Regulatory Compliance Manager
University of Maryland Medical System
Full-time
On-site
Baltimore Maryland United States
Company Description
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
Job Description
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Ensures compliance with Regulatory Quality programs.
Ensures compliance with external regulators and accrediting agencies (e.g. The Joint Commission, Centers for Medicare and Medicaid Services (CMS) and Maryland State Department of Health and Mental Hygiene).
Ensures compliance for special designations (e.g. PARC).
Ensures that Medical Center and department policies, procedures and standards meet requirements and regulations of regulatory and accrediting agencies. Provides mechanism for continuous review of above.
2. Ensures measurement strategies exist to demonstrate regulatory and accrediting compliance. Collaborates with Director, Quality Improvement nurses, School of Medicine quality forums, Medical Staff sub-committees and hospital departments to develop, implement and evaluate review processes.
3. Leads participation in State and Federal Quality projects to obtain comparative data on quality and regulatory indicators (e.g. MHA Quality Indicator Project).
4. Coordinates/participates in regulatory and accrediting visits and inquiries.
Coordinates on-site visits for Maryland State Department of Health and Mental Hygiene, CMs, and TJC to investigate patient care issues/complaints.
Responds to correspondence re: patient care issues/complaints in collaboration with physician and hospital staff.
Participates and assists in preparing the hospital for The Joint Commission visits and state licensure surveys.
5. Staffs key hospital committees related to Regulatory Compliance
Qualifications
Bachelor’s degree in Nursing (BSN) is preferred; or other Healthcare degree and current license
Five years of progressively responsible professional experience performing quality compliance review strategies or equivalent is required.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation
Pay Range: $31.78-$44.5
Other Compensation (if applicable):
Review the 2025-2026 UMMS Benefits Guide
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
Job Description
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Ensures compliance with Regulatory Quality programs.
Ensures compliance with external regulators and accrediting agencies (e.g. The Joint Commission, Centers for Medicare and Medicaid Services (CMS) and Maryland State Department of Health and Mental Hygiene).
Ensures compliance for special designations (e.g. PARC).
Ensures that Medical Center and department policies, procedures and standards meet requirements and regulations of regulatory and accrediting agencies. Provides mechanism for continuous review of above.
2. Ensures measurement strategies exist to demonstrate regulatory and accrediting compliance. Collaborates with Director, Quality Improvement nurses, School of Medicine quality forums, Medical Staff sub-committees and hospital departments to develop, implement and evaluate review processes.
3. Leads participation in State and Federal Quality projects to obtain comparative data on quality and regulatory indicators (e.g. MHA Quality Indicator Project).
4. Coordinates/participates in regulatory and accrediting visits and inquiries.
Coordinates on-site visits for Maryland State Department of Health and Mental Hygiene, CMs, and TJC to investigate patient care issues/complaints.
Responds to correspondence re: patient care issues/complaints in collaboration with physician and hospital staff.
Participates and assists in preparing the hospital for The Joint Commission visits and state licensure surveys.
5. Staffs key hospital committees related to Regulatory Compliance
Qualifications
Bachelor’s degree in Nursing (BSN) is preferred; or other Healthcare degree and current license
Five years of progressively responsible professional experience performing quality compliance review strategies or equivalent is required.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation
Pay Range: $31.78-$44.5
Other Compensation (if applicable):
Review the 2025-2026 UMMS Benefits Guide
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].