Head of Compliance

Overview Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest opportunities to impact every woman’s health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women’s health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality. Overview Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest opportunities to impact every woman’s health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women’s health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality. Responsibilities Set the enterprise strategic direction, operating priorities, governance structure, and performance expectations for compliance operations, audits, investigations, monitoring, issue management, corrective action, education, reporting, and program administration to ensure alignment with regulatory requirements and organizational objectives. Develop and maintain the compliance program operating framework, including governance structures, operational standards, procedures, work plans, project portfolios, annual compliance initiatives, audit plans, investigation priorities, and executive reporting mechanisms. Lead enterprise policy governance, including development, approval, lifecycle management, periodic review, exception management, and ongoing maintenance of compliance policies, standards, procedures, and related program documentation. Oversee enterprise compliance audit and monitoring programs, including risk-based audit strategy, coding and documentation audit activities, internal control assessments, evaluation of program effectiveness, identification of control gaps, and development of improvement recommendations. Provide executive oversight of compliance investigations involving allegations of compliance-related misconduct, regulatory violations, fraud, conflicts of interest, retaliation, hotline concerns, and other compliance matters, ensuring investigations are timely, objective, confidential, well-documented, and professionally rigorous. Establish and maintain audit and investigation methodologies, protocols, documentation standards, quality assurance practices, case management expectations, hotline intake and triage processes, non-retaliation practices, and escalation protocols to promote consistency, defensibility, and enterprise accountability. Oversee compliance issue management and remediation processes, including issue identification, tracking, escalation, corrective action planning, validation, monitoring results, documentation, retention, and timely sustainable resolution of significant or recurring risks. Define and execute the compliance data, analytics, technology, and reporting strategy, including dashboards, scorecards, performance metrics, trend analysis, executive reporting, and technology-enabled processes that measure program effectiveness, identify emerging risks, and improve compliance outcomes. Lead enterprise-wide compliance education, training, awareness, and targeted communication initiatives that promote ethical behavior, regulatory compliance, issue escalation, non-retaliation expectations, and risk mitigation across clinical, operational, and corporate teams. Manage compliance committees, program governance activities, regulatory reviews, external audits, government inquiries, and senior leadership reporting to support informed decision-making, regulatory oversight, evidence gathering, corrective action coordination, and enterprise accountability. Identify and implement compliance technologies, automation, artificial intelligence, workflow tools, and process improvement initiatives that drive efficiency, standardization, reliable documentation, audit readiness, and compliant outcomes. Lead, develop, and mentor compliance operations, audit, and investigation leaders and teams while building cross-functional partnerships that strengthen accountability, collaboration, continuous improvement, operational excellence, and a culture of ethics and compliance across the enterprise. Additional Job Functions: Other duties as assigned. Qualifications Bachelor’s degree required; advanced degree in Healthcare Administration, Business Administration, Accounting, Auditing, Compliance, Criminal Justice, Law, Risk Management, or a related field preferred. 10+ years of progressive compliance, audit, investigations, risk management, legal, regulatory, or healthcare operations experience in a healthcare or similarly regulated environment. 5+ years of leadership experience overseeing compliance programs, audit functions, investigation teams, enterprise initiatives, processes, projects, or cross-functional teams. Experience leading enterprise compliance operations, audit, monitoring, investigations, hotline management, corrective action, policy governance, education, reporting, and program management functions. Experience developing and executing risk-based compliance audit plans, investigative priorities, compliance monitoring activities, corrective action programs, and executive-level reporting. Experience conducting, overseeing, or providing executive governance for complex audits and investigations involving sensitive, confidential, regulatory, fraud, waste and abuse, conflicts of interest, retaliation, or other compliance-related concerns. Demonstrated success implementing enterprise-wide compliance initiatives, operating models, governance structures, technology solutions, and process improvements in complex, highly regulated environments. Strong knowledge of compliance program frameworks, healthcare regulatory requirements, audit methodologies, investigative practices, regulatory enforcement, corrective action management, and evidence collection standards. Knowledge of compliance technologies, workflow systems, hotline/case management tools, audit management platforms, reporting tools, automation, and artificial intelligence solutions that support compliance effectiveness and operational efficiency. Strong analytical, problem-solving, organizational, risk assessment, root cause analysis, decision-making, and executive judgment skills. Excellent written, verbal, executive communication, interviewing, report writing, presentation, and stakeholder management skills. Ability to lead cross-functional initiatives, influence senior and executive leaders, manage highly sensitive and confidential matters, build partnerships across all organizational levels, and drive accountability for compliance across clinical, operational, and corporate teams. Ability to manage multiple priorities, lead through ambiguity, make sound risk-based decisions, and operate effectively in a complex and highly regulated environment. The following certifications are preferred but not required: Certified in Healthcare Compliance (CHC) Certified Compliance & Ethics Professional (CCEP) Certified Internal Auditor (CIA) Certified Fraud Examiner (CFE) Certified Risk Management Assurance (CRMA) Project Management Professional (PMP) Lean Six Sigma Certification Other relevant compliance, audit, governance, risk management, healthcare, or investigative certifications This is a hybrid position with a minimum requirement of 2-days a week in-office in either Lone Tree, Colorado or Tampa, Florida. We’re here for you—both personally and professionally. Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive. Here’s a look at what we offer: Health Coverage Medical, dental, and vision plans, fertility benefits, and supplemental insurance options. Paid Time Off Vacation, personal days, and paid holidays to help you recharge. Financial & Retirement Planning 401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs). Income Protection Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage. Wellbeing Support Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection. Professional Development Opportunities and resources to support your career growth. #J-18808-Ljbffr Unified Women's Healthcare