Program Manager – Compliance (Healthcare)

Overview

Location: Hybrid (Minneapolis MN. – up to 3 days onsite per week)Employment Type: Full-Time

 

Are you a seasoned healthcare compliance professional ready to lead high-impact initiatives? Trissential is hiring a Program Manager – Compliance to join our client’s team, where you’ll play a critical role in advancing regulatory excellence across hospital and affiliated care settings.

This is a unique opportunity to shape compliance strategy, lead accreditation success, and influence patient safety and quality outcomes at scale.

 

What’s in It for You?

• Lead Meaningful Change - Drive compliance strategy and ensure continuous readiness for major regulatory bodies such as The Joint Commission (TJC) and CMS.
• High-Impact Leadership - Partner with senior leaders and cross-functional teams to strengthen patient safety, operational excellence, and regulatory performance.
• Enterprise-Level Visibility - Present insights, risks, and recommendations directly to executive leadership.
• Innovation & Continuous Improvement - Apply Lean, Six Sigma, and PDSA methodologies to optimize compliance programs and outcomes.
• Collaborative Culture- Work alongside experienced healthcare professionals committed to high reliability and continuous improvement.

Your Role & Responsibilities

• Lead and support accreditation processes, including The Joint Commission (TJC) surveys and regulatory reviews
• Serve as the organization’s subject matter expert (SME) for TJC standards, CMS Conditions of Participation, and related regulatory frameworks
• Drive continuous regulatory readiness through proactive risk identification, mitigation strategies, and compliance monitoring programs
• Lead end-to-end survey readiness and execution, directing all activities to ensure successful accreditation outcomes
• Conduct gap assessments, assign risk levels/criticality, and implement corrective action plans
• Establish and manage a regulatory surveillance function to track, interpret, and operationalize changes from CMS, MDH, and other governing bodies
• Collaborate with clinical, operational, and administrative stakeholders across hospital and affiliated services (e.g., homecare, hospice, infusion, and specialty programs)
• Support policy development, alignment, and staff education/training to ensure compliance with evolving regulations
• Facilitate and lead on-site surveys, internal audits, and readiness reviews
• Analyze performance and compliance data to identify trends and drive decision-making
• Utilize Lean, Six Sigma, or PDSA methodologies to improve processes and regulatory outcomes
• Develop dashboards, tracking tools, and executive-level presentations

Skills & Experience You Should Possess

• 5–7 years of experience in healthcare compliance, accreditation, quality, or program management
• 2+ years of experience leading or supporting TJC accreditation processes, regulatory surveys, or healthcare compliance programs
• Strong expertise in TJC, CMS (Conditions of Participation), MDH, and related regulatory requirements
• Proven ability to lead accreditation efforts and regulatory surveys
• Experience conducting risk assessments, compliance gap analyses, and corrective action planning
• Knowledge of OSHA, building, and fire safety codes
• Demonstrated success leading cross-functional, large-scale compliance or quality initiatives
• Strong analytical skills with the ability to translate complex data into actionable insights
• Experience building tracking tools, dashboards, and reporting frameworks to monitor compliance performance
• Exceptional communication and influencing skills across all organizational levels
• Ability to operate independently and partner effectively with multidisciplinary teams

Bonus Points If You Have:

• Experience working across multiple healthcare entities or care settings
• Lean or Six Sigma certification (Green Belt or Black Belt)
• CPHQ, ASQ, or Certified Joint Commission Professional (CJCP) certification
• Experience with electronic medical records (EMR) systems
• Background in statistical analysis or healthcare data interpretation

Education & Certifications You Need:

• Bachelor’s degree in Nursing, Healthcare Administration, Quality Management, or related field
• Master’s degree in healthca