Director of Quality and Corporate Compliance

Core Responsibilities

• Establish quality standards and key performance indicators.
• Ensure full adherence to CMS conditions of participation and HIPAA privacy laws.
• Oversee performance improvement teams and monitor reporting to the QAPI Committee.
• Manage Health Commerce System database and roles.
• Assist with and participate in all regulatory survey activities.
• Lead continuous improvement initiatives across all corporate departments.
• Analyze operational data to identify defects, errors, or inefficiencies.
• Direct risk assessment strategies to mitigate systemic quality failures.
• Manage accreditation processes and maintain industry-specific certifications.

Compliance Leadership

• Design and execute the corporate compliance program systemwide.
• Monitor compliance with external laws, codes, and regulations.
• Oversee internal audits to detect and address vulnerability areas.
• Investigate reports of non-compliance, healthcare fraud, waste, abuse, privacy breaches or ethical violations.
• Serve as liaison to federal regulators, state department of health and legal counsel.
• Maintain the Code of Conduct and update compliance policies regularly.

Training & Culture

• Develop training programs regarding compliance risks and quality practices.
• Promote a culture of ethical behavior, transparency, and accountability.

Required Qualifications

• Education & Experience: Master's degree in Healthcare Administration, Business, clinical degree in Nursing or related field. 10+ years of progressive experience in quality management or corporate compliance, with 5+ years in a leadership role. Regulatory expertise: Deep knowledge of industry laws, risk frameworks, and governance. Analytical thinking: Ability to interpret complex data, metrics, and legal text. Executive presence: Exceptional communication, negotiation, and conflict resolution skills. Ethical judgment: Uncompromising integrity and objectivity under pressure.

Benefits

• Medical Insurance (Anthem Blue Cross Blue Shield) for eligible employees, plus a family option. Includes: Fitness Reimbursement Program Wellness discounts Dental Insurance through MetLife Vision Insurance through MetLife Accrued holiday/personal and vacation time; payout for unused sick time for those who qualify Flexible Spending Account - Medical and/or Dependent Care Long term disability Insurance for those who qualify (no cost to employee) Life Insurance - value is equal to employee’s annual salary (no cost to employee) National Employee Assistance Program (no cost to employee) Childcare, membership and program discounts at Suffolk YJCC, Commack and Mid-Island YJCC, Plainview Tax deferred annuity plan - employee automatically enrolled with 3% contribution / employer contributes 4% after one year of service (graded vesting) Tuition Reimbursement up to $5,000 per year Sign-on bonus for specified clinical positions Employee Referral Bonus for specified clinical positions Starbuck’s café on-site Staff cafeteria with subsidized pricing Employee perks including holiday gift cards, System-wide annual BBQ and Winter Celebrations, meals, treats and other theme related staff events Other discounts and added value for employees from outside corporations including BJs membership discount, FourLeaf FCU savings perks, Plum Benefits Entertainment discounts and more!