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Senior Accreditation Manager Jobs (NOW HIRING)

Christiana Care Health Services

$85K - $137K/yr

Job Details Make a Difference in Quality, Safety, and Accreditation Excellence ChristianaCare is seeking an experienced Senior Project Manager, Accreditation to lead and support system-wide ...

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$28.5K

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How much do senior accreditation manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for senior accreditation manager in the United States is $97,101.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $136,500.00 per year, depending on experience, location, and employer.

What is a senior accreditation manager?

A Senior Accreditation Manager is a professional responsible for overseeing and managing the accreditation processes within an organization, typically in education, healthcare, or other regulated industries. They ensure that the organization meets the standards set by accrediting bodies, coordinate self-assessment and audit activities, and lead teams through the preparation and submission of accreditation documentation. Senior Accreditation Managers also stay current with changes in accreditation requirements and provide guidance to staff to maintain compliance. Their work is critical in helping organizations achieve and maintain recognized standards of quality and excellence.

What are the key skills and qualifications needed to thrive as a senior accreditation manager, and why are they important?

To excel as a Senior Accreditation Manager, you need in-depth knowledge of accreditation standards, regulatory compliance, and quality assurance, typically supported by a relevant degree and experience in accreditation processes. Familiarity with quality management systems, audit software, and accreditation tracking platforms is important, and some roles may require certifications like Certified Professional in Healthcare Quality (CPHQ). Strong analytical skills, attention to detail, and exceptional communication help in leading teams and engaging stakeholders effectively. These skills are essential for maintaining organizational compliance, driving continuous improvement, and ensuring successful accreditation outcomes.

What are some common challenges faced by senior accreditation managers, and how can they be addressed?

Senior Accreditation Managers often encounter challenges such as navigating complex and evolving regulatory requirements, ensuring consistent compliance across multiple departments, and facilitating effective communication between stakeholders. To address these challenges, it is important to stay updated with accreditation standards, foster strong working relationships with internal teams, and implement robust project management practices. Proactively identifying gaps in compliance and conducting regular training can also help maintain high standards and smooth accreditation processes.

What is the difference between Senior Accreditation Manager vs Accreditation Coordinator?

AspectSenior Accreditation ManagerAccreditation Coordinator
CredentialsTypically requires advanced degrees and professional certifications in accreditation or quality managementUsually requires a bachelor's degree, with some roles preferring certifications in quality or project management
Work EnvironmentLeads teams, develops strategies, and oversees accreditation processes at organizational or departmental levelsSupports accreditation activities, manages documentation, and coordinates between teams and accrediting bodies
Employer & Industry UsageCommonly found in healthcare, education, and manufacturing sectorsOften employed in similar sectors, focusing on supporting accreditation efforts

The main difference is that the Senior Accreditation Manager oversees the entire accreditation process and manages teams, while the Accreditation Coordinator handles the day-to-day coordination and documentation tasks. The Senior Accreditation Manager has more strategic responsibilities and requires more experience and credentials.

What cities are hiring for Senior Accreditation Manager jobs?

Cities with the most Senior Accreditation Manager job openings:

What are the most commonly searched types of Senior Accreditation jobs?

The most popular types of Senior Accreditation jobs are:

What states have the most Senior Accreditation Manager jobs?

States with the most job openings for Senior Accreditation Manager jobs include:

Senior Accreditation Manager jobs near you

Sr Accreditation Specialist

Houston Methodist West Hospital

Houston, TX

$71K - $98K/yr

Full-time

Posted 3 days ago

New

Houston Methodist rating

8.2

Company rating: 8.2 out of 10

Based on 301 frontline employees who took The Breakroom Quiz

54th of 898 rated healthcare providers

Job description

At Houston Methodist, the Senior Accreditation Specialist is responsible for leading the collaboration with medical staff and leadership to provide a global and unified perspective and understanding of accreditation, regulatory and disease-specific certification requirements and activities. The position serves the hospital as an expert resource, mentor, and educator for regulatory, accreditation and certification programs; and works across the hospital to assess, measure, and report ongoing compliance with standards, promote evidence-based best practices, and standardize common survey processes. Additional responsibilities include functioning as a consultant/surveyor, conducting internal surveys, and providing guidance and direction with on-site or written response and resolution to a regulatory or accreditation survey or complaint investigation.
FLSA STATUS
Exempt
QUALIFICATIONS
EDUCATION
  • Bachelor’s degree in nursing or other field relevant to the healthcare industry
  • Master’s degree in healthcare or business related field preferred

EXPERIENCE
  • Five years of experience in a hospital setting, preferably in patient care or quality
  • Three years of experience in one or more of the following: healthcare quality, accreditation or regulatory activities in a healthcare setting; performance improvement; patient safety; infection prevention and control; and/or health information management
  • Two years of experience performing accreditation or regulatory activities in a hospital setting

LICENSES AND CERTIFICATIONS
Required
  • RN state license or Healthcare Accreditation Certification Program (HACP)
Preferred
  • CPHQ - Certified Professional in Healthcare Quality (NAHQ) or
  • CQA - Certified Quality Auditor (ASQ) or
  • CSHA - Certification Specialist in Healthcare Accreditation (HACP)

SKILLS AND ABILITIES
  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Demonstrated knowledge of regulatory and accreditation requirements (such as Centers for Medicare/Medicaid Services/CMS, The Joint Commission, DNVGL NIAHO/ISO 9001 and/or State requirements)
  • Demonstrated expertise in quality/performance improvement tools and techniques; process mapping and flow chart diagrams
  • Computer proficiency with intermediate level skills for document, spreadsheet and graphic software (Microsoft Office Word, Excel and PowerPoint)
  • Ability to collect qualitative and quantitative data and information; analyze and solve problems
  • Strong interpersonal skills and demonstrated ability to work with multidisciplinary groups and teams
  • Strong writing and presentation skills; ability to articulate information in a manner that is easily understood
  • Ability to demonstrate flexibility in work and assignments; adapt to change
  • Self-directed and able to work with minimal supervision; initiative to identify and utilize available internal and external resources
  • Proven time management skills and ability to meet deadlines and work under pressure; strong organizational skills with ability to work with multiple projects and tasks
  • Ability to discreetly handle sensitive issues in a professional and confidential manner

ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
  • Collaborates and effectively communicates with a wide variety of disciplines within the hospital to evaluate, improve, and sustain regulatory and accreditation readiness. Fosters cooperation among departments and disciplines to achieve and sustain ongoing accreditation and regulatory compliance.
  • In partnership with hospital leadership, establishes a process to conduct a proactive review of regulatory, accreditation and certification to assess vulnerabilities to compliance with standards.
  • Leads process in collaboration with hospital leadership to assign teams to develop corrective action in response to survey findings and facilitate development and implementation of the corrective action processes. Provides guidance and direction to hospital with on-site or written response and resolution to a regulatory or accreditation survey or complaint investigation as needed.

SERVICE ESSENTIAL FUNCTIONS
  • Supports and participates in hospital pre-survey, on-site survey, and post-survey activities for accreditation, regulatory and disease-specific certification programs. Functions as a consultant/surveyor and conducts internal surveys using ISO 9001 process audit tools and techniques to assess and evaluate ongoing survey readiness.
  • Communicates survey findings to Quality & Patient Safety leadership and other hospital quality/patient safety (accreditation/regulatory) departments.
  • Communicates updates to regulatory/accreditation/certification standards. Provides support, guidance, assessment and evaluation of hospital implementation of processes and practices to comply with new or revised requirements. Provides education and training related to regulatory and accreditation requirements.
  • Serves as a primary source of contact with accreditation and regulatory agencies; manages hospital profile information independently.

QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Facilitates implementation and resolution of survey corrective action processes; provides ongoing review and evaluation of the implementation, effectiveness and sustainability of corrective action plan processes. Tracks, trends and analyzes survey nonconformities; identifies opportunities for improvement and best practices.
  • Develops and evaluates processes for an ongoing regulatory and accreditation readiness program that promotes continual improvement in compliance with standards, including ISO 9001 Quality Management and performing gap analyses.
  • Facilitates resolution of survey nonconformities through development of collaborative and proactive action plans.

FINANCE ESSENTIAL FUNCTIONS
  • Participates in annual budget preparation, expense projections and justifications.
  • Utilizes efficient and cost-effective work practices with department resources and supplies; provides recommendations to reduce expenses.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Remains current with regulatory, accreditation and certification changes through available resources such as conferences or internet-based learning, reviewing and researching specific program materials, and/or reviewing professional journals.
  • Communicates innovative and best practices to hospital quality and patient safety departments and leadership. Identifies opportunities to align policy and procedure with regulatory/ accreditation requirements.
  • Enhances continual improvement activities by acquiring, utilizing and teaching performance improvement concepts and techniques, such as ISO 9001 and LEAN.

SUPPLEMENTAL REQUIREMENTS
    WORK ATTIRE
    • Uniform: No
    • Scrubs: No
    • Business professional: Yes
    • Other (department approved): No

    ON-CALL*
    *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
    • On Call* No

    TRAVEL**
    **Travel specifications may vary by department**
    • May require travel within the Houston Metropolitan area Yes
    • May require travel outside Houston Metropolitan area Yes
QUALIFICATIONS
EDUCATION
  • Bachelor’s degree in nursing or other field relevant to the healthcare industry
  • Master’s degree in healthcare or business related field preferred

EXPERIENCE
  • Five years of experience in a hospital setting, preferably in patient care or quality
  • Three years of experience in one or more of the following: healthcare quality, accreditation or regulatory activities in a healthcare setting; performance improvement; patient safety; infection prevention and control; and/or health information management
  • Two years of experience performing accreditation or regulatory activities in a hospital setting

LICENSES AND CERTIFICATIONS
Required
  • RN state license or Healthcare Accreditation Certification Program (HACP)
Preferred
  • CPHQ - Certified Professional in Healthcare Quality (NAHQ) or
  • CQA - Certified Quality Auditor (ASQ) or
  • CSHA - Certification Specialist in Healthcare Accreditation (HACP)

Company Profile:

Houston Methodist West Hospital is committed to leading medicine in West Houston, Katy and surrounding communities by delivering the Houston Methodist standard of exceptional safety, quality, service and innovation. The growing campus offers access to the most innovative medical and surgical care available, including cardiology and cardiovascular surgery; neurology and neurosurgery; comprehensive cancer care; orthopedics and sports medicine; gastroenterology; bariatrics; childbirth center with level III NICU; emergency care; and advanced imaging.

Houston Methodist is an Equal Opportunity Employer.

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