Accreditation and Licensure Specialist Senior- Evangelical Hospital

General Summary

Provides highly skilled support of assigned Accreditation and Licensure Team (ALT) areas. Provides direction and leadership to the organization by coordinating activities designed to achieve and maintain compliance with accreditation, licensure and other regulatory requirements such as the CMS Conditions of Participation, PA Department of Health, and DNV and other accreditation standards as they apply, in both inpatient and outpatient hospital licensed entities, other licensed entities, and any compliance areas as they pertain to the WellSpan Medical Group/Service Lines (WMG). Independently performs a variety of audits, analysis of the data as well as ensure compliance with regulatory audits, and certifications. Serves as a resource for risk management matters for supported areas. Participates in on-site and virtual survey activities.