<p>Discover. Achieve. Succeed. #BeHere</p> <p>Location: US:WI:MENOMONEE FALLS at our FROEDTERT MEN FALLS HOSPITAL facility.</p> <p>This job is HYBRID.</p> <p>FTE: 1.000000</p> <p>Standard Hours: 40.00</p> <p>Shift: Shift 1</p> <p>Shift Details: Holidays: Weekends:</p> <p>Job Summary:</p> <p>The Director of Regulatory Compliance and Accreditation is responsible for leading and overseeing regulatory readiness, accreditation compliance, and survey preparedness across the health system. This individual ensures compliance with federal, state, and local regulations, as well as with accreditation standards (e.g., The Joint Commission, DNV, CMS, OSHA). The Director partners with operational leaders to promote a culture of continuous readiness and patient safety.</p> <p>EXPERIENCE DESCRIPTION:</p> <p>Minimum of 5 years of experience in patient safety, risk management, regulatory/accreditation, or quality improvement within a healthcare setting. Leadership experience in a hospital or healthcare system is preferred.</p> <p>EDUCATION DESCRIPTION:</p> <p>Master's Degree in a healthcare or related business field is required. Nursing Degree is preferred.</p> <p>TRAINING DESCRIPTION:</p> <p>In-depth knowledge of regulatory/accreditation, performance improvement, safety and quality outcomes indicators, and the ability to interpret relevant regulations.</p> <p>SPECIAL SKILLS DESCRIPTION:</p> <p>Strong knowledge of healthcare regulations and accreditation requirements, including CMS Conditions of Participation, Joint Commission, and DNV standards. Ability to analyze complex data and translate findings into actionable process improvement initiatives. Excellent leadership, collaboration, and communication skills. Strong problem-solving and critical-thinking abilities to address regulatory/accreditation challenges. Excellent organizational and project management skills. Ability to influence and engage multidisciplinary teams in survey readiness efforts. Prior experience working in an academic medical center or within a highly matrixed complex healthcare delivery organization is preferred.</p> <p>Perks & Benefits at Froedtert Health</p> <p>Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:</p> <ul> <li>Paid time off </li><li>Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities </li><li>Academic Partnership with the Medical College of Wisconsin </li><li>Referral bonuses </li><li>Retirement plan - 403b </li><li>Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics </li><li>Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available </li></ul> <p>The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.</p> <p>We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.</p>