Assistant Director, Accreditation and Regulatory Affairs

Assistant Director, Accreditation and Regulatory Affairs

The Assistant Director, Accreditation and Regulatory is responsible for leading system accreditation and regulatory programs at Duke University Health System (DUHS). This role involves collaboration with leadership, staff, and medical staff to ensure compliance with accreditation, regulatory, and disease-specific certification requirements.

This role requires a systems thinker with strong experience in policy management, including the use of policy management software and the ability to train others on its use. The Assistant Director will be responsible for supporting and enforcing use of the designated policy platform, ensuring policies are developed, maintained, and approved through the appropriate governance channels. This includes engaging leaders and stakeholders to gain buy-in for standardized policy processes and ensuring consistent adoption of the system's governance and committee review framework.

The Assistant Director also brings expertise in regulatory standards and improvement methodologies and promotes cross-entity collaboration to align priorities, elevate system-wide effectiveness, and ensure a consistent approach to policy management and compliance.

Key responsibilities include :

• Interpretation and application of regulatory and accreditation standards
• Oversight of policy and document management infrastructure
• Stakeholder education and communication
• Enforcement of policy governance processes, including committee approvals and software utilization

Continuous Readiness Efforts :

Resource Development and Management :

Survey Coordination :

Program Management :

Knowledge, Skills, and Abilities :

Minimum Qualifications :

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions : Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and / or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.