Job SummaryThe Director, Compliance supports the Vice President of Legal Affairs & Compliance ("VPC") in the leadership, execution, and enhancement of Ventra Health, Inc.'s ("Ventra") enterprise compliance program. This role is responsible for operationalizing the strategic vision set by the VPC and ensuring the effective day-to-day management of compliance program activities across the organization. The Director provides senior-level oversight of compliance operations, leads enterprise initiatives, manages compliance staff, and drives a culture of integrity and accountability throughout Ventra.
The Director serves as a key advisor to internal stakeholders on compliance matters, ensures adherence to applicable laws and regulations, and partners closely with cross-functional teams to embed compliance into business processes. This position plays a critical role in ensuring the compliance program is effective, responsive, and aligned with organizational goals.
Essential Functions and TasksProgram Leadership & Governance
- Support the VPC in the development and oversight of Ventra's enterprise compliance program.
- Translate strategic compliance objectives into actionable plans, operational processes, and measurable outcomes.
- Lead the execution of the annual compliance work plan, including risk assessments, monitoring activities, and program evaluations.
- Prepare materials for and present updates to the Compliance Committee, including program performance, incident trends, and risk insights.
- Serve as a senior compliance representative in internal and external meetings when delegated by the VPC.
Policy, Training & Culture
- In conjunction with the VPC, oversee with the drafting, updating, implementation, and enforcement of Ventra's compliance plan and all related policies and procedures.
- Direct the development, rollout, and tracking of enterprise compliance training programs for employees and contractors.
- Facilitate the organization's compliance communication strategy to reinforce a strong culture of compliance and ethical behavior.
- Ensure consistent rollout and training on new or updated policies, directives, and regulatory requirements.
Compliance Operations & Oversight
- Provide senior oversight of Ventra's compliance hotline and incident tracking system, ensuring proper documentation, investigation, escalation, and timely resolution.
- Lead, oversee, and participate in investigations of compliance incidents, including performing investigations, root-cause analysis, and corrective action planning.
- Ensure accurate and timely reporting of compliance incidents to regulatory agencies, clients, and other stakeholders.
- Maintain comprehensive documentation of compliance activities, including investigations, audits, risk assessments, and training records.
- In conjunction with the VPC, oversee the development and execution of compliance auditing and monitoring activities.
Regulatory Monitoring & Advisory Support
- Monitor federal and state regulatory developments affecting Ventra's operations, including HIPAA, OIG guidance, fraud and abuse laws, and payer-specific requirements.
- Conduct and oversee research on laws, regulations, and industry standards relevant to Ventra's business lines.
- Provide timely, practical compliance guidance to internal teams and leadership on operational questions, new initiatives, and emerging risks.
- Support the VPC in preparing regulatory reports, client deliverables, and executive-level briefings.
Cross-Functional Collaboration
- Partner with Legal, People, IT, Operations, and other departments to ensure alignment and integration of compliance requirements into business processes.
- Support enterprise-wide and local compliance initiatives, including global compliance projects and client-specific compliance obligations.
- Represent the compliance function in cross-functional committees and strategic projects when delegated by the VPC.
Team Leadership & Development
- Lead, mentor, and develop the Compliance team, including Compliance Analysts, Compliance Managers, and Senior Compliance Managers.
- Oversee workload distribution, performance management, and resource planning for the compliance function.
- Foster a collaborative, high-performing team environment that supports Ventra's mission and compliance objectives.
- Serve as a leadership bridge between the Vice President of Compliance and the compliance staff, ensuring clear communication and alignment.
Education and Experience Requirements- Minimum of Bachelor's Degree or
- At least 10 years' progressive experience in healthcare
- At least 5 years' of leadership or management experience within healthcare compliance.
- At least 7 years' experience working in revenue cycle management, coding, or other healthcare operations. Experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred.
- Deep working 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) preferred.
Knowledge, Skills, and Abilities- Ability to operationalize strategic direction into effective compliance processes.
- Strong leadership presence and ability to influence at all levels of the organization.
- Excellent communication and presentation skills, including the ability to convey complex regulatory concepts clearly.
- High ethical standards, sound judgment, and a commitment to integrity.
- Ability to manage multiple priorities in a fast-paced, evolving environment.
- Deep understanding of compliance frameworks, risk management, and regulatory
- Exceptional analytical and problem-solving abilities, including strong judgment
- Well-organized with excellent attention to
- Ability to read, understand, and apply state/federal laws, regulations, and
- Strong leadership/management skills to manage, motivate, and set expectations with team
- Strong oral, written, and interpersonal communication
- Strong time management, organizational, and decision-making skills with the ability to prioritize
- Proactive, responsive and detail-
- Ability to communicate with diverse personalities in a tactful, mature, and professional
- Ability to remain flexible and work within a collaborative and fast paced
- Ability to collaborate effectively across departments and work with diverse
- Basic use of computer, telephone, internet, copier, fax, and
- Basic touch 10 key
- Basic Math
- Understand and comply with company policies and
- Strong oral, written, and interpersonal communication
- Strong time management and organizational
- Strong knowledge of Outlook, Word, Excel (pivot tables), and database software
Physical Demands:- 40 hours per week
- Occasional Standing
- Occasional Walking
- Sitting for prolonged periods of time
- Pushing and pulling movements - rarely
- Occasional Reaching -rarely
- Bending, twisting, and stooping - rarely
- Frequent hand, finger movement
- Use equipment such as copy, fax, and postage
- Communicate verbally and in writing
- Lift and/ or move up to 15 - 20 pounds
- Extensive use of computer keyboard and viewing of computer screen
- Specific vision abilities required by this job include close vision
Compensation- Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
- This position is also eligible for a discretionary incentive bonus in accordance with company policies.
