Director of Regulatory Compliance

We are looking for an experienced regulatory compliance leader to guide hospital-wide readiness efforts and strengthen alignment with applicable accreditation and regulatory standards. This Long-term Contract position will oversee compliance strategy, support survey preparedness, and partner with clinical and operational teams to address findings and sustain regulatory performance. The role is well suited for an individual who brings strong knowledge of Joint Commission expectations, state and federal healthcare regulations, and practical experience leading corrective action initiatives.

Responsibilities:
• Lead and support a regulatory compliance team, including oversight of two Regulatory Compliance Managers, while setting priorities and providing direction across key initiatives.
• Drive enterprise-wide preparation for accreditation and regulatory reviews, including planning and execution of mock surveys, tracers, gap assessments, and staff education activities.
• Serve as a senior resource on Joint Commission standards, hospital compliance obligations, and broader state and federal regulatory requirements affecting healthcare operations.
• Coordinate interactions with external surveyors and regulatory representatives, ensuring organized communication, timely documentation, and effective issue follow-up throughout the review process.
• Evaluate survey results and identified deficiencies, develop corrective action plans, and monitor progress to ensure responses are completed accurately and on schedule.
• Partner with clinical, operational, and administrative leaders to resolve compliance concerns, implement lasting improvements, and reinforce continuous readiness.
• Oversee the review and submission of organizational policies and procedures so documentation remains current, consistent, and aligned with regulatory expectations.
• Support readiness efforts related to accreditation changes and evolving compliance requirements while maintaining focus on survey success and sustained adherence.
• Contribute to regulatory reporting activities and compliance monitoring processes to help the organization maintain strong standing with oversight agencies.• 3+ years of experience in regulatory compliance, healthcare accreditation, or a closely related hospital compliance leadership function.
• Demonstrated knowledge of Joint Commission regulations and standards, including experience supporting survey readiness and response activities.
• Strong understanding of state and federal healthcare regulatory requirements, with the ability to interpret and apply them in an operational setting.
• Experience conducting site surveys, tracers, gap analyses, and corrective action follow-up within a healthcare environment.
• Ability to work effectively with cross-functional clinical and operational teams to resolve findings and improve compliance outcomes.
• Strong written and verbal communication skills, including the ability to prepare documentation, reporting materials, and regulatory responses.
• Familiarity with public health regulatory expectations; experience with the Illinois Department of Public Health is preferred.
• Exposure to Epic software is helpful, along with strong organizational and project coordination skills.