Director, Compliance

About the role

The Director develops and oversees execution of annual compliance work plans, assesses the effectiveness of internal controls and compliance processes, oversees compliance monitoring activities, and provides timely reporting of significant risks, corrective action plans, and emerging regulatory issues to executive leadership and the Board of Directors Compliance Oversight Committee. The role serves as a strategic advisor to leadership.

The Director, Compliance provides independent, objective leadership and oversight of the health system's compliance function. This role is responsible for developing, implementing, and maintaining a comprehensive compliance program designed to evaluate and strengthen governance, risk management, regulatory compliance, internal controls, operational effectiveness, financial stewardship, and organizational integrity.

Responsibilities

• Monitors trends, emerging risks, and industry developments impacting healthcare compliance.
• Supports the design, implementation, and continuous improvement of the health system's compliance program.
• Evaluates and monitors compliance program effectiveness across all areas of the organization.
• Oversees compliance auditing and monitoring activities related to federal and state healthcare regulations, payer requirements, organizational policies, and other applicable laws.
• Works collaboratively with the Legal department and operational leaders to address and mitigate compliance risks.
• Facilitates compliance education, awareness, and communication initiatives that promote ethical business conduct and regulatory compliance.
• Supports the review, investigation, documentation, and resolution of compliance concerns and reported allegations of misconduct, as appropriate.
• Monitors emerging healthcare regulatory requirements and collaborates with leadership to assess organizational implications.
• Identifies opportunities for process improvement and control performance.
• Serves as a trusted advisor to leadership on compliance practices.
• Serves as HIPAA Privacy Officer for CHKDHS with in-depth knowledge of HIPAA Privacy, Security, and Breach Notification standards and oversight of related investigations and activities.
• Promotes a culture of ethics, accountability, transparency, and continuous improvement throughout the organization.

Requirements

• Bachelor’s degree in Accounting, Business Administration, or other relevant field strongly preferred.
• 7+ years of progressively responsible experience in healthcare compliance, accounting, risk management, regulatory oversight, public accounting, internal audit, or a related field required.
• 3+ years of leadership or management experience required.
• One of the following professional degrees or certifications preferred: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Juris Doctorate (JD), or an equivalent professional certification directly related to accounting, compliance, or risk management preferred.
• Experience presenting findings and recommendations to senior executives and governing boards required.
• Experience within a complex healthcare system, academic medical center, integrated delivery network, or similarly regulated environment preferred.
• Experience leading enterprise-wide compliance, audit, or risk management initiatives preferred.

Skills

• Advanced knowledge of healthcare regulatory requirements, internal controls, auditing practices, compliance program frameworks, governance principles, and risk management methodologies.
• Strong understanding of healthcare reimbursement, revenue cycle operations, financial reporting, and operational risk management.
• Knowledge of applicable federal and state healthcare laws, regulations, and compliance expectations.
• Exceptional analytical, critical thinking, investigation, and problem-solving skills.
• Strong project management, organizational, and strategic planning skills.
• Proficiency with data analytics, auditing technologies, Microsoft Office applications, and enterprise business systems.
• Demonstrated ability to build credibility, collaborate effectively, and influence across all levels of the organization.
• Excellent written, verbal, presentation, and executive communication abilities.
• Ability to communicate complex risks and findings to executive leaders and governing boards.
• High level of integrity, discretion, objectivity, confidentiality, independence, and professional judgment.

Working Conditions

Normal office environment with occasional travel throughout health system facilities. May require attendance at meetings outside normal business hours as necessary to support Board, Audit Committee, regulatory, or organizational needs.