Compliance Director

Key Responsibilities

• Lead and oversee the development, implementation, and ongoing management of the organization's compliance program across all services, including residential services, day habilitation, wellness programs, and behavioral health operations.
• Conduct weekly supervision meetings with program leadership to ensure all regulatory and organizational compliance standards are maintained.
• Ensure department leaders complete all required documentation, operational responsibilities, and regulatory obligations.
• Perform an annual organizational risk assessment and develop a comprehensive compliance work plan that includes audit activities and staff training initiatives.
• Provide regular compliance updates and formal reports to the CEO, leadership team, and Board of Directors regarding compliance program progress, audit findings, emerging trends, and regulatory developments.
• Create and manage an annual compliance education program that includes mandatory compliance training for all staff members.
• Maintain systems for reporting, documenting, and investigating potential compliance concerns, including root cause analysis and corrective action planning when issues are identified.
• Ensure appropriate reporting of confirmed compliance violations to government agencies when required by law.
• Serve as a compliance advisor to executive leadership and management, offering guidance on strategies to minimize regulatory risks and reduce exposure to fraud or abuse.
• Monitor changes in laws, regulations, enforcement guidance, and legal developments that may impact agency operations.
• Oversee the organization's privacy program, ensuring the protection of protected health information and compliance with applicable privacy regulations and agency policies.
• Serve as the primary point of contact for compliance-related inquiries and issues.
• Supervise internal audit processes, including the development and execution of an annual audit work plan.
• Maintain knowledge of and ensure adherence to all governing documents relevant to agency operations, including contracts, policies, state and federal regulations, and program guidelines.
• Complete and review required reports, documentation, schedules, and compliance records as required by the agency.
• Track quality assurance reporting and ensure appropriate follow-up actions are completed when issues are identified.
• Ensure proper onboarding and orientation processes are completed for new employees.
• Conduct probationary reviews and employee performance evaluations.
• Ensure staff training requirements are met, particularly those related to DDD regulations and the College of Direct Support (CDS).
• Maintain flexible availability when necessary to support program operations.
• Participate in recruitment and interviewing to ensure adequate staffing and qualified personnel.
• Monitor quality improvement initiatives and recommend operational improvements across programs.
• Represent APluscare in interactions with external organizations, partners, and the public while maintaining accurate representation of agency information.
• Ensure that nursing and therapeutic services are delivered under the supervision of qualified medical professionals, including registered nurses or physicians.
• Support appropriate supervision of staff during all operating hours.
• Uphold and enforce company policies, confidentiality requirements, and quality standards.
• Perform additional duties as assigned by the Executive Director or designated leadership.

Qualifications

• Bachelor's degree in behavioral health, Healthcare Administration, or a related field preferred.
• Minimum of two years of experience working with individuals with developmental disabilities.
• Strong knowledge of regulatory requirements related to DDD services and healthcare provider operations, including Stark Law, Anti-Kickback regulations, and other fraud and abuse laws.
• Understanding of compliance program management, including risk assessment, program planning, regulatory monitoring, and financial oversight.
• Ability to cooperate fully with licensing authorities and regulatory agencies during inspections or investigations.
• Successful completion of all required training and demonstration of competency in mandated training areas.
• Valid driver's license required.
• Must be at least 18 years of age.
• Ability to push, pull, or lift up to 50 pounds when necessary.