role oversees system-wide survey readiness, directs responses to inspections and unannounced visits, and leads organizational strategies for corrective action and performance improvement. The position serves as the primary liaison with regulatory agencies and accrediting bodies, manages investigations and complaint responses, and ensures timely resolution of deficiencies. The Head of Regulatory Affairs & Accreditation collaborates closely with executive, clinical, and operational leaders to integrate regulatory requirements into daily operations, strengthen risk mitigation efforts, and support quality and patient safety initiatives. Additionally, the role drives regulatory education and engagement across the organization, leads interdisciplinary committees and workgroups, and maintains enterprise frameworks that promote accountability, transparency, and sustained compliance readiness.

Required Qualifications Bachelor’s degree in Healthcare Administration, Nursing or a related field required. Master’s degree strongly preferred. Minimum of 5–7 years of progressive experience in regulatory compliance, accreditation, healthcare operations, or related leadership roles. Demonstrated expertise in healthcare regulatory standards, survey processes, and accreditation frameworks. Strong executive presence with proven ability to lead cross-functional teams and influence organizational change.