Sr. Program Manager Regulatory Affairs - Risk Management - FT Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., an academic hospital in Irvine at the UCI Campus, four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit


Your Role on the Team

Position Summary:
Reporting to the Director, Risk & Regulatory Affairs, the Accreditation & Regulatory Affairs Manager directs and coordinates accreditation, policy and regulatory affairs initiatives for UC Irvine Health; serves as the organizational liaison with The Joint Commission (TJC), California Department of Public Health (CDPH), and other pertinent regulatory agencies. The incumbent performs a variety of duties including development of strategies for compliance, analysis of accreditation standards, regulations, and policies impacting UC Irvine Health and operations; and collaborates with hospital departments, services, clinics, and business partners in understanding and complying with accreditation standards, regulatory agencies, and hospital policies.


What It Takes to be Successful

Required Qualifications:

• Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards. experience in a key role in CMS and Joint Commission surveys

• Must have excellent presentation and computer skills

• Must be able to work flexible hours and locations based on the organization's needs

• Minimum of five years' experience in a quality or regulatory compliance role within a hospital or health care organization

• Effective written and verbal communication skills; ability to communicate with customers/staff with diverse educational backgrounds

• Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role

• Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety

• Ability to manage numerous diverse projects simultaneously through effective priority setting

Preferred Qualifications:

• Recent experience leading a CMS or Joint Commission survey

• Master's Degree in health related field

• Current RN License

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.


The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:

Closing Statement:


The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.


We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.


UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at View email address on click.appcast.io or at View phone number on click.appcast.io, Monday - Friday from 8:30 a.m. - 5:00 p.m.


Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization