Accreditation and Compliance Specialist II

MaineHealth | South Portland, ME, United States

Posted Date 9/18/2023


  • Position Summary

    • $5.000 SIGN-ON BONUS!

      *Current MaineHealth employees not eligible for the sign on bonus.

      Must be separated from MaineHealth system for 3 months to be eligible.

      Position Summary

      As part of a team the duties will include the coordination of: both hospital and behavioral health accreditation standards; State of Maine agency licensing updates; and company wide policy coordination.

      The Accreditation and Compliance Specialist II will assist leaders and managers in assessing adherence to accreditation and licensing standards, support efforts to improve and maintain adherence to standards by providing reports to highlight gaps and helping develop action plans as appropriate. The Accreditation and Compliance Specialist II will organize mock surveys and readiness audits, help maintain an up-to-date Quality Assurance and Performance Improvement (QAPI) plan, coordinate activities during surveys, maintain relevant information on file and readily accessible during surveys, communicate results after accreditation surveys, help draft and submit a plan of correction, and lead inter-professional teams in addressing survey deficiencies.Familiarity with The Joint Commission, CMS and State accreditation standards strongly preferred

      *This is a MaineHealth job specifically working in Maine Behavioral Healthcare

  • Required Minimum Knowledge, Skills, and Abilities (KSAs)

    • Education: Associate’s degree with at least five years of relevant healthcare experience OR bachelor’s degree with at least three years of relevant healthcare experience required.

    • License/Certifications: N/A

    • Experience: See "Education." Experience working with inter-professional teams in addressing organization-wide problems.

    • Familiarity with The Joint Commission, CMS and State accreditation standards required

    • Familiarity with performance improvement tools and concepts, e.g., plan-do-study-act, preferred

    • Proficiency in Microsoft Office suite or equivalent preferred

    • Familiarity with electronic health records preferred

    • Effective verbal and written communication skills

    • Strong critical thinking skills and attention to detail

    • Collaborative and team oriented

Additional Information

MaineHealth was ranked one of America’s Best Large Employers in 2022 by Forbes!

MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our communities are the healthiest in America.” MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at

At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.

With a career at any of the MaineHealth locations, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.

Additional Information

Job Type

Share this job