FE Compliance & Policy Supervisor - 138146

Provides advanced analytical, programmatic, and policy leadership in support of the Facilities Engineering department. Leads planning, development, and administration of regulatory programs impacting the physical environment across all 3 hospital sites. Serves as a subject matter expert and advisor to leadership on Facilities Engineering regulatory readiness. This positions work directly impacts accreditation outcomes, patient safety, operational continuity, and organizational compliance.

Exercises judgement, interprets regulatory requirements and collaborates across departments to ensure Facilities Engineering compliance, operational continuity and readiness. Leads Facilities Engineering regulatory and compliance efforts related to Physical Environment Joint Commission requirements. Develops and maintains regulatory systems to ensure accurate, complete and auditable documentation for critical systems (eg. fire protection, medical gas, emergency power). Analyzes failures, assigns and leads risk assessment and interim life safety measures and ensures timely corrective action and close out. Supervises and provides guidance on regulatory and compliance elements within maintenance and asset management systems (Maximo/ ATG)Serves as Facilities Engineering point of contact within the Command Center during regulatory surveys across all 3 hospital locations. Coordinates information flow and issue tracking Supervises and provides guidance on Facilities Engineering corrective actions (Plans of Correction). Designs and delivers audit-readiness education and training to Facilities Engineering staff Participates in commission activities across the 3 hospital sites for building systems including generators, medical gas, and HVAC. Assists in development of Facilities Engineering maintenance and recharge agreements and onboarding of new operational processesDevelops and delivers education, training materials, and communication plans to Facilities Engineering to improve policy understanding and reduce compliance risk.Identifies educational gaps through audits and operational reviews and implements targeted training solutions. Supervises and maintains administrative services supporting Facilities Engineering regulatory and compliance programs, including requisitions, documentation management, data entry and reporting.Advises Facilities Engineering leadership on policy interpretation, compliance strategy and risk mitigation.

• Five (5) or more years of relevant experience and Advanced degree in related area or equivalent years of experience.
• Thorough knowledge of organization or initiative processes, protocols and procedures.
• Solid knowledge of / common organizational- or research-specific computer application programs.
• Strong analytical / problem-solving skills.
• Strong communication and interpersonal skills to communicate and influence others, both verbally and in writing.
• Advanced project management skills.
• Ability to multi-task with demanding timeframes.
• Ability to use discretion and maintain all confidentiality.
• Solid knowledge of applicable policy analysis techniques.

• Employment is subject to a criminal background check and pre-employment physical.
• Must be able to work various hours and locations based on business needs.