Compliance and Accreditation Manager

Company: The University Of Chicago
Location: Chicago
Posted on: June 1, 2025

Job Description:

Compliance and Accreditation Manager page is loadedCompliance and Accreditation ManagerApply remote type Onsite locations Chicago, IL time type Full time posted on Posted 2 Days Ago job requisition id JR30315DepartmentCSL SHS: Leadership
About the DepartmentAs part of Campus and Student Life at the University of Chicago, UChicago Student Wellness integrates multiple services related to care of the students' health and well-being. Located in the Student Wellness Center, UChicago Student Wellness provides primary care, counseling, psychiatry, and health promotion services to eligible students.

The mission of UChicago Student Wellness is to provide students with comprehensive medical, mental health, and wellness services to support their academic, personal, and professional success. The vision is to redefine the field by providing exceptional, integrated wellness services that enable students to thrive. In an environment in which staff can perform at their best, UChicago Student Wellness offers unparalleled access to holistic care and innovative programs that empower students to be champions of their own wellbeing.
Job SummaryThe Compliance and Accreditation Manager plays a pivotal role in overseeing and managing the full lifecycle of accreditation and compliance activities within UChicago Student Wellness, with all applicable state, federal, and accreditation standards. This includes developing, implementing, and monitoring policies and procedures, coordinating staff training on compliance matters, preparing for audits and accreditation site visits, ensuring continuous organizational compliance with established standards, and embedding accreditation readiness into the daily operations of the organization.
This role requires strong project management expertise, in-depth understanding of accreditation standards, and the ability to engage diverse stakeholders across departments. The Compliance and Accreditation Manager serves as the central coordinator for all accreditation-related initiatives and acts as the liaison with accrediting bodies, ensuring that all processes, documentation, and practices align with current guidelines.

The ideal candidate will be detail-oriented, solutions-focused, and adept at managing complex, deadline-driven projects in a collaborative and evolving healthcare environment.Responsibilities

• Lead, plan, and manage all aspects of the accreditation and reaccreditation processes from initiation to completion.
• Develop and manage detailed project timelines and task assignments to ensure survey readiness.
• Serve as the primary liaison with the accrediting organization, coordinating communications, survey logistics, and follow-up requirements.
• Ensure that policies, procedures, and protocols are aligned with accreditation standards and are reviewed regularly for accuracy and relevance.
• Track and manage follow-up plans post-survey to ensure continued compliance.
• Lead or support additional accreditation-related projects that promote alignment with evolving standards, operational efficiency, and quality improvement across departments.
• Manage policy management software system, including content, access, and contracting.
• Monitor ongoing compliance with accreditation standards and implement systems for continual readiness.
• Conduct internal assessments, gap analyses, and mock surveys to proactively identify areas of improvement.
• Maintain a centralized and organized documentation system that supports compliance tracking.
• Guide departments in interpreting accreditation standards and integrating them into day-to-day workflows.
• Educate and support staff on accreditation requirements, updates, and best practices. Maintain training records and track mandatory compliance education for staff.
• Support cross-department compliance initiatives.
• Support continuous quality improvement initiatives across Student Wellness Services.
• Assist in risk identification, incident tracking, and corrective action planning.
• Maintain organized compliance documentation, reports, and files, including required licensure and credentialing materials.
• Coordinate with medical, mental health, health promotion, and administrative units to support accreditation readiness.
• Participate in accreditation and other meetings, as needed. Serve as a liaison to the Governing Body and contribute to strategic planning related to accreditation and compliance.
• Foster a culture of continuous improvement and quality assurance within Student Wellness.
• Collaborate on and help drive initiatives that enhance compliance infrastructure and performance in support of accreditation standards.
• Plans and executes internal and external audits and activities to support regulatory agency inspections.
• Prepares, completes, and submits all compliance documentation on a routine basis. Coordinates compliance committee meetings.
• Performs other related work as needed.
  Minimum QualificationsEducation:Minimum requirements include a college or university degree in related field.
  Work Experience:Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.
  Certifications:---Preferred QualificationsEducation:
  • Bachelor's degree in healthcare administration, public health, or related field.Experience:
    • Experience working in a university student wellness environment.
    • Experience working in a healthcare setting.
    • Familiarity with accreditation standards such as AAAHC. Knowledge of federal and state regulations relevant to student health and mental health compliance.
    • Minimum 2 - 5 years of project management experience.Preferred Competencies
      • Exceptional organizational and project management skills with the ability to prioritize multiple competing demands and lead complex initiatives across multiple service areas.
      • Strong knowledge of accreditation standards and processes.
      • Excellent interpersonal, communication, collaboration, and presentation skills are required, with the ability to engage stakeholders at all levels of the organization.
      • Must have strong problem-solving skills with a results-oriented approach to addressing compliance challenges.
      • Attention to detail and strong analytical skills.
      • Strong commitment to diversity, equity, inclusion, and student well-being.
      • Ability to manage sensitive information with discretion and integrity.
      • Proficient in Microsoft Office Suite and compliance tracking systems.Working Conditions
        • Clinical care setting.Application Documents
          • Resume (required)
          • Cover Letter (required)
          • List of Three References (preferred)
            When applying, the document(s) MUSTbe uploaded via the My Experience page, in the section titled Application Documents of the application.
            Job FamilyLegal & Regulatory Affairs
            Role ImpactIndividual Contributor
            Scheduled Weekly Hours37.5
            Drug Test RequiredYes
            Health Screen RequiredYes
            Motor Vehicle Record Inquiry RequiredNo
            Pay Rate TypeSalary
            FLSA StatusExempt
            Pay Range$75,000.00 - $85,000.00The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.
            Benefits EligibleYesThe University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in theBenefits Guidebook .
            Posting StatementThe University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.All offers of employment are contingent upon a background check that includes a review of conviction history.A conviction does not automatically preclude University employment.Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu .Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.Similar Jobs (2)Clinical Research Coverage Analystremote type Onsite locations Chicago, IL time type Full time posted on Posted 30+ Days AgoSenior IRB Analystremote type Remote locations Chicago, IL time type Full time posted on Posted 30+ Days AgoThe University of Chicago is an urban research university that has driven new ways of thinking since 1890. Our commitment to free and open inquiry draws inspired scholars to our global campuses, where ideas are born that challenge and change the world.We empower individuals to challenge conventional thinking in pursuit of original ideas. Students in the College develop critical, analytic, and writing skills in our rigorous, interdisciplinary core curriculum. Through graduate programs, students test their ideas with UChicago scholars, and become the next generation of leaders in academia, industry, nonprofits, and government.
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Keywords: The University Of Chicago, Waukegan , Compliance and Accreditation Manager, Executive , Chicago, Illinois