Chief Compliance Officer & General Counsel

The Chief Compliance Officer & General Counsel will protect the organization's HRSA designation, 340B eligibility, FTCA deemed status, and tax-exempt standing while enabling continued strategic growth across primary care, dental, optometry, behavioral health, substance use treatment, and school-based service lines. This is a high-visibility role requiring equal fluency in healthcare regulatory compliance and day-to-day legal practice, and it is best suited to a leader who can move seamlessly between strategic advisory work with the Board, CEO. and Executive Leadership Team. Position reports to the Chief Executive Officer, with a dual reporting relationship to the Board of Directors (Compliance Committee) on compliance matters, including direct, unfiltered access to the Board for reporting material compliance risks.

Location: Hybrid; Indianapolis, IN (Headquarters), with regional oversight across Howard, Johnson, Hancock, Shelby, Madison, and Grant counties. Expect periodic travel (estimated 15-25%) to counties sites across Kokomo, Greenwood, Greenfield, Shelbyville, Alexandria, and Marion for audits, training, board engagement, and site oversight. Occasional evening/weekend availability required for board meetings or urgent compliance matters.

Key Responsibilities

• Serve as the organization's designated Compliance Officer under HRSA requirements and as its principal internal legal counsel, representing both functions in executive leadership discussions and Board meetings.
• Develop, implement, and continuously improve an enterprise-wide compliance program - including a written compliance plan, code of conduct, policies and procedures, training curriculum, and an effective, confidential reporting mechanism (e.g., compliance hotline) covering all affiliated entities.
• Advise executive leadership and the Board on legal, regulatory, and risk matters affecting a $100M+, 500+-employee organization, translating complex regulatory requirements into practical operational guidance.
• Monitor evolving federal, state, and local healthcare law affecting FQHC operations, licensure, and multi-site expansion, and proactively update policies and training in response.
• Lead investigations, internal and external audits, and corrective action plans related to compliance concerns, ensuring findings are remediated and documented to withstand regulatory scrutiny.
• Maintain the organization's compliance risk assessment and annual work plan, prioritizing effort based on regulatory exposure and organizational risk.

Compliance-Specific Duties

• Ensure ongoing compliance with HRSA Health Center Program requirements, including scope of project, governance, and Form 5A/5B/5C filings.
• Oversee 340B Drug Pricing Program compliance for JPCHC Pharmacy, LLC, including contract pharmacy arrangements, split-billing software oversight, and HRSA/OPA audit readiness.
• Manage Medicaid and Medicare billing compliance, including coding, documentation, and sliding fee scale adherence across medical, dental, optometry, and behavioral health service lines.
• Maintain Federal Tort Claims Act (FTCA) deeming requirements, including risk management plan compliance and credentialing standards.
• Direct accurate and timely Uniform Data System (UDS) reporting.
• Oversee compliance for Turning Point System of Care's 12-bed ASAM addiction treatment unit, including 42 CFR Part 2 confidentiality requirements and state substance use disorder licensure.
• Ensure compliance with school-based behavioral health programs operating within Warren township and Lawrence township schools and beyond, including FERPA coordination and consent requirements.
• Monitor real estate and facilities compliance for JPCHC Real Estate, LLC, including lease structures and HRSA capital asset requirements and change-in-scope requirements, fair market value documentation.
• Oversee charitable compliance, grant stewardship, and IRS Form 990 obligations for the Jane Pauley Foundation and Turning Point's 501(c)(3) status, including donor restriction tracking and unrelated business income considerations.
• Maintain HIPAA privacy and security compliance across all entities and service lines, including breach risk assessments, business associate agreement management, and workforce training.

Legal Counsel Duties

• Draft, review, and negotiate contracts, including vendor agreements, payer contracts, leases, employment agreements, and affiliation agreements across all affiliated entities.
• Maintain corporate governance documentation (bylaws, board minutes, resolutions, conflict-of-interest disclosures) for Jane Pauley Community Health Center, Inc and each subsidiary/affiliate.
• Identify, assess, and mitigate organizational legal and operational risk, including employment, malpractice, cybersecurity, and corporate liability exposure.
• Manage litigation, claims, and disputes in coordination with outside counsel and insurance carriers, including oversight of discovery obligations and settlement strategy.
• Serve as primary liaison to outside counsel on specialized matters (real estate, tax-exempt law, labor relations, licensing), managing outside counsel budgets and work product quality.
• Advise on mergers, affiliations, and structural changes involving the organization's multi-entity corporate family, including due diligence and integration planning.
• Partner with Human Resources on employment-related legal matters, including policy review, workplace investigations, and reduction-in-force or restructuring guidance when applicable.

Supervisory Responsibilities

Oversee the Compliance Department, including compliance analysts/auditors, and provides functional guidance to privacy, risk management, and legal support staff. Indirect oversight of liaisons embedded within the organization.

Required Qualifications

• Juris Doctor (JD) from an accredited law school and active bar license in good standing (IN bar required, or ability to obtain promptly through reciprocity/waiver).
• Minimum 5-7 years of healthcare legal and/or compliance experience, including at least 5 years in a leadership compliance role.
• Demonstrated expertise in FQHC, HRSA, 340B, and federal/state healthcare regulatory frameworks.
• Strong knowledge of Medicaid/Medicare billing, HIPAA, and corporate governance for multi-entity organizations.

Preferred Qualifications

• Certified in Healthcare Compliance (CHC) credential.
• Experience with behavioral health, substance use treatment licensure (42 CFR Part 2), or school-based health programs.
• Prior experience advising nonprofit boards and tax-exempt subsidiaries.

Why You'll Love Working Here

• Purpose-driven work that directly impacts access to care across our communities
• Robust benefits package (medical, dental, vision) designed to support you and your family
• Generous PTO because we believe caring for others starts with caring for yourself
• 401(k) with employer contribution to help you plan for what's ahead
• Life and disability coverage for peace of mind

Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!