Reports To: Chief People Officer
About the role:The Director of Compliance leads the enterprise-wide compliance program for Luminary Hospice. This leader designs, implements, and continually strengthens the systems, processes, and controls that ensure the organization operates with integrity and in full adherence to federal, state, and accreditation requirements.
In partnership with the Chief People Officer and Operations, the Director of Compliance champions a culture of accountability, transparency, and proactive risk mitigation. This role has organizational leadership responsibilities, including oversight of compliance operations, internal audits, regulatory readiness, and policy governance across the agency.
Job Responsibilities:Compliance Program Leadership- Leads the development, execution, and evaluation of the organization's comprehensive compliance program.
- Identifies regulatory, operational, and clinical risks and builds mitigation plans aligned with Luminary's mission, ethics, and standards.
- Ensures compliance with Medicare Conditions of Participation, state hospice regulations, CHAP standards, HIPAA, and all other applicable laws and policies.
- Serves as a trusted advisor to senior leadership on compliance trends, potential vulnerabilities, and required corrective action.
Regulatory Readiness & Oversight- Maintains organizational survey readiness at all times; leads preparation for state, federal, and accreditation surveys.
- Oversees timely and accurate responses to audits, investigations, and external inquiries.
- Conducts ongoing internal audits-including medical record reviews, billing compliance checks, and operational assessments-to verify organizational adherence and performance.
Policy & Governance- Develops, reviews, and updates organizational policies and procedures to reflect current regulatory requirements and best practices.
- Ensures policies are communicated effectively and consistently across all levels of the organization.
- Partners with leaders to evaluate operational practices for compliance alignment and identifies opportunities for improvement.
Education, Training & Culture-Building- Designs and oversees compliance training programs for all employees, contractors, and leaders.
- Provides coaching and guidance to operational and clinical leaders to reinforce ethical decision-making and compliance expectations.
Investigations & Issue Resolution- Manages the intake, triage, investigation, and resolution of compliance concerns, complaints, and incidents.
- Collaborates with HR, Clinical Services, Quality, and other departments to ensure issues are addressed promptly and thoroughly.
- Monitors corrective action plans for effectiveness and sustainable improvement.
Reporting & Metrics- Develops dashboards and reporting mechanisms that provide leadership with actionable compliance insights.
- Presents routine compliance reports to the senior leadership, highlighting risks, trends, and emerging concerns.
Leadership Responsibilities- Provides direct leadership to compliance-related personnel (e.g., audit specialists, privacy/compliance associates).
- Sets clear expectations, evaluates performance, and drives continuous professional growth within the compliance function.
- Performs other duties as assigned by the Chief People Officer.
Job Qualifications:- Bachelor's degree preferred in compliance, or related field preferred.
- Minimum 5 years of leadership experience in healthcare compliance, with strong knowledge of hospice regulations.
- CHC (Certified in Healthcare Compliance) or related certification strongly preferred.
- Demonstrated ability to lead compliance programs, conduct investigations, and manage regulatory interactions.
- Strong communication, analytical, and interpersonal skills, with the ability to influence and partner across functions.
- Must be a licensed driver with an insured automobile per state and organizational requirements.
- Knowledge of Medicare regulations, state licensure rules, CHAP standards, HIPAA, and best practices in compliance program effectiveness.
Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds.
Compensation and Benefits:Luminary Hospice offers a competitive compensation package, along with a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings options, and more. Our benefits are designed to support your health, well-being, and long-term financial goals.
