National Director of Compliance Behavioral Health

Job Description

Job Description

This is a remote position.

Overview

We are seeking a dynamic and highly experienced National Director of Compliance to lead our organization’s compliance initiatives across all operational levels. This pivotal role involves developing, implementing, and overseeing comprehensive compliance programs that align with healthcare regulations, accreditation standards, and industry best practices. The ideal candidate will possess a deep understanding of healthcare laws, regulations, and quality assurance processes, ensuring our organization maintains the highest standards of regulatory adherence and risk management. As a key leader, you will drive continuous improvement efforts, foster a culture of compliance excellence, and collaborate with cross-functional teams to uphold our commitment to integrity and quality in healthcare delivery.

Responsibilities

1. Service delivery and quality control

• Own the compliance service function for approximately 50 behavioral health facilities nationwide, including overseeing daily chart audits, competency reports, executive director and clinical leadership compliance meetings, and accreditation readiness.
  
• Supervise, lead and develop a team of compliance managers and chart auditors.
  

2. Accreditation and survey readiness

• Maintain a readiness status for every accredited site, with survey windows tracked and mock surveys scheduled ahead of them.
  
• Lead or assign on-site walkthroughs and mock surveys; own plans of correction and evidence of standard compliance after any survey or state inspection.
  
• Keep policy and procedure libraries current as standards change utilizing policy management software.
  

3. Clinical documentation and payer risk

• Identify high-risk documentation patterns across sites.
  
• Lead payer and SIU audit responses and record reviews; brief clients on recoupment exposure and corrective steps.
  
• Make EMR updates to forms as needed, conduct staff training and manage access controls for staff.
  

4. Incidents, grievances and regulatory reporting

• Own the incident triage workflow so incidents close timely, supervise managers conducting investigations and escalate to the CCO only for defined high-risk events.
  
• Ensure all facility-level leadership know their state-required reporting obligations and deadlines, and document advising them and training them.
  
• Track trends in incidents and grievances and compliance performance for quality assurance program.
  

5. Team leadership

• Hire, train, schedule and evaluate auditors and specialists; balance caseloads so no auditor is over capacity.
  
• Build written SOPs, audit calibration sessions and a reviewer escalation path so staff can act without routing every question upward.
  
• Coach underperformers with clear expectations and documented follow-up.
  

6. Client relationships

• Serve as the senior compliance contact for all facilities; lead quarterly business reviews.
  
• Build the overall satisfaction level with the compliance department within our network.
  
• Guide facility level staff toward self-sufficiency in our compliance management software where that fits the service tier.
  

7. Regulatory intelligence

• Monitor federal, state, Joint Commission and CARF changes and translate them into audit tool, training and policy updates.
  
• Set national audit standards and tools by level of care and state, aligned to Joint Commission, CARF, ASAM criteria and payer documentation rules.
  
• Run a second-level QA process: sample completed audits for accuracy and verify that findings marked closed in our audit software were actually corrected before a surveyor or payer finds them.
  
• Standardize new facility and expansion onboarding (Joint Commission portal, LMS setup, audits) to a defined 60 day timeline.
  

Qualifications

Required

• 5+ Years in behavioral health compliance, quality or accreditation, including 3+ years managing a team.
  
• Hands-on experience leading Joint Commission and/or CARF surveys and writing plans of correction.
  
• Working knowledge of ASAM criteria, state licensure rules for SUD and mental health programs, HIPAA and 42 CFR Part 2.
  
• Strong clinical documentation and medical necessity review skills, including payer audit or SIU experience.
  
• Technology skills including understanding how to use Work/Cowork, and knowledge of the difference between HIPAA compliant AI usage and other LLMs.
  
• Comfort with EMRs (Kipu strongly preferred) and compliance software.
  
• Bachelor's degree in a clinical, health administration or related field.
  

Preferred

• Experience across multiple states and levels of care, including adolescent and residential programs.
  
• Experience managing remote audit teams.
  
• Experience leading a compliance team.
  

Competencies

• Builds systems instead of solving the same problem twice.
  
• Makes and documents decisions without waiting for escalation.
  
• Explains regulatory risk plainly to clinicians, and directors
  
• Holds staff and clients accountable while keeping relationships intact.
  
• Able to conduct thorough and accurate research.
  

This is a fully remote role. One to 2 days per quarter for team face to face meetings may be required with travel paid for by the company. Limited travel for meetings, client sites and conferences may also be require from time to time. Join us as we uphold the highest standards of healthcare compliance; driving excellence through leadership, innovation, and unwavering dedication to patient safety!

Required

• 5+ Years in behavioral health compliance, quality or accreditation, including 3+ years managing a team.
  
• Hands-on experience leading Joint Commission and/or CARF surveys and writing plans of correction.
  
• Working knowledge of ASAM criteria, state licensure rules for SUD and mental health programs, HIPAA and 42 CFR Part 2.
  
• Strong clinical documentation and medical necessity review skills, including payer audit or SIU experience.
  
• Technology skills including understanding how to use Work/Cowork, and knowledge of the difference between HIPAA compliant AI usage and other LLMs.
  
• Comfort with EMRs (Kipu strongly preferred) and compliance software.
  
• Bachelor's degree in a clinical, health administration or related field.
  

• Health Insuraance
  
• Dental Insurance
  
• Vision Insurance
  
• PTO
  
• Remote Work Environment