Director of Compliance

This is a fully remote position, open to applicants in Florida, +8 more states.

📋 Description

• Collaborate with the VP of Compliance and Quality to create and implement the hospice compliance strategy for the organization.

• Keep track of federal and state regulatory updates across all operational markets and evaluate their impact on the organization.

• Ensure adherence to Medicare Conditions of Participation, state licensing standards, and accreditation requirements.

• Act as a subject matter expert on hospice regulatory obligations.

• Supervise the Clinical Compliance and Audit sub-team, which includes clinical and technical auditing functions.

• Develop and uphold the internal audit strategy based on regulatory risks and trends in external audits.

• Evaluate audit outcomes and pinpoint systemic issues that necessitate corrective actions or clinical training.

• Manage the corrective action process from root cause analysis to resolution and monitoring.

• Create, monitor, and finalize corrective action plans arising from audits, surveys, and incident reviews.

• Manage policy oversight, which encompasses development, review cycles, regulatory compliance, and approval procedures.

• Perform internal compliance investigations and keep thorough documentation of these investigations.

• Oversee processes related to incidents, complaints, and grievances, reporting trends to the VP of Compliance and Quality.

• Coordinate responses to external TPE, CERT, and UPIC audits, including documentation, timelines, and appeals.

⛳️ Requirements

• Bachelor’s degree in Nursing, Healthcare Administration, or a related field.

• A current RN license is mandatory.

• Clinical experience in hospice or home health is essential.

• At least 5 years of experience in healthcare compliance, quality, or regulatory affairs, including a minimum of 2 years in a leadership position.

• Proven understanding of Medicare hospice Conditions of Participation, state licensing criteria, and CMS audit procedures (TPE, CERT, UPIC).

• Experience in developing and overseeing corrective action plans and governance for policies.

• Strong analytical capabilities to discern patterns in audit data and convert findings into actionable recommendations.

• Candidates are required to disclose any current or future need for employment-based immigration sponsorship, including OPT, STEM OPT, or visa sponsorship, prior to receiving a job offer.

🏝️ Benefits

• Medical, Dental, Vision, and additional benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.

• Paid Time Off

• Paid Office Holidays

• Paid Sick Time

• 401(k) with a company match of up to 3%

• Referral Program

• Payactiv: pay-on-demand. Access your earned wages whenever you need them!