{"id":2254259,"url":"https://alion.io/job/gbmc-healthcare-accreditation-program-manager","title":"Accreditation Program Manager","company":{"id":2185526,"name":"GBMC HealthCare","domain":"gbmc.org","url":"https://alion.io/company/gbmc","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":80,"open_postings":19,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":18,"computed_at":"2026-10-22T06:10:10Z"}},"role":"Management","role_family":"Management","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":79517,"max":143130,"currency":"USD","period":"year","gross":null,"usd_annual":143130},"salary_estimate":null,"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-06-23T00:00:00Z","employer_posted_date":"2026-06-23","last_verified_at":"2026-10-21T15:34:54Z","board_verified":true,"closed_at":null,"days_open":121,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":121},"description":"The Accreditation Program Manager is responsible for ensuring the hospital maintains ongoing readiness for regulatory and accreditation surveys. This role provides leadership, guidance, and subject-matter expertise to clinical and operational teams to lead survey preparation activities and monitor regulatory and accreditation compliance throughout the hospital. The Accreditation Program Manager is the point of contact for all announced and unannounced surveys and serves as the liaison between the surveyors and leadership. This role collaborates with clinical and operational leaders to identify gaps, guide corrective action planning, and integrate regulatory/accreditation readiness into daily operations and Quality/Patient Safety initiatives. The role also oversees the policy management system and process. The Accreditation Program Manager serves as the hospital’s subject matter expert on regulatory and accreditation standards and promotes and culture of safety, quality, and regulatory compliance throughout the hospital. The Accreditation Program Manager oversees the Accreditation Specialist.Education:\nBachelor’s degree in nursing or other clinical field required; Masters preferred.\nExperience:\n4-6 years of recent experience in a healthcare regulatory or compliance environment.\nLicensures, Certifications:\nProfessional clinical license\n Skills:\nExtensive knowledge of healthcare regulatory and accreditation standards, including Conditions of Participation (CoP); background in healthcare compliance, quality, patient safety and/or performance improvement preferred, clinical background preferred. \nAbility to interpret and translate complex regulations\nProficiency in managing compliance documentation and audits\nExperience developing plans of correction, managing follow-up actions, and submitting evidence of compliance\nSkilled in facilitating trainings, leading and coordinating mock surveys and tracers, and presenting leadership updates\nAbility to remain calm and effective during survey activities and time-sensitive situations\nExperience in policy management\nExperience facilitating interdisciplinary teams and working with clinical and operational leaders\nStrong organizational skills and attention to detail\n Principal Duties and Responsibilities:\nEnsures the hospital is survey-ready. Works with leaders to ensure that care is provided in accordance with regulatory and accreditation standards, ensuring the provision of high-quality, safe patient care. \nMaintains continuous survey readiness through the supervision of proactive audits, tracers, mock surveys, and monitoring.\nTracks and trends regulatory and accreditation findings to identify patient safety and system issues\nManages (and develops as needed) the hospital’s triennial survey preparation plan, including but not limited to mock surveys, documentation review, and education\nMonitors changes in regulatory and accreditation standards and ensures timely communication to stakeholders\nServes as the point of contact during all regulatory and accreditation announced and unannounced surveys and provides a designee (e.g., Accreditation Specialist) to coordinate logistics and support during regulatory and accreditation surveys (e.g., surveyor escorts, document gathering, etc.)\nEnsures maintenance of required regulatory and accreditation documentation\nLeads post-survey follow-up including plan of correction development, evidence of compliance submission, and reporting. Facilitates corrective action planning with department leaders, ensuring actions are measurable, meaningful, and sustainable.\nServes as the hospital’s subject matter expert on regulatory and accreditation standards, providing interpretation, guidance, and education. Develops and delivers educational resources, training sessions, and communication tools to support current and new hire staff\nCollaborates with clinical and operational leaders and teams to align regulatory and accreditation requirements with hospital goals and priorities. Ensures regulatory and accreditation requirements are integrated into Quality, Patient Safety, Performance Improvement, and Risk initiatives.\nPrepares for and facilitates the Accreditation Readiness Committee (ARC) which includes review of changes to standards, compliance status of current standards, and any required follow-up, including agenda and minutes\nProvides leadership updates regarding accreditation readiness status, risks, and post-survey results.\nMaintains oversite for the policy management system and ensures policies meet regulatory and accreditation requirements.\nPrepares for and facilitates the hospital’s Policy Advisory Committee (PAC) including agenda and minutes\nLeadership responsibilities include:\nOversees Accreditation Specialist\nCompletes payroll, time and attendance\nImplements corrective actions as needed\nCompletes and administers performance evaluations\nTracks employee position requirements and ensures the employee file is complete\nWhen searching for a new candidate, responsible for the interview process and evaluation of candidate(s)\nOversees (and administers as needed) orientations and competencies\nCoaches and mentors staff\nAll Role Must Follow GBMC Values:\nRespect\nTreats others with fairness, kindness, and respect for personal dignity and privacy\nListens and responds appropriately to others’ needs, feelings, and capabilities\nExcellence\nMeets and/or exceeds customer expectations\nActively pursues learning and self development\nPays attention to detail; follows through\nAccountability\nSets a positive, professional example for others\nTakes ownership of problems and does what is needed to solve them\nAppropriately plans and utilizes required resources for various job duties\nReports to work regularly and on time\nTeamwork\nWorks cooperatively and collaboratively with others for the success of the team\nAddresses and resolves conflict in a positive way\nSeeks out the ideas of others to reach the best solutions\nAcknowledges and celebrates the contribution of others\nEthical Behavior\nDemonstrates honesty, integrity and good judgment\nRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkers\nResults\nEmbraces change and improvement in the work environment\nContinuously seeks to improve the quality of products/services\nDisplays flexibility in dealing with new situations or obstacles\nAchieves results on time by focusing on priorities and manages time efficiently\nPay Range\n$79,517.04 - $143,130.67Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.\nEqual Employment Opportunity\nGBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.","description_format":"text","description_chars":7027,"description_truncated":false,"requirements":{"experience_years_min":4,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems","Primary Care & Medical Centers"],"lifecycle":[{"event":"open","at":"2026-10-11T03:35:05Z"}],"visa":[],"liveness":{"score":5,"band":"cold","label":"Long shot","p_open":1,"p_active":0.192,"p_room":0.28,"age_days":121,"expected_fill_days":18,"reasons":["conf:14","stale_co","urgency","win:tail","crowd:brand"],"computed_at":"2026-10-22T06:10:10Z"},"pay":{"stated_usd_annual":143130,"is_top_pay":true},"html_url":"https://alion.io/job/gbmc-healthcare-accreditation-program-manager","json_url":"https://alion.io/job/gbmc-healthcare-accreditation-program-manager.json","meta":{"generated_at":"2026-10-22T18:55:19Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":1922,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-23T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2185526},"rest":"https://alion.io/mcp/rest/get_company?id=2185526"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fgbmc-healthcare-accreditation-program-manager"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fgbmc-healthcare-accreditation-program-manager"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fgbmc-healthcare-accreditation-program-manager"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/gbmc-healthcare-accreditation-program-manager\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fgbmc-healthcare-accreditation-program-manager"}]}