Director of Compliance Education & Outreach

Responsibilities

• Develop, implement, and continuously enhance a comprehensive enterprise-wide compliance education, training, and outreach strategy.
• Establish standardized compliance education programs that align with organizational priorities and applicable regulatory requirements.
• Monitor changes in federal and state legislation, accreditation standards, and regulatory guidance, ensuring timely updates to educational content and training requirements.
• Evaluate the effectiveness of compliance education initiatives through metrics, reporting, and continuous improvement efforts.
• Determine required compliance education for all workforce roles to ensure organizational adherence to evolving regulatory expectations.
• Ensure compliance education programs align with applicable requirements, including:
  • Centers for Medicare & Medicaid Services (CMS)
  • National Institutes of Health (NIH)
  • Office for Human Research Protections (OHRP)
  • State licensing and regulatory agencies
  • Privacy and confidentiality regulations
  • Institutional policies and accreditation standards
• Coordinate implementation of education related to new or revised regulatory, billing, privacy, research, and accreditation requirements.
• Provide strategic oversight for education supporting compliant billing and documentation practices, addressing:
  • Teaching physician supervision requirements
  • Resident and fellow documentation standards
  • Attestation requirements
  • Time-based billing
  • Learner participation in patient care
• Collaborate with Revenue Cycle, Finance, Compliance, and operational leaders to ensure educational initiatives align with Medicare, Medicaid, and commercial payer requirements.
• Provide guidance regarding supervision standards and documentation practices that support compliant reimbursement.
• Lead compliance education initiatives supporting clinical research and academic programs, ensuring education addresses:
  • Human subjects protection
  • Informed consent requirements
  • Good Clinical Practice (GCP)
  • CITI training
  • Federal research regulations
• Partner with Research Administration, Legal, Compliance, and academic leadership to ensure education aligns with institutional policies and regulatory expectations.
• Provide oversight for learner participation in research activities to ensure appropriate supervision, documentation, and regulatory compliance.
• Develop, review, and maintain policies, procedures, and educational standards related to:
  • Compliance education
  • Billing and documentation
  • Privacy and confidentiality
  • Research compliance
• Promote consistent documentation practices and appropriate record retention across the organization.
• Serve as a trusted advisor to executive leadership, physicians, faculty, researchers, and operational leaders regarding compliance education and regulatory requirements.
• Lead multidisciplinary committees, workgroups, and organizational initiatives focused on compliance education, billing integrity, research oversight, and regulatory readiness.
• Deliver education and consultation to leaders and staff regarding compliance expectations, emerging regulations, and organizational best practices.
• Foster collaborative partnerships across clinical, research, academic, compliance, legal, finance, and operational teams.
• Participate in departmental and organizational initiatives as assigned.
• Perform other duties as required to support departmental and organizational objectives.

Requirements

• Bachelor's degree in Business, Healthcare, or Legal Studies
• Minimum of 7 years of progressive experience in healthcare compliance, privacy, or legal functions
• Minimum of 5 years of leadership or management experience

Preferred Qualifications

• Master's degree in Business, Healthcare, or Legal Studies
• Juris Doctor Degree (JD) in Business, Healthcare, or Legal Studies
• Certified in Healthcare Privacy and Security (CHPS) through the American Health Information Management Association (AHIMA)