Director, Compliance

Posted 13hrs ago

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Job Description

Director of Compliance building enterprise compliance programs for Equality Health, a tech-enabled value-based healthcare system. Managing Medicaid and Medicare regulatory risk, audits, training, investigations, and privacy controls.

Responsibilities:

  • Design, implement, and manage an enterprise compliance program that scales with the organization
  • Translate complex federal and state regulatory requirements into actionable policies, procedures, and controls
  • Build and maintain a compliance dashboard, risk register, and audit-readiness framework
  • Develop and deliver compliance training programs
  • Monitor the regulatory landscape and identify emerging compliance risks and obligations
  • Manage the compliance hotline process, including investigation, follow-up, and corrective action
  • Lead enterprise risk assessment processes
  • Manage and conduct internal audits covering 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 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:

  • Equality Health Benefits - Feb 2026 - Prospective Candidate Flyer.pdf
  • Equal employment opportunity and nondiscrimination protections