**Description** This position is incentive eligible. **Introduction** Managers thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Division Director Regulatory and Accreditation for our HCA Midwest Health team where excellence creates excellence. **Benefits** HCA Midwest Health, 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._** HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? **Apply for our Division Director Regulatory and Accreditation SVS role today!** **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. + Provides administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations. + Directs 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. + Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency. + Maintains 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. + Establishes and maintains proactive system for continual survey readiness with division and facility key stakeholders and department leaders. Manages the division’s tracer process and audits, where appropriate. Recommends monitoring activities and determines effectiveness of interventions to meet desired outcomes. + Develops and leads CMS, TJC, and state hospital licensure regulatory and quality compliance plan for the division hospitals and sites of care that fall under the hospital license. + Oversees post-survey activities. Works 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. + Oversees post-survey compliance activities to ensure successful implementation of process changes. Performs periodic re-evaluation and validation of results to ensure performance improvement is sustained. **What qualifications you will need:** + Healthcare Accreditation Cert Professional (HACP) must be obtained within 2 years of employment start date + Bachelors Degree + Registered Nurse or Certified in Healthcare Quality and Management, or Certified Professional Healthcare Quality (CPHQ), or Masters Degree, or Doctorate Degree must be obtained within 1 year of employment start date HCA Midwest Health (https://hcamidwest.com/) is Kansas City's largest network and recognized pioneer in healthcare. Our network includes doctors, hospitals, emergency rooms (ERs), urgent care centers, outpatient centers, physician practices, and surgery centers across more than 150 locations. We offer access to a network of board-certified or board-eligible physicians. This includes 2,000+ experts trained in 80+ medical specialties. We are professionals bound together by one mission—to deliver exceptional, personalized care. People are our core and at the very heart of our family-centered system of world-class healthcare. 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. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) Division Director Regulatory and Accreditation SVS. **Unlock your leadership potential with HCA Healthcare.** 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.