Quality/Accreditation Specialist II - Full Time (40Hrs)/Days - Metro Detroit (Hybrid)

🔍 Detroit, Michigan

📁: Business (Non-Clinical)

📅   : 2512001 Requisition #

📅   : Jul 21, 2025 Post Date

Quality/Accreditation Specialist II

General Summary:

Under limited direction, the Quality/Accreditation Specialist II plans, organizes, and maintains processes to ensure organizational compliance with regulatory standards and continuous survey readiness. This role serves as an internal consultant for interpreting standards and measuring functional compliance across departments. The specialist develops performance improvement plans with management and staff as needed, interprets new regulations for educational purposes, and drives implementation efforts. The role requires the ability to work independently, manage multiple priorities, and provide expert guidance on accreditation and regulatory requirements.

Principal Duties and Responsibilities:

Plans, organizes, and manages systems to ensure compliance with accreditation and regulatory requirements (TJC, DNV, CMS Conditions of Participation, and others).
Serves as a resource and internal consultant for interpretation of regulatory standards and evaluation of compliance across departments.
Partners with management and staff to develop and implement performance improvement plans to address gaps identified during audits or reviews.
Interprets new or updated regulations, providing education and training to leadership and staff to ensure understanding and compliance.
Facilitates and participates in quality improvement (QI) and performance improvement (PI) initiatives as a team member, lead, or facilitator (1–3 years of prior QI/PI experience required).
Collaborates with multidisciplinary teams, leadership, and service lines to drive continuous survey readiness and regulatory excellence.
Prepares and delivers presentations to departmental, product line, and business unit leadership regarding compliance, survey readiness, and quality initiatives.
Monitors trends and current issues in healthcare to ensure ongoing alignment with best practices and regulatory requirements.
Maintains flexibility to be onsite during unannounced regulatory surveys and provides hands-on support during survey activities.
Travels to multiple organizational locations as required to support survey preparation and compliance monitoring.

Education and Experience Requirements:

Bachelor’s degree in Nursing or healthcare-related field required.
Master’s degree in healthcare field preferred.
Registered Nurse (RN) preferred.
Minimum 5 years of hospital experience required; clinical or operational experience preferred.
Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required; familiarity with other accrediting, licensing, and regulatory standards preferred.
Evidence of continuing education in standards, regulations, and compliance training required.
QI/PI team member, lead, or facilitator experience (1–3 years required).
Experience working across multiple departments or deep expertise within a single service line or value stream.
Experience presenting to leadership groups and working with broad business unit teams.
Knowledge of current healthcare issues and trends required.
Accreditation experience preferred.

Skills and Abilities:

Ability to work independently, prioritize tasks, and manage multiple projects in a fast-paced environment.
Strong analytical and problem-solving skills to evaluate compliance and develop actionable solutions.
Exceptional communication and presentation skills, with the ability to educate and influence at all organizational levels.
Flexibility to support unannounced regulatory surveys and rapidly changing priorities.
Proficiency with healthcare regulations, standards, and survey readiness processes.
Willingness and ability to travel to multiple sites as needed.

Work Environment:

Hybrid position – combination of onsite and remote work, with required availability to be onsite during regulatory surveys or as organizational needs dictate.

Overview

HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.

Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a

$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s

major academic medical centers, receiving between $90-$100 million in annual research funding and

remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

education and training, the health system has trained nearly 40% of physicians currently practicing

in the state and also provides education and training for other health professionals including nurses,

pharmacists, radiology and respiratory technicians. visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice. Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life. As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services. Employee's classified as contingent status are not eligible for benefits

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.