Assistant Vice President , Regulatory & Accreditation Services

Job Info

Schedule: Days: M–F
Job Location Type: Remote/Hybrid

Your experience matters:
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier®.

More about our team:
The Regulatory and Accreditation Services team partners with Lifepoint facilities to ensure compliance with federal, state, and accreditation standards. We provide coaching, mentorship, and oversight to help facilities stay survey-ready while supporting continuous improvement in quality, safety, and patient outcomes.

How you’ll contribute:
A AVP, Regulatory and Accreditation Services who excels in this role will:

• Demonstrate a thorough understanding of The Joint Commission (TJC), CMS, and other regulatory requirements
• Provide guidance, support, and mentorship on CMS Conditions of Participation, accreditation, and survey readiness activities
• Collaborate with Hospital Operations – Clinical and Quality teams to advance regulatory compliance and patient safety outcomes
• Participate in Survey Readiness Assessments (SRAs) to evaluate facility performance and improvement opportunities
• Serve as a resource for accreditation, CMS compliance, performance improvement, patient safety, and infection control processes
• Provide oversight and tracking to ensure facilities maintain compliance with local, state, and federal regulations
• Support the process of applying for and maintaining accreditations
• Coordinate internal audits, SRAs, and ensure documentation for surveys is complete and accurate
• Participate in policy development and maintenance for compliance and accreditation matters
• Train Quality staff and other leaders on regulatory requirements and compliance expectations
• Maintain tracking records, reports, and correction plans; provide guidance on corrective actions
• Act as a liaison between HSC leadership, facilities, and regulatory bodies for accreditation and compliance matters

Why join us:
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance, and 401(k) retirement package with company match
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services, and discount programs)
• Professional Development: Ongoing learning and career advancement opportunities

What we’re looking for:
Applicants should bring a strong background in healthcare regulatory and accreditation with at least 7 years of experience, including 5 years in a leadership role. Additional requirements include:

• RN with a master’s degree in healthcare administration/management or related field; PharmD considered
• Current professional license in discipline required at time of hire and maintained throughout employment
• CPHQ and/or CPPS preferred
• Experience supporting TJC, CMS, and state regulatory compliance
• Knowledge and experience in Quality Management, evidence-based clinical practice, and data analysis of quality indicators
• Familiarity with OPPE/FPPE processes
• Strong skills in team facilitation, education program development, problem-solving, and regulatory coaching

Work environment & travel:

• Overnight travel required depending on business needs (50%-60%)

EEOC Statement:
Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Work Authorization:
You must be authorized to work in the United States without employer sponsorship.

Posting Date: 2025-10-13T14:43:34 00:00

Job Schedule: Full time

Locations: 330 Seven Springs Way Brentwood TN 37027