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System Director, Accreditation & Regulatory Affairs

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Kirby Bates Associates

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Location:
United States , Durham

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

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Job Description:

Kirby Bates Associates has been exclusively retained by Duke University Health System (DUHS) to conduct the search for the next System Director, Accreditation & Regulatory Affairs. The System Director, Accreditation & Regulatory Affairs will provide strategic leadership and operational oversight for accreditation, regulatory compliance, and policy management across all DUHS hospitals and ambulatory sites. This key system leader will serve as the organization’s subject matter expert for The Joint Commission, CMS, state and federal investigative agencies, and all regulatory bodies—ensuring that Duke maintains continuous readiness and a proactive, collaborative approach to compliance, safety, and quality. This role reports to senior system leadership and leads a centralized team responsible for driving alignment, consistency, and enterprise-wide regulatory preparedness.

Job Responsibility:

  • Provide strategic leadership and operational oversight for accreditation, regulatory compliance, and policy management across all DUHS hospitals and ambulatory sites
  • Serve as the organization’s subject matter expert for The Joint Commission, CMS, state and federal investigative agencies, and all regulatory bodies
  • Ensure that Duke maintains continuous readiness and a proactive, collaborative approach to compliance, safety, and quality
  • Report to senior system leadership and lead a centralized team responsible for driving alignment, consistency, and enterprise-wide regulatory preparedness
  • Shape systemwide accreditation and regulatory strategy
  • Serve as the primary system liaison to external agencies including The Joint Commission, CMS, NCDHHS, and federal oversight bodies
  • Lead continuous readiness efforts across DUHS’s hospitals and ambulatory practices
  • Build and refine an enterprise accreditation and regulatory framework
  • Partner with senior executives and clinical leaders
  • Influence organizational culture, promoting transparency, safety, quality, and system-wide effectiveness

Requirements:

  • Master’s degree in a health-related field required
  • Minimum of five years of experience in healthcare accreditation and regulatory affairs, including demonstrated success in leading compliance programs and accreditation activities
  • Experience in a complex academic health system strongly preferred
  • Preferred certifications: CPHQ, HACP, CPPS, or other relevant credentials
  • Expert knowledge of regulatory and accreditation standards

Nice to have:

  • Experience in a complex academic health system strongly preferred
  • Preferred certifications: CPHQ, HACP, CPPS, or other relevant credentials

Additional Information:

Job Posted:
December 28, 2025

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