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Job Description

System Senior Director, Regulatory Compliance- Mount Sinai Health System

The Senior Director for Regulatory Affairs is responsible for assisting the Vice President, Quality and Regulatory Affairs, MSHS, in maintaining a state of regulatory compliance across the MSHS, through proactive tracking, communication, monitoring and feedback with all accountable parties. The individual is a resource for regulatory information and provide the necessary interfaces amongst involved departments, committees and individuals, to help facilitate effective solutions that will meet regulatory requirements.

Qualifications

Education Requirements

Master’s degree or equivalent experience in any of the following areas strongly preferred: MPA, MPH, MBA

Experience Requirements

7+ years of related experience. Prior healthcare industry experience essential, with particular familiarity with Federal and NYS regulations preferred. Prior leadership roles important, as is experience managing project groups.

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $200,000.00 - $279,007.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Non-Bargaining Unit, 620 - HSO Regulatory Compliance - MSH, Mount Sinai Hospital

Responsibilities

• Leads efforts to create a culture of continuous improvement and readiness as it relates to regulatory affairs across the health system.

• Organizes and catalogs all key regulatory and accreditation obligations (Federal, State and Local) across the MSHS into a Regulatory Inventory .

• Works with leadership to establish specific accountability for all regulatory requirements at all inpatient sites, where relevant and appropriate.

• Fosters collaborative, supportive relationships across the enterprise to drive optimal performance, while also holding responsible parties accountable.

• Utilizes the Regulatory Inventory to establish a tracking and communication mechanism for the purpose of routinely assessing the status of compliance.

• Compiles data and prepares reports regarding regulatory compliance and other regulatory matters.

• Oversees the continuous survey readiness programs throughout the enterprise to ensure full participation, consistent evaluation of results with high inter-rater reliability, identification of trends requiring follow-up, and tracking of plans to address deficiencies.

• Manages the content and administration of the Regulatory Bulletin Board to assure the ongoing communication of new and changing regulatory obligations as well as the sharing of internal corrective actions across sites. Research questions regarding regulatory impact of given actions and prepares options to work with strategic directions provided.

• Assists with the operational aspects of survey management, before, during and after the survey. This includes meeting with involved constituents to assure that all needed preparation is completed; helping to coordinate with leadership and surveyors during the survey; and reviewing and assisting as needed, with submissions of post-survey documents.

• Participates in audits and surveys to promote regulatory and accreditation readiness, as needed.

• Provides subject matter expertise regarding regulatory and accreditation requirements, and identifies and collaborates with other subject matter experts to serve the needs of the organization. Keeps abreast of regulatory and accreditation standards and oversees system-wide access to relevant reference materials.

• Works with the respective accountable parties, ensures timely and complete submission of all regulatory reports to external agencies.

• Works on other regulatory projects and duties as assigned.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $200000 - $279007 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.