Facilities Compliance Specialist, FT Days

Reporting to the System Director, Facilities, the Facilities Compliance Specialist is responsible for ensuring full compliance with federal, state, and local regulations governing hospital facilities, including NFPA codes, CMS Conditions of Participation, CDPH requirements, OSHA, HCAI (formerly OSHPD), CIHQ/TJC standards, and local AHJ mandates enterprise wide. This role serves as the subject matter expert on Environment of Care (EOC), Life Safety (LS), emergency preparedness, and facility-related compliance across all hospital, outpatient, and medical office locations. The position also includes oversight of Los Angeles City LAFD Regulation 4 testing and certifications. 

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.

Required Skills

SPECIFIC SKILLS NEEDED

• Strong written, verbal, and presentation communication skills.
• Ability to build effective relationships across departments and with regulatory agencies.
• Strong organizational and analytical abilities in a dynamic healthcare environment.
• Extensive knowledge of NFPA codes, California Fire & Building Codes, CMS, CDPH, CAL-OSHA, HCAI, and CIHQ/TJC standards.
• Strong working knowledge of LAFD Regulation 4 processes, requirements, and documentation.

Required Experience

Required:

• Minimum 2 years in a hospital/healthcare environment

Preferred:

• Bachelor’s degree in engineering, Architecture, Fire Protection Engineering, Healthcare Administration, or a related field.
• Ten (10) years of experience in California hospital-based EOC and Life Safety compliance.
• Experience representing healthcare organizations during regulatory surveys (CMS, CDPH, State Fire Marshal, OSHA, CIHQ/TJC, Board of Pharmacy, LAFD/Reg 4).
• Certifications such as CHFM, CHSP, or CFPS.