[Hiring] Director of Compliance @Ensemble Health Partners

Role Description

The Compliance Director is responsible for leading and overseeing the organization's compliance program, ensuring adherence to applicable federal and state regulations, industry standards, client requirements, and internal policies. The Director will develop, implement, and monitor compliance initiatives that support organizational objectives and regulatory requirements across healthcare revenue cycle operations. This leader also serves as a trusted partner to client compliance partners, operational and executive leadership, promoting a culture of integrity, accountability, and continuous improvement while mitigating organizational risk.

Essential Job Functions

• Regulatory Compliance & Policy Management
  • Monitor, review, and maintain in-depth knowledge of applicable compliance and regulatory updates, government and payer coding audits, investigations, and settlements.
  • Provide direction and guidance to organizational leaders regarding state and federal regulations that may affect Ensemble Health Partners.
  • Monitor and interpret new and revised fraud, waste, and abuse laws and regulations and current industry guidelines.
  • Analyze, research, and respond to questions relating to the compliance program and applicable laws, rules, and regulations.
  • Develop and maintain policies and procedures regarding the Ensemble Compliance Program and associated regulatory risk areas.
  • Develop training modules and perform training based on regulatory risk areas, regulatory updates, guidance, enforcement activity, and audits.
• Client Integrations
  • Lead compliance onboarding and integration activities for new and transitioning clients.
  • Partner with implementation, operations, and client teams to ensure compliance requirements are embedded during client integration.
  • Work collaboratively on program components, standards, goals, resources, training, monitoring, reporting, and team-building efforts.
• Compliance Liaison Responsibilities
  • Serve as the Compliance Liaison to assigned Ensemble clients and/or service lines.
  • Act as the primary compliance point of contact for assigned clients and/or service lines.
  • Facilitate timely, two-way communication of compliance matters, regulatory updates, and Compliance Program expectations.
  • Attend and support recurring client and service line compliance meetings.
  • Identify, triage, and escalate compliance concerns arising within assigned clients and/or service lines.
  • Support client-facing audit, monitoring, and reporting activities.

Qualifications

• Healthcare compliance certification (CHC, CHPC, CHRC, CCEP, or equivalent).
• Bachelor's degree in Healthcare Administration, Law, Finance, Business Administration, or a related field.
• 8+ years of progressive healthcare compliance, regulatory, audit, risk management, or revenue cycle leadership experience.
• 5+ years of leadership experience managing teams and compliance programs.
• Strong knowledge of healthcare regulatory requirements, including False Claims Act, CMS, OIG guidance, and healthcare compliance frameworks.
• Demonstrated experience conducting investigations, audits, and risk assessments.
• Excellent communication, presentation, and executive stakeholder management skills.
• Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Preferred

• Master's degree in Healthcare Administration, Business Administration, Public Health, Law, or related field.
• Experience supporting large, multi-site healthcare systems or revenue cycle organizations.
• Experience presenting compliance findings and recommendations to executive leadership and boards.
• Demonstrated working knowledge of Revenue Cycle services and processes.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family.
• Culture rooted in collaboration, growth, and innovation.
• Investment in professional development, including earning a professional certification relevant to your field and tuition reimbursement.
• Quarterly and annual incentive programs for employees who excel.