Compliance Director
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Job Description
Compliance Director providing enterprise-wide compliance leadership for healthcare initiatives at Bon Secours Mercy Health. Responsible for compliance monitoring, risk assessments, and regulatory readiness.
Responsibilities:
- Provide enterprise-wide compliance leadership for population health, care management, community health, and patient access functions
- Implement the BSMH Compliance program within their assigned functional area
- Conduct compliance investigations, education, auditing and monitoring
- Lead functional compliance committees across the system
- Provide advice/consultation to functional leadership regarding compliance and regulatory initiatives impacting the Ministry
- Develop monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud
- Evaluate and utilize data analytics techniques, statistical analysis and modeling to detect and trend potential compliance issues
Requirements:
- Certified in Healthcare Compliance (CHC) – Health Care Compliance Association (required)
- Bachelors: Healthcare, Business Administration, or Related Field (required)
- Masters: Healthcare, Business Administration, or Related Field (preferred)
- 7 to 10 years of in-depth experience within healthcare operations or compliance-related activities (required)
- Demonstrate expert-level understanding of healthcare regulations (HIPAA, GDPR, DPA, CMS, OIG, Stark, Anti-Kickback, etc.) and compliance operations.
- Oversee enterprise compliance auditing, monitoring and investigations.
- Design and operationalize compliance presence within assigned functional areas.
- Identify, assess and mitigate compliance risks through structured risk management frameworks.
- Leverage AI, analytics, and reporting tools (Microsoft Copilot, Power BI, or similar) and healthcare databases and technologies for compliance insights.
- Oversee development and revision of compliance policies to maintain regulatory alignment.
- Conduct in-depth regulatory research and provide actionable interpretations to leadership.
- Design and deliver engaging presentations, training programs, and educational courses.
- Recruit, mentor and manage compliance staff and leaders.
Benefits:
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
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