The posting
The Imaging Regulatory Affairs Program Manager is responsible for the development, implementation, oversight of regulatory compliance, and accreditation for medical imaging and radiology services across VCU Health System’s clinical facilities. Ensures that diagnostic and interventional imaging operations-including MRI, CT, X-ray, PET/SPECT, mammography, nuclear medicine, ultrasound, and point-of-care ultrasound (POCUS)-meet or exceed standards set by The Joint Commission (TJC) (or alternative approved CMS oversight organization), the American College of Radiology (ACR), the Nuclear Regulatory Commission (NRC), FDA’s Mammography Quality Standards Act (MQSA), and state, and local healthcare regulations.
Essential Job Statements
- Design and lead regulatory strategies for inspection readiness through tracers, mock surveys, and audit responses for all hospital and outpatient imaging modalities (MRI, CT, X-ray, Ultrasound, Nuclear Medicine, PET, and POCUS).
- Update and harmonize system-wide imaging policies, safety protocols, and operational workflows to align with changing national standards.
- Collaborate closely with Radiation Safety Officers (RSOs) and Medical Physicists to monitor equipment compliance, quality control logs, and credentialing documentation.
- Work collaboratively with the Imaging Safety Educators to target training programs for technologists, nurses, and administrative staff regarding regulatory updates, compliance mandates, and patient safety goals.
- Partner closely with all areas utilizing diagnostic imaging to include (but not limited to) Radiology, Cardiology, OB/GYN, Endoscopy, and Surgery
- Serve as the primary liaison for ACR program accreditations and assistance during mock and scheduled TJC site visits. Be a resource for FDA and NRC site visits, managing inquiries, audits, and formal meetings.
- Monitor evolving regulatory landscapes (CMS, TJC, ACR, Virgina Department of Health (VDH), Virginia Board of Medicine, etc.) to assess their impact on Health System’s imaging practices.
- Drive clinical excellence, patient safety, and regulatory compliance associated with imaging services. Participating in Radiologic Services QAPI committee leadership and communication (i.e., facilitate, charter development, goal establishment, etc.), data collection, analysis, and monitoring, performance improvement projects, and promoting a culture of safety.
Patient Population
Not applicable to this position.
Employment Qualifications
Education Required:
Graduation from a JRC Accredited Program in Radiologic Technology.
Bachelor’s degree in clinical Radiation Science or closely related field from an accredited program.
Education Preferred:
Master’s degree in health administration or closely related field from an accredited program.
Licensure Required: None
Licensure Preferred: None
Certification Required:
Current Certification by: American Registry of Radiology Technologist (ARRT) or,
Nuclear Medicine Technologist Certification Board (NMTCB) or
ARRT (N) or, American Registry of Diagnostic Medical Sonographers or ARRT (S).
Current Specialty Registry in at least one of the following: ARRT in Mammography, ARRT CT, ARRT MRI, ARRT QM, ARDMS Specialty, RCIS or RCES, ARRT CV OR VI or CI, PET or NC (Nuclear Cardiology)
Certification Preferred:
AHRA: The Association for Medical Imaging Management Certified Radiology Administrator (CRA)
Minimum Qualifications
Years and Type of Required Experience
Minimum of three (3) years of regulatory affairs or quality compliance experience specifically within a hospital, outpatient imaging center, or medical imaging vendor environment.
Previous work experience in a complex healthcare environment.
Years and Type of Preferred Experience: N/A
Other Knowledge, Skills and Abilities Required:
Solid understanding of CMS Conditions of Participation for Radiologic and Nuclear Medicine Services and The Joint Commission (TJC) specifically the Imaging Document Review Guide and other standards involving imaging services. Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc).
Excellent verbal, written, and interpersonal communication skills. Excellent organizational skills and attention to detail.
Other Knowledge, Skills and Abilities Preferred: None
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
Long-distance or air travel as needed- not to exceed 10% travel.
May be exposed to high noise levels and bright lights.
May be exposed to human blood and other potentially infectious materials. *
May have periods of constant interruptions.
Prolonged periods of working alone.
* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending
Work Position: Sitting, Walking, Standing
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination), Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity - far, Acuity - near
Hazards: Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises
Mental/Sensory – Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast-paced environment, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Able to Adapt to Frequent Change
Compensation Range
$39.95 - $61.91
Actual salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.
Days
EEO Employer/Disabled/Protected Veteran
