Director of Compliance

Job Description

Job Description

Reports To: Chief People Officer 

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey.

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.

The Director of Compliance leads the enterprise-wide compliance program for Luminary Hospice. This leader designs, implements, and continually strengthens the systems, processes, and controls that ensure the organization operates with integrity and in full adherence to federal, state, and accreditation requirements.

In partnership with the Chief People Officer and Operations, the Director of Compliance champions a culture of accountability, transparency, and proactive risk mitigation. This role has organizational leadership responsibilities, including oversight of compliance operations, internal audits, regulatory readiness, and policy governance across the agency. 

Compliance Program Leadership

• Leads the development, execution, and evaluation of the organization's comprehensive compliance program.
• Identifies regulatory, operational, and clinical risks and builds mitigation plans aligned with Luminary's mission, ethics, and standards.
• Ensures compliance with Medicare Conditions of Participation, state hospice regulations, CHAP standards, HIPAA, and all other applicable laws and policies.
• Serves as a trusted advisor to senior leadership on compliance trends, potential vulnerabilities, and required corrective action.

Regulatory Readiness & Oversight

• Maintains organizational survey readiness at all times; leads preparation for state, federal, and accreditation surveys.
• Oversees timely and accurate responses to audits, investigations, and external inquiries.
• Conducts ongoing internal audits—including medical record reviews, billing compliance checks, and operational assessments—to verify organizational adherence and performance.

Policy & Governance

• Develops, reviews, and updates organizational policies and procedures to reflect current regulatory requirements and best practices.
• Ensures policies are communicated effectively and consistently across all levels of the organization.
• Partners with leaders to evaluate operational practices for compliance alignment and identifies opportunities for improvement.

Education, Training & Culture-Building

• Designs and oversees compliance training programs for all employees, contractors, and leaders.
• Provides coaching and guidance to operational and clinical leaders to reinforce ethical decision-making and compliance expectations.

Investigations & Issue Resolution

• Manages the intake, triage, investigation, and resolution of compliance concerns, complaints, and incidents.
• Collaborates with HR, Clinical Services, Quality, and other departments to ensure issues are addressed promptly and thoroughly.
• Monitors corrective action plans for effectiveness and sustainable improvement.

Reporting & Metrics

• Develops dashboards and reporting mechanisms that provide leadership with actionable compliance insights.
• Presents routine compliance reports to the senior leadership, highlighting risks, trends, and emerging concerns.

Leadership Responsibilities

• Provides direct leadership to compliance-related personnel (e.g., audit specialists, privacy/compliance associates).
• Sets clear expectations, evaluates performance, and drives continuous professional growth within the compliance function.
• Performs other duties as assigned by the Chief People Officer.

• Bachelor's degree preferred in compliance, or related field preferred.
• Minimum 5 years of leadership experience in healthcare compliance, with strong knowledge of hospice regulations.
• CHC (Certified in Healthcare Compliance) or related certification strongly preferred.
• Demonstrated ability to lead compliance programs, conduct investigations, and manage regulatory interactions.
• Strong communication, analytical, and interpersonal skills, with the ability to influence and partner across functions.
• Must be a licensed driver with an insured automobile per state and organizational requirements.
• Knowledge of Medicare regulations, state licensure rules, CHAP standards, HIPAA, and best practices in compliance program effectiveness.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds.

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications.

Luminary Hospice offers a competitive compensation package, along with a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings options, and more. Our benefits are designed to support your health, well-being, and long-term financial goals.