Director of Compliance

Job Description

Job Title: Director of Compliance

Job Summary:

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• The Director of Compliance will lead the strategy and direction of the organization's enterprise compliance program. This role oversees the compliance policies, procedures, training, monitoring and controls that keep the company compliant with applicable laws and regulations. The Director is a trusted advisor to executive leadership and the Compliance Committee. They build a strong culture of compliance and manage regulatory risk across the business.
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Essential Functions and Tasks:

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• Set the strategy for the company's compliance program and lead its development, implementation, management and enforcement, including the compliance plan and all related policies and procedures
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• Lead, mentor and develop compliance team members, and set goals, priorities and performance expectations
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• Lead the annual compliance risk assessment and the auditing and monitoring work plan to find, prioritize and reduce regulatory risk
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• Direct the design and delivery of compliance training for new and existing employees and applicable contractors, and hold the organization accountable for completing it
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• Lead organization-wide rollout and adoption of new or updated policies, directives and regulatory requirements
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• Champion a culture of compliance across the enterprise, including owning the compliance communication strategy
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• Oversee the compliance hotline and incident tracking system, making sure reports are escalated, tracked and resolved on time
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• Direct investigations of compliance incidents and issues, including root-cause analysis, corrective action plans and reporting outcomes
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• Track and interpret changes in federal and state laws and regulations, and assess how they affect the business
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• Give executive leadership and business stakeholders strategic, timely guidance on complex compliance issues and inquiries
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• Prepare and present compliance reports, metrics and recommendations to the Compliance Committee, executive leadership and the Board as needed
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• Work with Legal, Privacy, Information Security, Internal Audit and operational leaders on regulatory audits, inquiries and enterprise risk work
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• Manage the compliance program budget and outside vendor or consultant relationships
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Education and Experience Requirements:

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• Bachelor's degree required; Master's degree, JD or related advanced degree preferred
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• At least 8–10 years of progressive healthcare compliance experience, including at least 3–5 years in a leadership role
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• Certified in Healthcare Compliance (CHC) or equivalent compliance certification required (or obtained within 1 year)
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• Deep knowledge of and experience with HIPAA, OIG compliance program guidance and U.S. healthcare fraud and abuse laws, including the Anti-Kickback Statute, Stark Law and False Claims Act
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• Experience presenting to executive leadership, committees or boards
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Knowledge, Skills, and Abilities:

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• Strong executive presence, with excellent oral, written and interpersonal communication skills
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• Proven ability to build, lead and develop high-performing teams
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• Strategic thinker who can turn regulatory requirements into practical business solutions
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• Proactive, responsive and detail-oriented, with sound judgment and decision-making
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• Strong time management and organizational skills, with the ability to prioritize competing demands in a fast-paced environment
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• Ability to read, interpret and apply state and federal laws, regulations and policies
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• Ability to influence and work with diverse stakeholders at all levels in a tactful, mature and professional manner
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• Ability to stay flexible and lead collaboratively through change
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• High level of integrity and discretion in handling confidential and sensitive information
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• Advanced skills in Microsoft Office (Outlook, Word, Excel including pivot tables, PowerPoint) and compliance or database software
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