Senior Accreditation and Regulatory Advisor

IU Health is building the future of healthcare in Fort Wayne, and we're seeking an experienced Senior Accreditation & Regulatory Advisor to help shape it from the ground up.

This is a unique opportunity to join the team responsible for preparing a brand-new hospital for successful accreditation, regulatory compliance, and operational excellence. As part of the opening team, you will play a critical role in establishing a culture of continuous readiness, supporting initial surveys and accreditations, and helping advance IU Health's journey toward Magnet Recognition.

The Senior Accreditation & Regulatory Advisor plans, implements, directs, and facilitates initiatives that support accreditation, regulatory compliance, survey readiness, and continuous quality improvement across IU Health Fort Wayne.

Serving as a trusted advisor to operational, clinical, and executive leaders, this role provides expertise in accreditation and regulatory standards, leads organizational readiness efforts, coordinates regulatory surveys, and drives performance improvement initiatives that support exceptional patient care and organizational outcomes.

During the hospital startup phase, the primary focus will be preparing for accreditation and regulatory surveys, establishing compliance processes, and building a culture of continuous readiness. Following successful accreditation, the role will continue to advance quality improvement, data-driven decision-making, and organizational excellence initiatives.

• →Lead hospital-wide accreditation and regulatory readiness activities to ensure continuous compliance with applicable standards and requirements.
• →Serve as the organization's subject matter expert for Joint Commission, state, and other regulatory and accreditation standards.
• →Advise and educate leaders, providers, and team members on regulatory requirements, accreditation expectations, and survey preparedness.
• →Coordinate and facilitate regulatory and accreditation surveys, including readiness assessments, survey planning, leadership coaching, document management, survey support, and post-survey follow-up.
• →Develop, implement, and monitor corrective action plans resulting from survey findings and compliance reviews.
• →Conduct multidisciplinary rounding, audits, and compliance assessments to evaluate adherence to organizational and regulatory standards.
• →Research, interpret, and communicate evolving regulatory requirements and accreditation standards.
• →Analyze quality and operational performance data to identify trends, risks, and opportunities for improvement.
• →Lead complex quality, patient safety, and process improvement initiatives that support organizational goals and strategic priorities.
• →Partner with leaders across departments to drive accountability, engagement, and sustainable performance improvement.
• →Support organizational initiatives related to Magnet Recognition and healthcare excellence programs.

• Bachelor's Degree in Nursing, Healthcare Administration, Public Health, Health Informatics, Health Sciences, Project Management, or a related healthcare field required.
• Requires 7-10 years of experience in clinical operations and/or healthcare quality.
• Requires strong experience in leading complex projects or systematic performance improvement.
• Certification through NAHQ is preferred.

• Master's Degree preferred.
• Demonstrated experience preparing for, leading, or supporting accreditation and regulatory surveys.
• Strong communication, facilitation, relationship-building, and stakeholder influence skills.
• Ability to effectively work across all levels of the organization and build collaborative partnerships.

This is more than an accreditation and regulatory role. It's an opportunity to help build a hospital, establish foundational processes, influence organizational culture, and create an environment where patients receive exceptional care from day one.

Join a team committed to innovation, collaboration, and excellence while helping launch one of the most significant healthcare projects in Indiana's recent history.