Baystate Health, a nationally recognized leader in healthcare quality and safety, is seeking a Regulatory Coordinator to help ensure the highest standards of quality, safety, and regulatory compliance across the organization in Springfield, MA.
RESPONSIBILITIES: Reporting to the Vice President of Quality and Safety, this role offers the opportunity to work cross-functionally with leaders in Quality, Risk Management, and Compliance to support a culture of accountability, safety, and regulatory excellence across the organization.
Regulatory Compliance & Survey Readiness
- Partner across departments to strengthen system-wide regulatory compliance and accreditation readiness initiatives
- Support adherence to standards from The Joint Commission, CMS Conditions of Participation, and Massachusetts Department of Public Health
- Identify compliance gaps and lead the development, implementation, and monitoring of corrective action plans
- Participate in environmental rounds to identify and mitigate safety risks and regulatory concerns
- Support survey preparation, actively participate in on-site surveys, and lead post-survey follow-up activities
- Manage regulatory workflows within The Joint Commission Connect portal, including submissions, documentation, and corrective action plans
- Serve as a subject matter expert, providing guidance on accreditation standards and regulatory requirements
Audit, Data & Performance Monitoring
- Develop and maintain audit tools, tracers, and regulatory reporting mechanisms
- Track, analyze, and trend compliance data to inform performance improvement efforts
- Collaborate with stakeholders to design meaningful performance metrics and tracers
- Lead monthly regulatory readiness meetings to monitor organizational compliance status
Education & Engagement
- Educate leaders and staff on regulatory standards and expectations
- Develop and deliver training materials and presentations to support survey readiness and compliance awareness
SCHEDULE:
- Full-time
LOCATION:
- 759 Chestnut St
- Springfield, MA
- Requires travel to Greenfield, Westfield, and Palmer
QUALIFICATIONS:
- Bachelors Degree, required
- 3+ years of experience in healthcare, regulatory, quality, or compliance-related roles preferred
- Strong communication and interpersonal skills, with the ability to influence across teams
- Critical thinking and problem-solving skills to assess compliance risks and drive solutions
- Exceptional attention to detail with strong auditing, documentation, and tracking capabilities
- Ability to manage multiple priorities independently in a fast-paced environment
- High level of discretion when handling sensitive and regulatory information
- A collaborative, team-oriented mindset
Education:
Bachelor of Science (Required)Certifications:
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$83,054.00 - $95,472.00 - $112,923.00Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Skills Required
- Bachelor of Science
- Knowledge of The Joint Commission, CMS Conditions of Participation, and Massachusetts Department of Public Health regulations
- Experience with regulatory/accreditation survey readiness and corrective action planning
- Experience developing and maintaining audit tools, tracers, and compliance reporting
- Strong written and verbal communication, critical thinking, attention to detail, and interpersonal skills
- Ability to manage multiple priorities independently and handle sensitive/confidential information
- Experience creating educational materials and presentations using Microsoft PowerPoint
- Experience navigating and managing The Joint Commission Connect portal
- Minimum 3 years in healthcare-related or regulatory-related roles
What We Do
Baystate Health is a not-for-profit, integrated healthcare system serving western Massachusetts through a network of hospitals, medical practices, and health insurance services.
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