Location: Hybrid (Minneapolis MN. – up to 3 days onsite per week)
Employment Type: Full-Time
Are you a seasoned healthcare compliance professional ready to lead high-impact initiatives? Trissential is hiring a Program Manager – Compliance to join our client’s team, where you’ll play a critical role in advancing regulatory excellence across hospital and affiliated care settings.
This is a unique opportunity to shape compliance strategy, lead accreditation success, and influence patient safety and quality outcomes at scale.
What’s in It for You?
- Lead Meaningful Change - Drive compliance strategy and ensure continuous readiness for major regulatory bodies such as The Joint Commission (TJC) and CMS.
- High-Impact Leadership - Partner with senior leaders and cross-functional teams to strengthen patient safety, operational excellence, and regulatory performance.
- Enterprise-Level Visibility - Present insights, risks, and recommendations directly to executive leadership.
- Innovation & Continuous Improvement - Apply Lean, Six Sigma, and PDSA methodologies to optimize compliance programs and outcomes.
- Collaborative Culture- Work alongside experienced healthcare professionals committed to high reliability and continuous improvement.
Your Role & Responsibilities
- Lead and support accreditation processes, including The Joint Commission (TJC) surveys and regulatory reviews
- Serve as the organization’s subject matter expert (SME) for TJC standards, CMS Conditions of Participation, and related regulatory frameworks
- Drive continuous regulatory readiness through proactive risk identification, mitigation strategies, and compliance monitoring programs
- Lead end-to-end survey readiness and execution, directing all activities to ensure successful accreditation outcomes
- Conduct gap assessments, assign risk levels/criticality, and implement corrective action plans
- Establish and manage a regulatory surveillance function to track, interpret, and operationalize changes from CMS, MDH, and other governing bodies
- Collaborate with clinical, operational, and administrative stakeholders across hospital and affiliated services (e.g., homecare, hospice, infusion, and specialty programs)
- Support policy development, alignment, and staff education/training to ensure compliance with evolving regulations
- Facilitate and lead on-site surveys, internal audits, and readiness reviews
- Analyze performance and compliance data to identify trends and drive decision-making
- Utilize Lean, Six Sigma, or PDSA methodologies to improve processes and regulatory outcomes
- Develop dashboards, tracking tools, and executive-level presentations
Skills & Experience You Should Possess
- 5–7 years of experience in healthcare compliance, accreditation, quality, or program management
- 2+ years of experience leading or supporting TJC accreditation processes, regulatory surveys, or healthcare compliance programs
- Strong expertise in TJC, CMS (Conditions of Participation), MDH, and related regulatory requirements
- Proven ability to lead accreditation efforts and regulatory surveys
- Experience conducting risk assessments, compliance gap analyses, and corrective action planning
- Knowledge of OSHA, building, and fire safety codes
- Demonstrated success leading cross-functional, large-scale compliance or quality initiatives
- Strong analytical skills with the ability to translate complex data into actionable insights
- Experience building tracking tools, dashboards, and reporting frameworks to monitor compliance performance
- Exceptional communication and influencing skills across all organizational levels
- Ability to operate independently and partner effectively with multidisciplinary teams
Bonus Points If You Have:
- Experience working across multiple healthcare entities or care settings
- Lean or Six Sigma certification (Green Belt or Black Belt)
- CPHQ, ASQ, or Certified Joint Commission Professional (CJCP) certification
- Experience with electronic medical records (EMR) systems
- Background in statistical analysis or healthcare data interpretation
Education & Certifications You Need:
- Bachelor’s degree in Nursing, Healthcare Administration, Quality Management, or related field
- Master’s degree in healthcare or business (preferred)
- Relevant certifications such as Lean, Six Sigma, CPHQ, ASQ, or CJCP (preferred)
What We Offer
At Trissential, we connect top talent with meaningful opportunities. When you join our client’s team, you’ll contribute to impactful healthcare initiatives while enjoying a supportive and rewarding work environment.
- Competitive Compensation – You choose the model that works best for you, both with company-sponsored benefits! $103,000–$113,000 annually or $60–$70 per hour. Final compensation is determined based on skill alignment, years of experience, and fair, market-based rates by geography.
- Comprehensive Benefits for you and your dependents – Medical, dental, vision, free tele-health, HSA with company contribution, life and disability insurance, and 401k with matching
- Paid Time Off – Both compensation models offer paid time away from work
- Hybrid Flexibility – Balance in-office collaboration with remote productivity
- Career Advancement – Access to leadership opportunities and continuous learning
- Inclusive Culture – Work in a team that values innovation, collaboration, and professional growth
Please note: This role is only open to candidates authorized to work in the United States.
Ready to lead compliance excellence and make a meaningful impact in healthcare? Apply today and take the next step in your career with Trissential!
