Director of Compliance

Key Responsibilities

• 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.
• Facilitates internal and external compliance, regulatory, and payer audits by coordinating documentation, stakeholder engagement, audit responses, and follow-up activities.
• Captures organizational audit readiness efforts and assist departments in preparing for regulatory reviews, payer audits, and accreditation surveys.
• Identifies compliance trends, emerging risks, and opportunities for process improvement through monitoring, data analysis, and collaboration with operational teams.
• Promotes continuous improvement of compliance processes, governance, and internal controls across the organization.

Required Qualifications

• Minimum of 7-10 years of progressive experience in healthcare compliance within a hospital, physician group, managed care organization, health plan, or payer environment.
• Strong knowledge of CMS regulations, Medicare Advantage, New York State Medicaid, HIPAA, and other applicable healthcare regulations.
• Demonstrated experience supporting regulatory audits, compliance monitoring activities, corrective action planning, and organizational audit readiness.
• Strong analytical, communication, project management, and leadership skills.
• Proficiency with electronic health record (EHR) systems and Microsoft Office Suite.

Preferred Qualifications

• Experience supporting delegated vendor oversight, government program compliance, and regulatory examinations.
• Bachelor's degree in Health Information Management, Healthcare Administration, Public Health, Healthcare Law, Nursing, or a related field preferred.

Core Competencies

• Healthcare Regulatory Compliance
• Compliance Program Administration
• Regulatory & Audit Readiness
• Risk Assessment & Mitigation
• Compliance Monitoring
• Policy Development & Governance
• Cross-Functional Leadership
• Provider & Staff Education
• Data Analysis & Executive Reporting
• Strategic Problem Solving

Work Environment

Onsite - Bronx, New York Office
Monday - Friday

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.