Clinical Regulatory Compliance Manager

The Regulatory Compliance Manager at Dana-Farber is responsible for coordinating and leading regulatory compliance activities across all sites. This role is crucial in managing Dana-Farber’s regulatory readiness program and providing expertise on regulatory needs throughout the organization. The Regulatory Compliance Manager works under the Director of Clinical Regulatory Compliance to lead initiatives related to compliance, including data analysis and reporting for agencies like The Joint Commission, Department of Public Health, and CMS. Collaboration with committees and staff is essential to ensure consistent documentation and follow-up on regulatory risk assessments and action plans. Additionally, the Regulatory Compliance Manager supports the development of regulatory plans for new projects, such as the Future Cancer Hospital, and other organizational expansions.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Lead Technical Support for Compliance: Manage technical support for regulatory and accreditation compliance, including coordinating Joint Commission survey readiness, addressing regulatory risks through action plans, and conducting educational programs across Dana-Farber’s clinical sites.

• Support and Collaborate on Compliance Initiatives: Assist the Director and team in developing and managing compliance initiatives, collaborating with unit leadership and frontline staff to implement action plans and assess intervention effectiveness.

• Evaluate and Implement New Regulatory Requirements: Analyze new regulatory requirements, prepare summaries and recommendations, and lead initiatives to ensure compliance, providing active support to staff throughout the Institute.

• Coordinate Accreditation Survey Preparation: Organize document and process preparation for seamless execution of unannounced accreditation surveys, ensuring readiness at all times.

• Collaborate with External Regulatory Partners: Work with external partners like Vizient and C4QI to stay informed about changes to Joint Commission standards or CMS Conditions of Participation, ensuring timely awareness and interpretation.

• Prepare and Present Data Analyses: Independently compile and present data analyses to key stakeholders, attending meetings to support education and awareness of regulatory standards.

• Manage Development of Compliance Tools and Education: Develop tools, learning aids, and monitoring plans to promote compliance, acting as a liaison across departments to ensure continuous readiness and mentoring staff to build confidence in regulatory standards.

MINIMUM JOB QUALIFICATIONS:

• Bachelor's degree required, master’s degree in healthcare administration, Public Health, or related field preferred.

• 5 years of experience in Healthcare Administration and/or Quality Measurement/Improvement required, preferably in a related project/program management position.

• Experience with health information technology, especially electronic health records and healthcare-related data required.

• Experience managing quality/process improvement projects required.

• Experience with dashboard/metric development, electronic health record report development, and/or secondary data use preferred.

• Experience working in a health care setting, especially related to oncology and/or palliative care, preferred.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Healthcare Regulatory Knowledge: Possess a deep understanding of current issues in the healthcare environment, especially those related to regulatory compliance, to ensure the organization meets all necessary standards and requirements.

• Project Management Expertise: Demonstrate strong project management skills and experience, enabling effective planning, execution, and oversight of compliance initiatives and projects.

• Organizational Skills: Exhibit excellent organizational abilities with a keen attention to detail, crucial for managing the complexities of regulatory compliance tasks and documentation.

• Communication Proficiency: Have exceptional written and oral communication skills to effectively convey complex regulatory information and collaborate with diverse stakeholders.

• Analytical and Critical Thinking: Utilize strong analytical and critical thinking skills to assess regulatory requirements, identify potential issues, and develop strategic solutions.

• Relationship Building: Ability to build and maintain strong working relationships with staff and leaders across the organization, fostering collaboration and support for compliance efforts.

• Decision-Making in Dynamic Environments: Capable of anticipating challenges and making informed decisions quickly in a fast-paced, dynamic environment, ensuring continuous compliance.

• Multitasking and Prioritization: Skilled in focusing on multiple projects simultaneously and re-establishing priorities as necessary to address urgent compliance needs.

• Collaboration with Clinical and Operational Staff: Work effectively with clinical and operational staff at all levels, ensuring that compliance measures are integrated into everyday practices.

• Training and Mentoring: Show a desire and ability to train and mentor team members and other stakeholders, enhancing the overall compliance knowledge and readiness of the organization.

• Facilitation in Complex Organizations: Ability to facilitate and work within a complex, multi-site organization, ensuring consistent compliance practices across all locations.

SUPERVISORY RESPONSIBILITIES:

None

PATIENT CONTACT:

None

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.

EEO Poster

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Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$109,300.00 - $124,900.00