Join our award-winning team at UW Medical Center - Montlake. Among the top medical centers in the United States as rated by U.S. News & World Report 2019-2020 "America's Best Hospitals", UW Medical Center - Montlake prides itself on compassionate patient care as well as its pioneering medical advances. UW Medical Center - Montlake has again earned U.S. News & World Report’s No. 1 hospital ranking in Washington State and in the Seattle metropolitan area. It is the seventh consecutive year that UW Medical Center - Montlake has achieved both distinctions.

At UW Medical Center – Northwest (formerly Northwest Hospital & Medical Center), we’re proud of the acclaim we've received for our excellence in patient care and safety. Among the local, regional and national recognition we've received are: The Distinguished Hospital for Clinical Excellence Award; The Emergency Medicine Excellence Award; The Stroke Care Excellence Award; Winner of the HealthGrades Distinguished Hospital Award for Patient Safety for the last three years in a row. We’re also one of the safest places to get care – among the top 5% in the country.

Excellence. Exploration. Education. Become part of our team, and join our mission to make life healthier for everyone in our community.

The MANAGER OF PROGRAM OPERATIONS, REGULATORY AFFAIRS will provide program management for UWMC’s Accreditation Surveys Department across the two-campus hospital. 

This position will provide management and oversight for regulatory survey activities and compliance across two campuses, both UW MEDICAL CENTER MONTLAKE AND UW MEDICAL CENTER NORTHWEST. This manager will be required to rotate work sites between the two campus locations, but this role’s primary site will be UWMC Northwest.

The Manager of Program Operations, Regulatory Affairs will manage the two-person Standards Team, managing the development, review, publishing, and maintenance of policies for all departments, clinics and units in the two-campus hospitals.


DUTIES INCLUDE, BUT ARE NOT LIMITED TO:

The Manager will work with leadership in the Regulatory Services team to ensure continuous adherence to regulatory requirements at both campuses of UWMC. 

Will recruit and retain qualified staff, maintain engagement of same through level-loading and offering growth opportunities

Process standardization and identification of opportunities for cost efficiencies in contracts, budgets, and staffing. Understands the legal requirements around policy maintenance and retention.  Will maintain compliance with University policies. 

Communicates regulatory standards to ensure staff responsible for implementing standards understand requirements.

Conducts gap analyses to ensure the two-campus hospital remains in compliance with changing regulatory requirements.

Will serve as back-up to the Director of Regulatory Affairs, reducing risk to the organization of having only one individual with the knowledge of regulatory history, status and ongoing projects for the organization.

Will support UWMC’s regulatory services work with independent management of complex licensing and accreditation surveys, hospital licensing requirements, facility complaint investigations, subpoenas and records requests, reporting adverse events and tracking required documentation, for federal, state and other regulatory agencies.

The Manager will also manage all HR functions such as identification of staffing needs, recruitment activities such as position description development, job posting, resume review, candidate evaluation, hiring, onboarding, training, approval of time worked and time-off, performance evaluations and disciplinary action, when needed, for the Standards Team. 

Will assist in the development and monthly monitoring of the Accreditation Surveys budget. Will serve as the Accreditation Services budget compliance approver, approve invoices for payment, reconcile department expenditures and monitor funds.


REQUIRED

Bachelor's degree in business or related degree

4- 5 Years’ experience direct experience managing a highly regulated environment or experience working with healthcare regulatory agencies. 

Must be comfortable working in a large, complex organization. 

Must have experience working with quality and safety project improvement initiatives.

Must have experience developing policy language and interpreting regulatory standards and requirements through policy and discussion with staff and leadership.

Equivalent experience may substitute for education and experience.


DESIRED:

Experience working with policies and procedures, the State retention schedule and extensive experience with SharePoint functionality.

Knowledge or experience with medical staff credentialing processes. 

Experience in direct supervision of staff to include hiring, onboarding, training, evaluating performance, corrective actions is desired.

Fundamental understanding and aptitude in working with operational budgets, vendors and contracts is desired.


CONDITIONS OF EMPLOYMENT:

This position is largely sedentary, although requires ability to travel between UWMC campus locations and other hospital sites of practice; heavy screen time; requires carrying pager; communication tools include in-person, group meetings, telephone, email; requires professional appearance as work location is in UWMC Administrative offices. Requires ability to be on-site in emergencies on weekends or holidays, as needed.