Senior Accreditation and Regulatory Advisor

Senior Accreditation & Regulatory Advisor

IU Health Fort Wayne | Full-Time | January 2027 Start Date

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.

Job Summary

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.

Key Responsibilities

• 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.

 

Qualifications

• 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.

 

Preferred Qualifications:

• 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.

 

Why IU Health Fort Wayne?

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.

About the team

Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We’re looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

About the company

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.