**Description** This position is incentive eligible. Introduction We are seeking a Division Director Regulatory and Accreditation with HCA Houston Healthcare to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us! Benefits HCA Houston Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** We are seeking a Division Director Regulatory and Accreditation for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us! **Job Summary and Qualifications** The Division Director of Regulatory Compliance is responsible for administration and oversight of all activities concerning the achievement of continuous regulatory and accreditation readiness, regulatory response, quality excellence, and corporate safety compliance. The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), state agencies and other external agencies for regulatory compliance. This position works closely with the quality and safety areas, leadership, and department leaders within the Facilities, to support facilitation, development, implementation, and validation of systems to ensure compliance with external accrediting and regulatory bodies, while driving process improvement and safety across the division. The position must be able to deploy to other divisions if necessary to support regulatory compliance. **What You Will Do In This Role:** + You will provide administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. + You will direct strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization. + You will maintain knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance and collaborates with the HCA Regulatory and Accreditation Team. + You will establish and maintains proactive system for continual survey readiness with division and facility key stakeholders and department leaders. + You will oversee post-survey activities by working with key stakeholders, including senior leadership team, to identify and address areas of non-compliance and assists in the development, submission, and implementation plans of correction. **What qualifications you will need:** + Registered Nurse license required + Bachelors Degree required + Masters Degree, or Doctorate Degree required + 5-7+ years of relevant consultative and/or leadership experience or equivalent combination of education and/or experience + Certified in Healthcare Quality and Management (CHCQM) or Certified Professional Healthcare Quality (CPHQ) must be obtained within 1 year of employment start date + Healthcare Accreditation Cert Professional (HACP) must be obtained within 2 years of employment start date HCA Gulf Coast Division is an affiliation of hospitals serving greater Houston area and South Texas. We share a mission, a commitment to the communities we serve and a standard of excellence for providing compassionate patient care. Serving such a large and diverse region requires HCA Gulf Coast Division to offer a range of programs that meets the needs of people of all ages with conditions ranging from acute to chronic illnesses. With 16 acute care and specialty hospitals, freestanding emergency rooms, ambulatory surgery centers, and more than 16,000 employees, HCA Gulf Coast Division offers patients access to a circle of care that is unique in the region. We bring comprehensive care close to home, including advanced medical care, education, and community outreach. By joining together as a network, hospitals are able to focus on improving outcomes and enhancing services for their own communities, while pooling resources for other functions like staffing and systems management. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.