Compliance Program Director

About the role

This position is responsible for developing, implementing, maintaining, and enforcing a designated compliance program area of Banner Health's Corporate Compliance Program. The role promotes compliance with federal, state, and local regulations including Medicare, Medicaid, and Health Insurance Portability and Accountability Act (HIPAA) requirements. The position serves as the program owner and subject matter expert, promoting high ethical standards consistent with the organization's values and legal requirements.

This role covers Banner Health’s Northern Colorado facilities (Banner North Colorado Medical Center (NCMC) and Banner Fort Collins Medical Center (BFCMC)) with a dedicated office at NCMC and a rotating schedule at BFCMC. The team works from home on Fridays.

Responsibilities

• Develops, implements, maintains, and enforces compliance standards and procedures for a designated compliance program area within Banner Health’s Corporate Compliance Program.
• Applies industry best practices and a risk-based methodology to deliver an effective compliance framework consistent with the organization's compliance philosophy and strategies within assigned area of responsibility.
• Develops, implements, and coordinates with internal stakeholders, including others in Compliance, program-specific workplans reflecting current external and internal compliance risks within assigned area of responsibility.
• Designs and conducts routine and ad hoc auditing and monitoring activities that address assigned area’s identified risks, failures, or government enforcement priorities.
• Creates and monitors ethical and compliance standards expected by employees and takes corrective action to address failures.
• Monitors program effectiveness and implements improvements to enhance compliance outcomes.
• Develops and delivers comprehensive training and education programs that promote understanding of and behavior consistent with the organization’s compliance culture and expectations.
• Provides regular reports to leadership and compliance committees on compliance program activities and metrics. Presents program updates to board committees as needed.
• Investigates and responds to compliance concerns, questions, and complaints, ensuring appropriate, documented, and timely resolution.
• Manages complex, program-related investigations and coordinates responses to government inquiries, audits, and enforcement actions within the designated program area.
• Documents compliance activities consistent with legal requirements and organizational expectations.
• Maintains awareness of applicable laws, regulations, sub-regulatory guidance, and enforcement actions through personal initiative, seminars, training programs, and peer contact.
• If applicable, directs, supervises, and evaluates the work of staff, while holding them accountable and developing them to promote continued professional growth.

Requirements

• Bachelor's degree in Healthcare or other relevant field.
• Five to seven years of experience in healthcare compliance or operations, or other relevant field.
• Knowledge of laws and regulations pertaining to healthcare, regulatory compliance, Medicare/Medicaid, and HIPAA.
• Strong oral and written communication skills.
• Ability to interact effectively with executives, management teams, physicians, and regulatory agencies.
• Excellent problem-solving and planning skills.
• Proficiency with computers and relevant applications.

Preferred Qualifications

• Master's degree in relevant field.
• Healthcare compliance certification.
• Previous healthcare compliance experience.
• Experience with compliance program activities related to effective compliance program elements.

Pay

Estimated pay range: $50.12 - $83.54 per hour. Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.