Quality and Reg Program Assistant | SQM | Full Time (On-Site)

### **Job Duties and Responsibilities** - Maintain and manage the enterprise-wide quality and regulatory project tracker, including timelines, milestones, deliverables, and responsible parties. - Track progress of quality improvement initiatives, regulatory action plans, and Joint Commission readiness activities. - Coordinate follow-up on assigned tasks from quality committees, regulatory surveys, and executive leadership meetings. - Identify delays, barriers, and risks in project execution and escalate issues to the Senior Director of Quality & Regulatory Affairs. - Support implementation tracking for corrective action plans related to audits, surveys, and performance improvement initiatives. - Maintain documentation systems related to Joint Commission readiness, CMS compliance, and other regulatory requirements. - Organize and support documentation for accreditation surveys, mock surveys, tracer activities, and compliance audits. - Assist in preparing materials for regulatory reviews, board reports, and executive presentations. - Optimize timely collection and organization of evidence required for accreditation and regulatory compliance. - Coordinate scheduling, agendas, materials, and minutes for quality, patient safety, accreditation, and population health committees. - Track committee action items and ensure completion of assigned follow-ups. - Maintain standardized documentation for committee structures, reporting workflows, and governance requirements. - Support preparation of executive dashboards, reports, and presentation materials. - Assist in maintaining quality dashboards, spreadsheets, and tracking tools used for performance monitoring. - Assist in maintaining the incident event reporting system and associated reports. - Compile data from multiple departments to support reporting requirements for regulatory and quality programs. - Support documentation standardization and administrative workflows across quality and regulatory functions. - Ensure accuracy, consistency, and version control of quality and regulatory documents. - Serve as a communication hub between clinical quality staff, regulatory teams, ambulatory and hospital leadership, and administrative departments. - Distribute updates related to quality initiatives, regulatory requirements, and accreditation readiness activities. - Facilitate timely communication of deadlines, deliverables, and regulatory requirements across departments. ### **Job Requirements** #### Required Education Associates or Bachelors Degree in Healthcare Administration, Business Administration, Public Health, or related field #### Required Work experience - 2–5 years of experience in healthcare administration, project coordination, quality support, regulatory compliance, or related field. - Experience in a hospital, health system, or ambulatory care setting strongly preferred. - Experience supporting quality improvement, accreditation, or regulatory programs is a plus. #### Required knowledge, skills, and abilities - Strong organizational and project management skills. - Ability to track multiple projects, deadlines, and priorities simultaneously. - High attention to detail and accuracy in documentation and reporting. - Strong communication and interpersonal skills. - Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and project tracking tools. - Ability to work effectively with clinical and non-clinical stakeholders. - Understanding of healthcare operations, quality programs, or regulatory environments preferred. - Click or tap here to enter text.Click or tap here to enter text. ### **Success Measures** - Timely and accurate tracking of quality and regulatory projects. - Effective coordination of accreditation and regulatory documentation. - Completion and follow-up of committee and action items. - Improved organization and efficiency of quality and regulatory workflows. - Reduction of administrative burden on clinical quality and leadership teams. - Support of succe…