System Director Real Estate Regulatory Compliance
About Us
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings.
Our Mission
As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.
The posted compensation range of $76.53 - $113.84 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Job Summary and Responsibilities
The System Director, Regulatory Compliance will be responsible for developing, overseeing, and leading comprehensive functions for the CommonSpirit Health (CSH) National Real Estate Services (NRES) team. This role will lead initiatives spanning multiple geographies and services lines within the organization, requiring administration with a unified national budget and delivery program. This will include critical functions of capital program budget development, aligning stakeholders, initiative approval, program optimization, and reporting by developing and maintaining dashboards that leverage real time data analytics. The System Director will align the NRES Regulatory Compliance Program with CSH organizational goals and objectives, ensuring they support National, Regional, and Market strategies with a focus on innovation and modernization.
This role will manage resource alignment between CSH NRES, Patient Safety, Emergency Management, and Quality platforms to support the key strategic and programmatic initiatives in the portfolio. The SD will serve as the NRES point of contact, leading the program teams on broad strategic initiatives with multi-dimensional stakeholders, national, and regional partners.
Develop, implement, and maintain a comprehensive physical environment regulatory compliance program for NRES across all CommonSpirit Health facilities.
Establish and enforce program governance across NRES Real Estate and Strategy, Planning, Design and Construction, and Facilities Management functions.
Ensure compliance with TJC, State Health Departments, NFPA, EPA, DEP, ADA and local building codes and all other authorities having jurisdiction (AHJ).
Monitor and track compliance metrics, providing regular reports to the System Vice President of National Programs and other stakeholders.
Stay current with changes in regulatory requirements and industry best practices, updating compliance programs and procedures as needed.
Conduct internal audits and risk assessments to identify potential compliance gaps and develop mitigation strategies.
Collaborate with other departments, such as Legal, Risk Management, and Quality to ensure a coordinated approach to compliance.
Identify and prioritize technical training needs for NRES Real Estate and Strategy, Planning, Design and Construction, and Facilities Management teams.
Develop or source technical training programs on a variety of topics, including equipment maintenance, safety procedures, regulatory compliance, and industry best practices.
Utilize a variety of training methods, such as classroom instruction, online learning, hands-on training, and simulations.
Evaluate the effectiveness of training programs, making adjustments as needed to improve learning outcomes.
Stay current with new technologies and training methodologies, incorporating them into training programs as appropriate.
Job Requirements
Bachelor's degree in engineering, facilities management, healthcare administration, or a related field required. Master's degree preferred.
Minimum of 15 years of experience in facilities management, compliance, or training, with at least 3 years in a leadership role.
Required Licensure and Certifications (minimum of two): CHSP, CHFM, CSSGB, NFPA CLSS-HC, HACP-CMS/PE/IC
Strong knowledge of regulatory requirements and industry best practices related to healthcare facilities management, including The Joint Commission, NFPA, CHIQ, CMS, DNV and OSHA.
Experience developing and implementing compliance programs and training programs.
Excellent communication, interpersonal, and presentation skills.
Strong analytical and problem-solving skills.
Ability to work independently and as part of a team.
Proficiency in the Google Suite of products.
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.