Chief Compliance Officer & General Counsel

Jane Pauley Community Health Center, Inc.•Indianapolis, IN

6d•Hybrid

About The Position

The Chief Compliance Officer & General Counsel protects Jane Pauley Community Health Center’s HRSA designation, 340B eligibility, FTCA deemed status, and tax-exempt standing while enabling strategic growth across its primary care, dental, optometry, behavioral health, substance use treatment, and school-based service lines. This high-visibility role combines healthcare regulatory compliance leadership with day-to-day legal counsel, advising the Board, CEO, and Executive Leadership Team. The position reports to the Chief Executive Officer and has a dual reporting relationship to the Board of Directors’ Compliance Committee on compliance matters, including direct access to the Board to report material compliance risks. The role is based in a hybrid work arrangement at the Indianapolis headquarters, with regional oversight across Howard, Johnson, Hancock, Shelby, Madison, and Grant counties. Periodic travel, estimated at 15–25%, is expected to sites in Kokomo, Greenwood, Greenfield, Shelbyville, Alexandria, and Marion for audits, training, board engagement, and site oversight. Occasional evening or weekend availability is required for board meetings or urgent compliance matters. The Chief Compliance Officer & General Counsel leads the enterprise-wide compliance program, oversees compliance across the organization and its affiliates, and provides legal guidance on contracts, governance, risk, litigation, employment matters, and organizational growth. The position oversees the Compliance Department, including compliance analysts and auditors, and provides functional guidance to privacy, risk management, and legal support staff, as well as indirect oversight of embedded liaisons.

Requirements

Juris Doctor (JD) from an accredited law school.
Active bar license in good standing; Indiana bar admission is required, or the ability to obtain it promptly through reciprocity or 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 and state healthcare regulatory frameworks.
Strong knowledge of Medicaid/Medicare billing, HIPAA, and corporate governance for multi-entity organizations.

Nice To Haves

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.

Responsibilities

Serve as the designated Compliance Officer under HRSA requirements and 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 confidential reporting mechanism covering affiliated entities.
Advise executive leadership and the Board on legal, regulatory, and risk matters, translating complex requirements into practical operational guidance.
Monitor changes in federal, state, and local healthcare law affecting FQHC operations, licensure, and multi-site expansion, and update policies and training as needed.
Lead investigations, internal and external audits, and corrective action plans; ensure findings are remediated and documented.
Maintain the compliance risk assessment and annual work plan, prioritizing effort according to regulatory exposure and organizational risk.
Ensure 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 audit readiness.
Manage Medicaid and Medicare billing compliance, including coding, documentation, and sliding fee scale adherence across service lines.
Maintain 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 and state substance use disorder licensure.
Ensure compliance for school-based behavioral health programs, including FERPA coordination and consent requirements.
Monitor real estate and facilities compliance for JPCHC Real Estate, LLC, including lease structures, HRSA capital asset and change-in-scope requirements, and 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 entities and service lines, including breach risk assessments, business associate agreements, and workforce training.
Draft, review, and negotiate vendor agreements, payer contracts, leases, employment agreements, and affiliation agreements across affiliated entities.
Maintain corporate governance documentation, including bylaws, board minutes, resolutions, and conflict-of-interest disclosures for the organization and its subsidiaries and affiliates.
Identify, assess, and mitigate organizational legal and operational risks, including employment, malpractice, cybersecurity, and corporate liability exposure.
Manage litigation, claims, and disputes with outside counsel and insurance carriers, including discovery obligations and settlement strategy.
Serve as primary liaison to outside counsel on specialized matters, managing outside counsel budgets and work product quality.
Advise on mergers, affiliations, and structural changes involving the 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.
Oversee the Compliance Department, including compliance analysts and auditors, and provide functional guidance to privacy, risk management, and legal support staff; provide indirect oversight of embedded liaisons.