Administrative/Quality Assurance Analyst

Summary:

• Location: New York, New York
• Work Mode: Local
• Duration: 17 weeks, through 12/31/26
• Full Time; 5X8 M-F 9AM-5PM. Must be able to work at any of the 8 main campuses.

Responsibilities:

• Participate in hospital-wide continuous readiness activities to facilitate compliance with Joint Commission, CMS, and DOH requirements.
• Serve as a subject matter expert for hospital teams assessing compliance with regulatory standards.
• Collaborate with departments on implementing standardized processes for accreditation and regulatory activities.
• Facilitate development and monitor completion of corrective action plans and related data measurement and analysis.
• Independently assess and respond to requests from surveyors, guiding operational leaders on documentation requirements.
• Synthesize complex information for operational and senior leaders and identify areas of risk.
• Review and interpret hospital or departmental data to ensure standards are measured appropriately.
• Maintain current knowledge of external standards and regulations, serving as a compliance expert.
• Design and deliver educational trainings to enhance organizational knowledge of accreditation and regulatory requirements.
• Identify and present areas of regulatory risk to the organization, including senior management.
• Participate in hospital regulatory programs, including survey escort, survey runner, and tracing activities.
• Manage FSA teams, identifying areas of risk and collaborating on corrective action plans.
• Maintain a central repository of all hospital survey activity and provide key reports to leadership.
• Participate in various hospital and quality committees, work groups, or task forces as assigned.

Requirements:

• Bachelor's Degree required.
• Minimum 5 years of experience in healthcare-related roles; Quality Assurance experience is crucial.
• Knowledge of Joint Commission, CMS, and DOH requirements or experience with regulatory survey activity.
• Experience with desktop computer applications and knowledge of database concepts.
• Advanced skills with Microsoft applications including Outlook, Word, Excel, PowerPoint, and other web-based applications.
• Excellent communication skills, both oral and written.
• Experience with managing and interpreting data.
• Ability to manage multiple activities and meet timelines and deadlines.
• Ability to work with a variety of departments and levels of personnel.

Preferred Skills:

• Master's degree preferred.
• 3+ years of project management experience; ability to plan and lead projects, facilitate project scope, develop project plans, manage timelines, and provide direction and support to project teams.