Non-Clinical – Administrative/Regulatory Coordinator

Job Title: Accreditation & Licensure Consultant
Location: Onsite 3012 Summit St
Oakland, CA, 94609
Sutter Provides all Equipment

Requirements:

Bachelor’s degree in Nursing, Business, Healthcare Administration, or a related field; equivalent experience accepted
8 years of recent relevant experience
Working knowledge of CMS, CDPH, TJC, and IMQ accreditation and licensing requirements
Experience with healthcare delivery, clinical care coordination, and quality improvement methodologies
Experience conducting regulatory assessments and supporting continuous survey readiness
Ability to interpret regulatory requirements, analyze findings, and develop corrective action plans
Ability to communicate regulatory guidance through reports, presentations, training, and written communications
Ability to manage competing priorities and confidential information in a fast-paced environment

Preferred Requirements:

Experience with state, federal, and accreditation inspections or surveys
Experience developing standardized policies, readiness tools, and educational materials
Experience serving as a liaison with regulatory agencies and survey teams
Proficiency in applications and databases supporting regulatory compliance workflows
Ability to influence leaders and collaborate with cross-functional stakeholders

Summary / Duties:
The Accreditation & Licensure Consultant supports Alta Bates Summit Medical Center and affiliate teams with continuous readiness for state, federal, and accreditation inspections and surveys. This full-time contractual temporary role provides regulatory interpretation, facility assessments, education, program development, and implementation support. Responsibilities include evaluating compliance with CMS, CDPH, TJC, and IMQ requirements; developing standardized readiness tools and policies; conducting focused or comprehensive assessments; and preparing reports, recommendations, and corrective action plans. The consultant serves as a liaison during surveys, analyzes findings and trends, supports responses to immediate jeopardy or condition-level deficiencies, and guides performance improvement activities. Assignment length and onsite, hybrid, or remote expectations require confirmation.