Senior Director Compliance

Description About the Role This role will serve as the senior leader responsible for developing, implementing, and overseeing the company’s enterprise‑wide compliance and ethics program. This individual will evaluate the current state of compliance, identify gaps, and rebuild the program from the ground up to meet the unique needs of a value‑based healthcare organization. The ideal candidate is a strategic thinker, a hands‑on builder, and a collaborative partner who can drive cultural adoption of compliance across all levels of the organization. You must be located in, or willing to relocate to the Las Vegas, Nevada area. This is a unique opportunity to shape and lead the compliance function of a forward‑thinking, value‑based healthcare company. As the senior compliance leader, you will play a critical role in ensuring Medicare Advantage and value‑based program compliance while working alongside a passionate leadership team committed to transforming healthcare delivery. We offer competitive compensation, comprehensive benefits, and ongoing professional development support in an environment where your expertise will have a direct impact on organizational success and patient outcomes. Key Responsibilities Program Development & Oversight Conduct a full assessment of the current compliance program, policies, and processes; rebuild the compliance framework to align with federal/state requirements and value‑based care models. Develop and execute a flexible, risk‑based Medicare Audit Plan focusing on high‑priority areas, ensuring audits deliver high‑quality reports and actionable conclusions. Oversee implementation of new Medicare regulations and coordinate compliant solutions to meet regulatory deadlines. Establish ongoing monitoring processes for core business activities, ensuring compliance metrics are tracked daily and risks are addressed proactively. Leadership & Governance Serve as primary liaison with regulatory agencies, payers, and external auditors; manage external audits and regulatory reviews. Provide advice, direction, and solutions on compliance‑related decisions to health plan leadership and cross‑functional teams. Partner with stakeholders and business leaders to define solutions strategy and ensure operational readiness for compliance deliverables. Track audit plan milestones and ensure timely communication of progress and results to executive leadership and the Board. Education & Culture Develop and deliver education and training on actual, proposed, or pending Medicare regulations that impact operations. Summarize and interpret regulatory requirements, consulting with stakeholders to design compliant, practical solutions. Identify opportunities for compliance curriculum redesign, enhancing training and oversight initiatives. Foster a culture of accountability, integrity, and transparency throughout the organization. Manage compliance issues and internal investigations, ensuring appropriate corrective actions are implemented and effective. Evaluate the effectiveness of corrective action plans to prevent recurrence of compliance issues. Maintain up‑to‑date knowledge of current and proposed laws, regulations, and industry guidelines. Contribute to the overall effectiveness of the corporate compliance program by identifying risks early and implementing preventive strategies. Qualifications Minimum 8+ years of progressive compliance leadership experience in healthcare, with at least 5 years in a senior compliance role. Deep knowledge of healthcare regulatory frameworks (CMS, OIG, HIPAA, Stark, Anti‑Kickback Statute, Medicare Advantage, Medicaid, and value‑based care programs). Demonstrated success building or rebuilding compliance programs from the ground up. Strong leadership presence with ability to influence executive, clinical, and operational teams. Exceptional communication, strategic thinking, and problem‑solving skills. Certified in Healthcare Compliance (CHC) or similar credential strongly preferred. Education JD, MBA, or Master’s in Healthcare Administration or related field preferred. Location & Travel Our office is located in Henderson, Nevada. Travel is not required for this position. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr P3 Health Partners