Regulatory Compliance Project Management

The Regulatory Compliance Project Manager works under the directive of executive leadership to support cross-functional initiatives that improve patient care, ensure regulatory compliance, enhance staff education, and optimize operational performance. This role supports current state analysis, solution development, implementation planning, execution, and sustainment of projects across clinical workflows and organizational systems. The project manager will be expected to own end-to-end project lifecycle management (scope, planning, timeline, budget, resourcing, change management) for clinical, revenue cycle, and compliance initiatives.

Project Planning:

• Lead current state analysis, area of opportunity identification and solution analysis.
• Facilitate workflow design with clinical leaders and support quality initiatives.
• Ensure projects align with federal and state regulations, as well as CARF standards.
• When applicable, lead project teams, in conjunction with the key leadership, to develop project goals, work plans and key timelines.
• Collaborate with executive leadership towards understanding and managing key priorities across the organization’s project portfolio.

Project Coordination:

• Will operate as primary lead in key meetings and presentations including the following tasks:
• Coordinating meetings and ensuring key attendees are available
• Developing an agenda for the call
• Managing and Update Project charters, status reports and decision logs
• Providing notes post call with clear action items and timelines for completion.
• Communicate design, planning, construction, and other issues to key stakeholders in a clear and compelling way. Ensure appropriate internal communication including written project documentation.
• Collaborate effectively with all team members. Generate and supportive and positive team environment: participation, empowerment, and accomplishment.
• Be a proactive resource to project teams in their decision-making processes and in the development of technically sound and innovative planning and design solutions.
• Proactively identify risks to project deliverables and escalate as appropriate.
• Ensure achievement of quality, budget, schedule, innovation and profitability objectives.

Project Implementation:

• Own the development and launch of implementation plans and direct support teams as needed.
• Develop training materials, SOPs, and participate as a leader in rollout and adoption measurement.
• Lead post-implementation reviews, PDSA cycles as needed, and present outcomes to leadership teams.

Compliance Operations:

• Supports the monitoring and reviewing of company activities to assess level of compliance with existing and proposed federal, state, or provider requirements. Maintains compliance documents and databases, and coordinates preparation of such documents with other departments as necessary.
• Assists with the development of new policies and procedures, as well as, the annual and periodic review of processes and policy manuals to ensure alignment with the work being done and compliance with federal, state, and local regulations.
• Responsible for maintaining, tracking, and analyzing datasets and reports used to monitor compliance and quality activities across the sites, such as client satisfaction survey results, critical incident and medication error reports, etc.
• Participates in performance improvement activities designed to improve quality and compliance at the sites and company-wide.
• Responsible for review and submission of licensing updates and regulatory reports. Oversees compliance audits, inspections, and environmental assessments.
• Provides backup support to Compliance Team members as needed.

Qualifications Required to Perform Essential Job Functions:
Minimum Requirements:

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, Psychology Business, or related field
• MBH, MPH or MHA preferred
• 4–7 years of project management experience in healthcare delivery, behavioral health, or payer/provider operations.
• Knowledge of CARF standards, and state licensing rules.
• Proficiency with PM tools and data/reporting tools.
• Preferred certifications: PMP, CAPM, Lean Six Sigma, CHC, CPHQ.

Required Skills, Knowledge and Ability:

• Strong verbal skills and ability to communicate with a variety of people, internal and external, from diverse cultures, socioeconomic and educational backgrounds.
• Proficient in MS Suite: Outlook, Excel Word, SharePoint and Power Point.
• Experience with Project Management Platforms
• Strong critical/strategic thinking, communication, and problem-solving skills – must be self- motivated and able to manage multiple projects with key deadlines and direct, guide team accordingly.
• Strong interpersonal and communication skills, written and verbal (Teams, group/individual settings).
• Proven ability to work independently with minimal direction, while working collaboratively with the associated departments; in particular clinical services, operations and finance.
• Detail Oriented, able to process, interpret regulatory standards, requirements and convert into appropriate vernacular/jargon for all staff to understand and behave accordingly.

Physical Requirements:

• Hearing Ability - to hear staff, incoming calls, Teams/virtual meetings, individual/group sessions
• Vision Ability - to see computer screen, white board and related office visuals
• Speaking Ability - to verbally speak to colleagues, vendor partners, related professionals
• Sitting - Varies, approximately 5-6 hours per day
• Standing - Varies, approximately 1-2 hours per day
• Travel < 15% of the time, as needed to visit programs, attend off-site meetings