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Licensing and Accreditation Partner

Licensing and Accreditation Partner

MaineGeneral HealthAugusta, ME, US
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Licensing And Accreditation Partner

MaineGeneral Health is a leading healthcare system proud of our culture of excellence, compassion, and collaboration values that extend to our patients, their families, and every member of our team. We are committed to attracting talented, ambitious professionals who share these values and strive to provide exceptional service every day. Are you a critical thinker with strong evaluation skills and an interest in healthcare regulatory compliance? We are offering an exciting opportunity for a Licensing And Accreditation Partner, where you'll expand your healthcare regulatory knowledge and hone your investigative, problem-solving, and communication skills. This position is responsible for leading initiatives that promote regulatory compliance and continuous healthcare survey readiness. If you have a passion for understanding the details and helping teams achieve excellence we want to hear from you!

Job Description

As a Licensing And Accreditation Partner, you'll serve as a trusted consultant and resource to leaders and departments across MaineGeneral Health. You'll provide strategic guidance, education, and coordination to ensure compliance with all federal, state, and accreditation standards helping to maintain continuous readiness for surveys and audits.

In this role, you will :

  • Consult on the development, implementation, and management of policies, procedures, and strategies that ensure regulatory compliance and ongoing survey readiness across the organization.
  • Advise leadership and departmental teams on the interpretation and application of licensing and accreditation requirements, providing education, coaching, and practical guidance.
  • Lead survey management activities for CMS and Joint Commission hospital surveys, ensuring readiness, coordination, and successful outcomes.
  • Lead communication and coordination with internal and external entities regarding licensing, accreditation, and regulatory documentation, including submissions and renewals.
  • Identify regulatory issues or trends and recommend changes to policies, procedures, and processes to maintain alignment with current standards.
  • Consult with leaders to ensure development and execution of corrective action plans when issues are identified; coordinate accountability for ongoing monitoring to verify compliance and performance improvement.
  • Monitor and audit operational, performance improvement, and clinical documentation to ensure compliance with licensing and accreditation requirements.
  • Administer Compliance 360, ensuring accurate tracking, reporting, and documentation of compliance and accreditation activities.
  • Support the MaineGeneral Health Compliance Program and related initiatives that advance regulatory integrity and operational excellence.

What You Bring :

  • Bachelor's degree in a related field required; Master's degree preferred.
  • Experience in healthcare compliance, accreditation, or regulatory affairs.
  • Demonstrated experience with CMS and Joint Commission standards, survey management, and accreditation readiness.
  • Knowledge of Maine licensing requirements preferred.
  • Experience with compliance management systems (e.g., Compliance 360) preferred.
  • Excellent analytical skills and ability to interpret and apply complex laws and regulations.
  • Strong communication and relationship-building skills with the ability to consult effectively across all levels of the organization.
  • Proficiency in Microsoft Office Suite, including Excel.

    • Scheduled Weekly Hours :

    40

    Scheduled Work Shift :

    Job Exempt :

    Yes

    Benefits :

    Supporting all aspects of our employees' wellness physical, emotional and financial is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

    Physical Wellness :

  • We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
  • Employees have access to industry-leading leave for new parents.
  • A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

    • Emotional Wellness :

    When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

    Financial Wellness :

  • An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
  • Tuition Reimbursement is available to all employees to further develop skills and career.
  • We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
  • Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
  • We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

    • Career Mobility :

    Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource they're how we grow our business and care for our community.

    Equal Opportunity Employer M / F / Vet / Disability. Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440.

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    And Accreditation • Augusta, ME, US