Compliance Director
Vitra Health · Boston, MA · 1 mo ago
On-siteLegalFull-time
We need to output HTML fragment with sections: About the role? The posting includes "About Vitra Health" then "The Opportunity", "Key Responsibilities", "What We Are Looking For", "Work Environment and Physical Requirements", "Perks and Benefits". Also maybe "Qualifications" etc. We need to use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should map headings accordingly.
We must not repeat job title as heading. No Job ID. Remove boilerplate: EEO etc. Also remove duplicated lines. Keep all substantive info.
We need sections only when posting has real specific content. So we can have:
- About Vitra Health (maybe as "About the role"? Actually "About Vitra Health" is about company; we could use "About the role" heading? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should map headings accordingly.
We must not repeat job title as heading. No Job ID. Remove boilerplate: EEO etc. Also remove duplicated lines. Keep all substantive info.
We need sections only when posting has real specific content. So we can have:
- About Vitra Health (maybe as "About the role"? Actually "About Vitra Health" is about company; we could use "About the role" heading? The instruction says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It suggests we can use those exact headings if appropriate. But we can also use other headings? It says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Likely they expect those headings. So we should map content to those headings.
Thus sections:
- About the role: could include description of Vitra Health and the opportunity. Could combine "About Vitra Health" and "The Opportunity". Provide prose.
- Responsibilities: list of key responsibilities (bulleted). Use - .
- Requirements: "What We Are Looking For" includes experience, education, etc. Could be Requirements.
- Qualifications: maybe "Preferred Qualifications". Could be Qualifications.
- Benefits: "Perks and Benefits". Use Benefits heading.
- Work Environment and Physical Requirements: maybe not a standard heading; but we could include under Requirements? Or maybe we create a separate section? The instruction says prefer a few substantive sections over many thin ones. Could incorporate work environment into Requirements or maybe a separate "Work Environment" but not in list. Since they didn't list Work Environment as example heading, maybe we should not create a separate heading; we could fold into Requirements or Qualifications? But it's substantive; we could include under Requirements as part of "Work Environment and Physical Requirements". However the instruction: "Prefer a few substantive sections over many thin ones." So maybe we can have sections: About the role, Responsibilities, Requirements (including qualifications, preferred qualifications, work environment), Benefits. That's four sections.
We must not include Pay or Schedule because not mentioned.
We must not include filler like "commensurate with experience". Not present.
We need to preserve all substantive info. So we need to include details from each bullet.
Let's extract:
About Vitra Health: mission-driven healthcare organization, improving quality of life for individuals/families across MA, innovative home- and community-based services, supports aging adults, people with disabilities, individuals with complex care needs. Each client supported by dedicated nurse and case manager, ensuring compassionate, personalized, dignified care. As Vitra grows across multiple MassHealth program lines, seeking Director of Compliance to build and lead compliance function for fast-growing, multi-program organization, with direct access to executive leadership and genuine mandate to shape regulatory excellence.
The Opportunity: Director of Compliance leads compliance function across Vitra Health's programs. Reporting to VP of Quality and Compliance, owns day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, regulatory education. Build-and-own role in growing organization, works closely with executive leadership and partners across Legal, Operations, Clinical Services, HR to keep compliance practical, measurable, embedded.
Key Responsibilities: list bullet points under Compliance Program and Governance, Regulatory Compliance and Risk Management, Audit and Quality Oversight, Team Leadership and Education, Foster a Culture of Customer Service and Commitment to Quality Care.
We need to preserve each bullet.
Let's list them:
Compliance Program and Governance
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
Regulatory Compliance and Risk Management
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
Audit and Quality Oversight
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
Team Leadership and Education
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Foster a Culture of Customer Service and Commitment to Quality Care
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
What We Are Looking For
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance, quality, audit, regulatory, or operational teams.
- Demonstrated experience building or leading an organization-wide compliance program.
- Proven success leading regulatory audits, investigations, and corrective action initiatives.
- Strong executive presence with the ability to influence and partner with leaders at all levels.
- Able to analyze data and translate it into action.
- Able to collaborate effectively with teams to translate compliance metrics into operational, executable actions.
Preferred Qualifications
- Experience with Medicaid-regulated programs.
- Experience leading, managing, or supporting NCQA accreditation preparation, survey activities, and ongoing compliance maintenance.
- Certified in Healthcare Compliance (CHC).
- Experience presenting to executive leadership teams and Boards of Directors.
Work Environment and Physical Requirements
- Please note this position is fully onsite Monday-Friday
- Office-based work in a clean, well-lit environment with fluctuating temperatures near others.
- Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse; requires frequent sitting more than 75% of the workday.
- Requires occasional lifting, carrying, pushing, and pulling of equipment and supplies weighing up to 35 pounds; requires walking and standing and the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.
Perks and Benefits
- Employer-sponsored health insurance with a generous employer match.
- Dental and vision benefits.
- Supplemental benefits: life, accident, critical illness, and disability insurance.
- 401K with a 5% company match.
- Accrued paid time off.
- Ten company-paid holidays.
- Wellness benefits.
- Tuition reimbursement.
- Supportive team structure and company culture with a focus on work/life balance.
We need to remove EEO boilerplate at end.
Now produce HTML.
We'll use
for each section.
Section headings: About the role, Responsibilities, Requirements, Qualifications, Benefits.
We need to embed the content accordingly.
About the role: combine About Vitra Health and The Opportunity paragraphs.
Responsibilities: list all responsibility bullets (maybe grouped under subheadings? But we can just list as - items. Could also include subheadings inside? Not required. We'll just list all.
Requirements: include "What We Are Looking For" plus Work Environment and Physical Requirements? Might be too much but okay.
Qualifications: include Preferred Qualifications.
Benefits: list perks.
Make sure not to include any filler.
Let's craft.
HTML:
About the role
Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs. Each client is supported by a dedicated nurse and case manager, ensuring compassionate, personalized, and dignified care. As Vitra continues to grow across multiple MassHealth program lines, we are seeking a Director of Compliance who wants to build and lead the compliance function for a fast-growing, multi-program organization, with direct access to executive leadership and a genuine mandate to shape how the organization manages regulatory excellence.
The Director of Compliance leads the compliance function across Vitra Health's programs. Reporting to the Vice President of Quality and Compliance, the Director owns the day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, and regulatory education. This is a build-and-own role in a growing organization, and the Director works closely with executive leadership and partners across Legal, Operations, Clinical Services, and Human Resources to keep compliance practical, measurable, and embedded in how the organization operates.
Responsibilities
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
Requirements
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Likely they expect those headings. So we should map content to those headings.
Thus sections:
- About the role: could include description of Vitra Health and the opportunity. Could combine "About Vitra Health" and "The Opportunity". Provide prose.
- Responsibilities: list of key responsibilities (bulleted). Use - .
- Requirements: "What We Are Looking For" includes experience, education, etc. Could be Requirements.
- Qualifications: maybe "Preferred Qualifications". Could be Qualifications.
- Benefits: "Perks and Benefits". Use Benefits heading.
- Work Environment and Physical Requirements: maybe not a standard heading; but we could include under Requirements? Or maybe we create a separate section? The instruction says prefer a few substantive sections over many thin ones. Could incorporate work environment into Requirements or maybe a separate "Work Environment" but not in list. Since they didn't list Work Environment as example heading, maybe we should not create a separate heading; we could fold into Requirements or Qualifications? But it's substantive; we could include under Requirements as part of "Work Environment and Physical Requirements". However the instruction: "Prefer a few substantive sections over many thin ones." So maybe we can have sections: About the role, Responsibilities, Requirements (including qualifications, preferred qualifications, work environment), Benefits. That's four sections.
We must not include Pay or Schedule because not mentioned.
We must not include filler like "commensurate with experience". Not present.
We need to preserve all substantive info. So we need to include details from each bullet.
Let's extract:
About Vitra Health: mission-driven healthcare organization, improving quality of life for individuals/families across MA, innovative home- and community-based services, supports aging adults, people with disabilities, individuals with complex care needs. Each client supported by dedicated nurse and case manager, ensuring compassionate, personalized, dignified care. As Vitra grows across multiple MassHealth program lines, seeking Director of Compliance to build and lead compliance function for fast-growing, multi-program organization, with direct access to executive leadership and genuine mandate to shape regulatory excellence.
The Opportunity: Director of Compliance leads compliance function across Vitra Health's programs. Reporting to VP of Quality and Compliance, owns day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, regulatory education. Build-and-own role in growing organization, works closely with executive leadership and partners across Legal, Operations, Clinical Services, HR to keep compliance practical, measurable, embedded.
Key Responsibilities: list bullet points under Compliance Program and Governance, Regulatory Compliance and Risk Management, Audit and Quality Oversight, Team Leadership and Education, Foster a Culture of Customer Service and Commitment to Quality Care.
We need to preserve each bullet.
Let's list them:
Compliance Program and Governance
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
Regulatory Compliance and Risk Management
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
Audit and Quality Oversight
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
Team Leadership and Education
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Foster a Culture of Customer Service and Commitment to Quality Care
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
What We Are Looking For
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance, quality, audit, regulatory, or operational teams.
- Demonstrated experience building or leading an organization-wide compliance program.
- Proven success leading regulatory audits, investigations, and corrective action initiatives.
- Strong executive presence with the ability to influence and partner with leaders at all levels.
- Able to analyze data and translate it into action.
- Able to collaborate effectively with teams to translate compliance metrics into operational, executable actions.
Preferred Qualifications
- Experience with Medicaid-regulated programs.
- Experience leading, managing, or supporting NCQA accreditation preparation, survey activities, and ongoing compliance maintenance.
- Certified in Healthcare Compliance (CHC).
- Experience presenting to executive leadership teams and Boards of Directors.
Work Environment and Physical Requirements
- Please note this position is fully onsite Monday-Friday
- Office-based work in a clean, well-lit environment with fluctuating temperatures near others.
- Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse; requires frequent sitting more than 75% of the workday.
- Requires occasional lifting, carrying, pushing, and pulling of equipment and supplies weighing up to 35 pounds; requires walking and standing and the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.
Perks and Benefits
- Employer-sponsored health insurance with a generous employer match.
- Dental and vision benefits.
- Supplemental benefits: life, accident, critical illness, and disability insurance.
- 401K with a 5% company match.
- Accrued paid time off.
- Ten company-paid holidays.
- Wellness benefits.
- Tuition reimbursement.
- Supportive team structure and company culture with a focus on work/life balance.
We need to remove EEO boilerplate at end.
Now produce HTML.
We'll use
for each section.
Section headings: About the role, Responsibilities, Requirements, Qualifications, Benefits.
We need to embed the content accordingly.
About the role: combine About Vitra Health and The Opportunity paragraphs.
Responsibilities: list all responsibility bullets (maybe grouped under subheadings? But we can just list as - items. Could also include subheadings inside? Not required. We'll just list all.
Requirements: include "What We Are Looking For" plus Work Environment and Physical Requirements? Might be too much but okay.
Qualifications: include Preferred Qualifications.
Benefits: list perks.
Make sure not to include any filler.
Let's craft.
HTML:
About the role
Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs. Each client is supported by a dedicated nurse and case manager, ensuring compassionate, personalized, and dignified care. As Vitra continues to grow across multiple MassHealth program lines, we are seeking a Director of Compliance who wants to build and lead the compliance function for a fast-growing, multi-program organization, with direct access to executive leadership and a genuine mandate to shape how the organization manages regulatory excellence.
The Director of Compliance leads the compliance function across Vitra Health's programs. Reporting to the Vice President of Quality and Compliance, the Director owns the day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, and regulatory education. This is a build-and-own role in a growing organization, and the Director works closely with executive leadership and partners across Legal, Operations, Clinical Services, and Human Resources to keep compliance practical, measurable, and embedded in how the organization operates.
Responsibilities
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
Requirements
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance
for each section.
Section headings: About the role, Responsibilities, Requirements, Qualifications, Benefits.
We need to embed the content accordingly.
About the role: combine About Vitra Health and The Opportunity paragraphs.
Responsibilities: list all responsibility bullets (maybe grouped under subheadings? But we can just list as - items. Could also include subheadings inside? Not required. We'll just list all.
Requirements: include "What We Are Looking For" plus Work Environment and Physical Requirements? Might be too much but okay.
Qualifications: include Preferred Qualifications.
Benefits: list perks.
Make sure not to include any filler.
Let's craft.
HTML:
About the role
Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs. Each client is supported by a dedicated nurse and case manager, ensuring compassionate, personalized, and dignified care. As Vitra continues to grow across multiple MassHealth program lines, we are seeking a Director of Compliance who wants to build and lead the compliance function for a fast-growing, multi-program organization, with direct access to executive leadership and a genuine mandate to shape how the organization manages regulatory excellence.
The Director of Compliance leads the compliance function across Vitra Health's programs. Reporting to the Vice President of Quality and Compliance, the Director owns the day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, and regulatory education. This is a build-and-own role in a growing organization, and the Director works closely with executive leadership and partners across Legal, Operations, Clinical Services, and Human Resources to keep compliance practical, measurable, and embedded in how the organization operates.
Responsibilities
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
Requirements
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance
About the role
Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs. Each client is supported by a dedicated nurse and case manager, ensuring compassionate, personalized, and dignified care. As Vitra continues to grow across multiple MassHealth program lines, we are seeking a Director of Compliance who wants to build and lead the compliance function for a fast-growing, multi-program organization, with direct access to executive leadership and a genuine mandate to shape how the organization manages regulatory excellence.
The Director of Compliance leads the compliance function across Vitra Health's programs. Reporting to the Vice President of Quality and Compliance, the Director owns the day-to-day compliance program: monitoring, auditing, investigations, corrective action, audit readiness, and regulatory education. This is a build-and-own role in a growing organization, and the Director works closely with executive leadership and partners across Legal, Operations, Clinical Services, and Human Resources to keep compliance practical, measurable, and embedded in how the organization operates.
Responsibilities
- Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
- Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
- Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
- Report compliance trends, risks, and performance to executive leadership on a defined cadence.
- Monitor emerging regulatory changes and lead implementation of required updates across programs.
- Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
- Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
- Lead organizational responses to regulatory findings, external audits, and compliance investigations.
- Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
- Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
- Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
- Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
- Translate audit findings into measurable operational improvements in partnership with program leaders.
- Align compliance initiatives with quality improvement strategies alongside Quality leadership.
- Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
- Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
- Develop and oversee organization-wide compliance education and training programs.
- Represent the organization with regulatory agencies, payers, and industry associations.
- Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
- Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
- Mentor and support team members.
Requirements
- 8+ years of progressive healthcare experience; experience in healthcare compliance required.
- Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
- Bachelor's degree required; Master's degree preferred.
- 5+ years of leadership experience managing compliance