Director, Regulatory Affairs & Quality
At ACHC we hire only the best. As a non-profit company with a rapidly growing customer base, our philosophy is innovation, honesty, and quite simply, excellence. If you share our passion for transforming the health of our communities and would like to experience and promote the ACHC difference, we'd love to have you join our team.
We are currently seeking a Director, Regulatory Affairs & Quality to function as a conduit between ACHC’s departments and programs promoting consistency and alignment with the organization’s strategy, regulatory requirements, and Quality Management System (QMS). This person will provide regulatory leadership, monitor emerging regulations, and serve as the primary contact with Centers for Medicare & Medicaid Services (CMS).
It is essential that this Director drives a culture of continuous improvement, while embedding quality at the core of the business, steering operational excellence, overseeing risk mitigation, and contributing to the organization’s strategic success. The ideal candidate will have a strong aptitude for analytical and data-driven decision making. Additional keys to success include extensive knowledge of healthcare accreditation and excellent written communication skills with the complimenting ability to effectively present verbally to a variety of audiences.
RESPONSIBILITIES INCLUDE:
Organizational Alignment
- Advises executive leadership on emerging compliance risks, evolving regulatory trends, and potential legal or ethical concerns, providing clear interpretation of requirements and their operational impact.
- Drives ACHC Standards’ integrity by providing oversight to: updating standards for regulatory compliance, applying standardization when applicable, tracking changes, making updates, ensuring programmatic standard consistency, obtaining Board of Commissioner’s approval, and collaborating with program leaders for accuracy.
- Owns and maintains cross-divisional documents, policies/procedures, and annual plans to ensure organizational consistency to build trust with stakeholders, improve operational efficiency, and establish a strong brand identity.
- Collaborates with regulatory authorities, legal resources, ACHC Board of Commissioners, and relevant interested parties as an ACHC advocate and subject matter expert.
- Provides oversight, ensuring continuous readiness, and submission integrity for all organizational accreditations and certifications (e.g., ISO, IACET, ISQua).
- Manages the storage and integrity of records for file destruction, legal documents, legal holds, subpoenas, federal reviews, and unusual circumstances.
- Promotes and enhances a team culture that reflects the organization’s mission, vision, values, and quality policy, encourages teamwork and personal goal achievement.
Regulatory Affairs
- Ensures that ACHC meets and maintains continuous compliance with regulatory requirements as defined by government and governing agencies for all programs and services.
- Develops and implements plans to establish strategic relationships with industry and government leaders, third party payors and other managed-access entities to strengthen national presence and identify growth opportunities aligned with strategic corporate interests.
- Serves as the primary liaison with CMS, cultivating a strong, collaborative relationship, proactively engaging CMS to address questions, resolve issues, and interpret regulatory guidance, while representing ACHC’s interests with professionalism and credibility.
- Maintains continuous compliance with CMS deeming requirements, ensuring the accuracy and integrity of all deemed status applications, document submissions, record-keeping, surveys, plans of correction, and correspondence.
- Provides oversight of reporting requirements ensuring data accuracy for all federal, regional, and state agencies for accreditation, certification, and licensure.
Quality
- Oversees and directs the overall operations of quality initiatives to ensure continuous improvement and compliance, including customer satisfaction, Net Promoter Score, internal audits, escalations, complaints against customers/ACHC, and document control.
- Ensures the ACHC Quality Management System (QMS) is suitable, adequate, effective, and aligned with the strategic direction of ACHC.
- Enforces the ACHC Risk Management Framework through managing the ACHC Risk Register, enforcing risk management policies, coaching staff in risk mitigation, facilitating root cause analyses, and ensuring ACHC is well-prepared for potential challenges, balancing risks against opportunities.
- Promotes a culture of data‑informed decision‑making by partnering with leaders to define meaningful, measurable key performance indicators (KPIs), providing guidance in interpreting performance data, recognizing trends, and diagnosing root causes of performance gaps.
- Models collaborative problem‑solving, encourages open communication, and promotes a mindset of high performance, accountability, and continuous professional growth.
JOB REQUIREMENTS:
- Education & Training
- Bachelor’s Degree in Nursing, Healthcare Administration, Quality Management or related field; Master’s Degree preferred.
- 10+ years of relevant work experience in regulatory affairs, accreditation, or compliance with 5+ years of management or oversight responsibilities.
- Strong knowledge of accreditation standards and the Medicare Conditions of Participation.
- Skills & Experience
- Prefer experience with managing a quality management system, customer satisfaction, internal auditing and risk management.
- Strong aptitude for analytical and data-driven decision-making.
- Excellent grasp of the English language, with the ability to compose policies, letters, and professional correspondence.
- Ability to design, develop, and deliver engaging presentations tailored to diverse audiences.
- Experience with computer systems, proficiency in the use of databases and other office system programs. Proficiency in Microsoft Office Suite.
- Occasional travel required.
This position is office-based at our headquarters in the Raleigh-Durham, NC area with the eligibility to work remotely two days per week. Compensation includes base salary + annual bonus. Relocation assistance provided if applicable.
At ACHC, you will have access to competitive benefits including a fresh perspective on workplace flexibility. Our visionary market sensibility coupled with a workplace that has been recognized both nationally and locally as a Best Places to Work award recipient, ACHC provides a competitive salary along with a comprehensive benefits package featuring 100% paid Medical, Dental, and Vision benefits for individuals. Come join our fun-loving, committed team of professionals who each play a vital role in providing our customers with the industry’s best possible service experience.
Accreditation Commission for Health Care is an Equal Opportunity Employer.
