Director of Regulatory Affairs - Sibley Memorial Hospital

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This is a hybrid role which will be supporting Sibley Memorial Hospital which is a non-profit, full service 318 bed acute care community hospital serving the Washington, DC area.Sibley offers medical, surgical, intensive care, obstetric, oncology, orthopedic and skilled nursing inpatient services, as well as a 24-hour Emergency Department. Sibley's campus is also home to Grand Oaks, an assisted living residence; a medical building with physician offices and ambulatory surgery and imaging centers; and the new patient tower with 200 spacious, private rooms.

The Director of Regulatory Affairs is responsible for leading the strategic planning, implementation, and ongoing evaluation of regulatory compliance programs to support patient safety, quality outcomes, and continuous survey readiness. Ensures organizational compliance with federal, state, and local regulatory requirements, including accreditation and certification standards such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and Department of Health (DOH) regulations. This leader will provide enterprise-wide oversight of regulatory readiness activities, including survey preparation and execution, regulatory submissions, corrective action planning, and compliance monitoring. Interprets and translates regulatory requirements into policies, operational workflows, and educational initiatives. Serves as the primary liaison with regulatory agencies and acts as a strategic advisor to executive leadership, providing expert guidance and consultation across the organization to promote a culture of compliance and operational excellence.

Key Responsibilities

Develop and lead enterprise-wide regulatory compliance and continuous survey readiness strategies.

Coordinate mock surveys and consulting engagements to assess readiness and drive organizational improvement.

Lead corrective action planning and monitoring to ensure sustained compliance and successful resolution of findings.

Oversee accreditation, certification, and licensure activities across the organization.

Interpret and operationalize evolving regulatory requirements through policies, procedures, and workflows.

Serve as the primary liaison with regulatory and accrediting agencies.

Partner on investigations and responses related to external regulatory and accreditation complaints.

Maintain regulatory systems, documentation, submissions, and audit-ready records.

Provide compliance risk assessments and regulatory guidance to executive leadership.

Lead cross-functional initiatives that enhance compliance, patient safety, quality outcomes, and operational excellence.

Education

• Master's Degree in healthcare, public health, nursing, health administration, or related field preferred
• Bachelor's Degree in regulatory affairs, life sciences, or a related field required

Experience

• 10+ years experience in regulatory affairs or a related field required
• 2-5 years of prior leadership/management experience preferred
• Experience with performance improvement methodologies and quality improvement tools
• Demonstrated experience leading regulatory surveys and readiness programs required

Licensure and Certification

• Certified Professional in Healthcare Quality (CPHQ) preferred
• Certified Joint COmmission Professional or equivalent regulatory certification preferred

Knowledge, Skills, and Abilities

• Deep expertise in healthcare regulatory, accreditation, and compliance frameworks, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), Department of Health (DOH), and other applicable regulatory agencies.
• Demonstrated ability to interpret complex regulatory requirements and translate them into effective organizational policies, operational processes, and compliance initiatives.
• Strong strategic and systems-thinking capabilities, with the ability to align regulatory compliance programs with enterprise risk management, quality improvement, and patient safety priorities.
• Exceptional written and verbal communication skills, including experience preparing regulatory correspondence, policy documentation, executive briefings, and board-level presentations.
• Proven leadership experience managing large-scale, cross-functional programs, projects, and organizational initiatives in complex healthcare environments.
• Strong analytical and problem-solving abilities, with experience evaluating data, identifying trends, assessing compliance risks, and developing actionable improvement strategies.
• High level of attention to detail and commitment to accuracy, ensuring the integrity of regulatory documentation, reporting, submissions, and compliance records.
• Ability to build collaborative relationships and influence stakeholders at all levels of the organization, including physicians, clinical leaders, executives, and external regulatory agencies.
• Demonstrated success leading teams, developing staff, mentoring future leaders, and fostering a culture of accountability and continuous improvement.
• Excellent organizational and project management skills, with the ability to effectively prioritize and manage multiple initiatives, deadlines, and competing demands.
• Advanced proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook.

What We Offer

Johns Hopkins Health Plans is an organization that recognizes and rewards excellence and encourages professional development. Employee rewards, recognition, camaraderie and support are just a few of our many benefits include tuition assistance, dependent college tuition program, 403(b) retirement savings, health, dental vision and prescription coverage, disability and life insurance, paid time off and holidays.

Salary Range: Minimum 113,048.00/annually - Maximum 176,696.00/annually. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.