Director, Compliance
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Job Description
Director of Compliance building enterprise compliance programs for Equality Health, an integrated healthcare delivery system. Overseeing Medicaid, Medicare, privacy, audits, risk, training, and investigations.
Responsibilities:
- Design, implement, and manage an enterprise compliance program that scales with the organization
- Translate complex federal and state regulatory requirements into clear, actionable policies, procedures, and controls for operational teams
- Build and maintain a compliance dashboard, risk register, and audit-readiness framework
- Develop and deliver compliance training programs that build a culture of regulatory accountability
- Monitor the regulatory landscape and proactively identify emerging compliance risks and obligations
- Manage the compliance hotline process, including investigation, follow-up, and corrective action as necessary
- Lead enterprise risk assessment processes, identifying, prioritizing, and mitigating compliance risks
- Manage and conduct internal audits for compliance with Stark, Anti-kickback, Conflict of Interest, Fraud, Waste and Abuse, and other relevant laws and regulations
- Ensure data privacy, data rights, and communications compliance controls are embedded in operational workflows
- Serve as the operational partner to the General Counsel across multiple lines of business and states
Requirements:
- Minimum of 10 years experience in healthcare compliance, regulatory matters, and/or legal operations in complex healthcare organizations participating in governmental health care programs including Medicaid and Medicare
- Strong understanding of Medicare and Medicaid reimbursement, Fraud, Waste and Abuse, HIPAA, Anti-Kickback Statute, data privacy and security laws and regulations
- Bachelor’s Degree in related field
- Excellent communication skills
- Strong interpersonal and organizational skills to collaborate and influence
- Some travel may be required (<10%)
Benefits:
- Equal employment opportunities and nondiscrimination protections
- Some travel may be required (<10%)
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