Director, Compliance

Author Health, LLC

12h • Remote

About The Position

At Author Health, we’re revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don’t just treat symptoms. We treat people — fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn’t a checkbox. It’s how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient’s experience, and we’re creating a workplace where team members can show up as their full selves, too. If you’re driven by purpose, ready to shake up the status quo, and eager to make a real impact in people’s lives, we’d love to meet you. Let’s build the future of mental health care together! This pivotal role involves overseeing all aspects of our company's compliance program, ensuring we meet regulatory requirements and maintain the highest standards of integrity. The ideal candidate will be a proactive problem-solver with a strong background in healthcare compliance, particularly with HIPAA and other relevant regulations. You'll be the primary point of contact for all compliance-related matters, working closely with various teams and leadership to build a culture of compliance.

Requirements

• Strong regulatory expertise across CMS programs, HIPAA/privacy rules, state managed care requirements, and healthcare fraud/waste/abuse regulations.
• Experience scaling compliance functions in a startup or fast-growth healthcare environment.
• Operational fluency in clinical, care management, and data exchange processes common in value-based care organizations.
• Exceptional communication and influencing skills with the ability to work cross-functionally and advise both executive leadership and front-line teams.
• High analytical capability with proficiency in interpreting regulatory text, designing controls, and reviewing data sets for compliance anomalies.
• Strong leadership and team-building skills with experience developing compliance staff and fostering an ethical organizational culture.
• Detail-oriented and process-driven, with strong project management skills and the ability to execute in a dynamic, ambiguous environment.
• Proficiency in Governance, Risk, and Compliance (GRC) systems and tools, with proven experience in optimizing and integrating GRC processes to drive efficiency, automation, and data-driven insights.
• Proven experience managing complex internal and external audits, including regulatory examinations (e.g., CMS, state agencies) and payor audits
• Five (5) to seven (7) years of work experience in a compliance function, preferably with a Mental Health provider.
• 5-7 years of experience with health care regulatory agencies in development of compliance programs.
• Experience working with Medicare, Medicare Advantage, and Medicaid.
• 5+ years’ experience with overseeing implementation of payer contracts.
• Bachelor’s degree in related field or equivalent experience

Nice To Haves

• advanced degree or certifications (e.g., JD, CHC, CHPC, CPC, RHIA) preferred

Responsibilities

• Develop, implement, and maintain compliance policies, procedures, and training programs, ensuring they are current and effective.
• Lead the process for investigating and documenting HIPAA violations, handling all associated forms and reporting. Manage all incident reporting, from initial intake to resolution.
• Oversee and manage payor audits, OIG and SAM exclusion reporting for external vendors, and other regulatory filings.
• Lead the internal Compliance Committee and serve as the main point of contact for compliance-related inquiries from all departments. Work cross-functionally and collaborate with external counsel, IT, and other teams.
• Maintain and manage the organizations risk register ensuring that all risks are captured, given a priority, and ultimately resolved within required timeframes.
• Lead the NCQA certification process to bring licensing and credentialing in-house, ensuring all requirements are met and documented.
• Partner with the IT department on the Vendor Management Process, focusing on compliance and security. Appropriately identify risks to the business in vendor contracts and communicate / advise senior leadership on decision-making.
• Maintain and update the compliance Confluence page, and prepare compliance data and reports for presentation to the Board of Directors.
• Handle Power of Attorneys and medical releases, and provide guidance on related questions.

Benefits

• Employees will work from their homes, utilizing virtual tools and software to manage tasks, communicate with team members, patients and other stakeholders. They will also complete administrative duties on a computer provided by the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Director