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 and provide direction and guidance to organizational leaders

• Acts as an expert revenue cycle regulatory for internal stakeholders regarding state and federal regulations that may affect Ensemble Health Partners and provides guidance when requested.

• Monitors and interprets new and revised fraud, waste, and abuse laws and regulations and current industry guidelines that may impact healthcare revenue cycle services domestically and assess the impact to Revenue Cycle services and advise leadership on required program changes.

• Analyze, research, and respond to questions relating to the compliance program and applicable laws, rules, and regulations, translating regulatory changes into program updates.

• Develop and maintain policies and procedures regarding the Ensemble Compliance Program and associated regulatory risk areas, ensuring periodic review, version control, approval, and distribution.

• 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, aligning the Ensemble Compliance Program with client-specific policies, requirements, and go-live timelines.

• Partner with implementation, operations, and client teams to ensure compliance requirements are embedded during client integration and that program standards are operational at go-live.

• Work collaboratively on program components, standards, goals, resources, training, monitoring, reporting, and team-building efforts to align the compliance program with emerging internal and external expectations and requirements.

Compliance Liaison Responsibilities

This role also serves as a Compliance Liaison to assigned Ensemble clients and/or service lines:

• Serve as the Compliance Liaison to assigned Ensemble clients and/or service lines, as assigned by leadership.

• Act as the primary compliance point of contact for assigned clients and/or service lines, building trusted relationships with client compliance officers and operational leaders.

• Facilitate timely, two-way communication of compliance matters, regulatory updates, and Compliance Program expectations between Ensemble Compliance and assigned clients and/or service lines.

• Attend and support recurring client and service line compliance meetings and align compliance activity with client-specific policies and requirements.

• Identify, triage, and escalate compliance concerns arising within assigned clients and/or service lines, and support resolution and follow-up.

• Support client-facing audit, monitoring, and reporting activities, and coordinate distribution of compliance communications (e.g., the monthly Regulatory Compliance Digest) to assigned stakeholders.

Qualifications

Required

• 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 in to process and technological improvements, to include the exploration, experimentation, and application of AI.

• 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.

This position pays between: $129,000- $193,500