Director, Compliance

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist the Vice President of Legal Affairs & Compliance in the creation and management of Ventra’s enterprise compliance program.

• Convert strategic compliance goals into actionable initiatives, operational processes, and quantifiable results.

• Direct the annual compliance work plan, encompassing risk assessments, monitoring efforts, and program evaluations.

• Prepare and deliver updates to the Compliance Committee.

• Supervise compliance policies, procedures, training initiatives, and communication efforts.

• Provide senior oversight of the compliance hotline and incident tracking system.

• Lead and engage in compliance investigations, root-cause analysis, and corrective action planning.

• Report compliance incidents to regulatory bodies, clients, and stakeholders.

• Maintain documentation of investigations, audits, risk assessments, and training records.

• Oversee compliance auditing and monitoring activities.

• Keep abreast of federal and state regulatory developments, including HIPAA, OIG guidance, fraud and abuse laws, and payer-specific requirements.

• Conduct research on relevant laws, regulations, and industry standards.

• Offer compliance guidance to internal teams and leadership.

• Support regulatory reports, client deliverables, and executive briefings.

• Collaborate with Legal, People, IT, Operations, and other departments to embed compliance requirements into business processes.

• Represent Compliance in cross-functional committees and strategic initiatives.

• Lead, mentor, and cultivate the Compliance team.

• Manage workload distribution, performance evaluation, and resource planning.

• Promote a collaborative, high-performing compliance team.

⛳️ Requirements

• A minimum of a Bachelor’s Degree or a minimum of 10 years of progressive experience in healthcare.

• At least 5 years of leadership or management experience in healthcare compliance.

• A minimum of 7 years of experience in revenue cycle management, coding, or other healthcare operations.

• Experience in Radiology, Anesthesia, Emergency Medicine, and/or Hospital Medicine is strongly preferred.

• Comprehensive knowledge of HIPAA, OIG compliance guidance, U.S. healthcare fraud and abuse laws, and other relevant regulatory frameworks.

• Professional compliance certification (e.g., CHC, CCEP, CPCO) is preferred.

• Exceptional leadership, communication, analytical, problem-solving, organizational, time-management, and decision-making capabilities.

• Ability to manage multiple priorities in a dynamic, fast-paced environment.

• Proficiency in reading, comprehending, and applying state and federal laws and regulations.

• Strong expertise in Outlook, Word, Excel (including pivot tables), and database software.

• Capacity to work 40 hours per week.

• Ability to lift and/or move up to 15–20 pounds.

• Must adhere to Ventra Health’s attendance policy and maintain consistent and predictable attendance.

🏝️ Benefits

• Ventra performance-based incentive plan.

• Referral bonus.

• Discretionary incentive bonus.