Program Manager, Regulatory Affairs

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Regulatory Affairs Specialist supports the activities of the Regulatory Affairs Department in ensuring compliance with accreditation, licensing, and regulatory requirements, including those from Joint Commission (JC), CMS and MA Department of Public Health. This position assists with survey readiness, documentation management, performance tracking, and communication related to quality, safety, and compliance initiatives across the organization.
The Regulatory Affairs Specialist works under the direction of the Director of Regulatory Affairs, collaborating closely with clinical departments, quality and patient safety teams, and administrative leaders to maintain a continuous state of regulatory readiness.

Job Description:

Essential Responsibilities, but not limited to:

• Acts as a coordinator to hospital-wide accreditation readiness committee and a working subgroup contributor.
• Assist in coordinating hospital-wide accreditation and licensing activities, including preparation for regulatory surveys and inspections.
• Maintain documentation related to accreditation readiness, compliance action plans, and performance metrics.
• Support the development and organization of materials for internal audits and mock surveys; track follow-up actions and ensure timely completion.
• Communicate updates on regulatory requirements and standards to key stakeholders.
• Participate in the preparation of educational resources, presentations, and communication materials regarding regulatory or accreditation updates.
• Assist in creating and maintaining content for internal portals or intranet pages related to regulatory compliance.
• Provide administrative and logistical support for committee meetings, audits, and regulatory readiness projects.
• Conduct basic observations, audits, and chart reviews under the guidance of Regulatory Affairs Director to identify areas for improvement.
• Coordinate follow-up on corrective action plans and monitor progress toward compliance goals.
• Establish and maintain collaborative relationships with colleagues across departments and with clinical affiliates as needed.
• Provide education regarding regulatory requirements; serve as a point of contact for inquiries regarding regulatory compliance.

Required Qualifications:

• Bachelor’s degree in clinical/ healthcare management or related field; Master's degree preferred.
• 3-5 years of related work experience.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook) and database management.
• Strong organizational skills, attention to detail, and ability to coordinate multiple priorities.

Preferred Qualifications:

• Experience supporting Joint Commission, CMS, or state licensing surveys preferred.
• Knowledge of healthcare quality improvement or patient safety initiatives.
• Familiarity with Lean or PDSA methodologies.

Competencies:

• Problem Solving: Gathers and analyzes information to identify issues and propose practical solutions.
• Communication: Communicates effectively in both written and verbal form; able to summarize regulatory information for varied audiences.
• Teamwork: Works collaboratively across departments to support compliance initiatives and survey readiness.
• Customer Service: Demonstrates professionalism and responsiveness in interactions with staff, patients, and external surveyors.
• Knowledge: Understands basic regulatory and accreditation concepts; applies this knowledge under supervision.
• Provide education regarding regulatory requirements; serve as a point of contact for inquiries regarding regulatory compliance.

Pay Range:

$79,997.00 USD - $119,995.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. 

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled