Director, Compliance - FT - Days - Corporate Compliance @ MV
About The Position
El Camino Health is seeking a Director of Compliance to lead and continuously develop its enterprise-wide compliance program across the hospital setting, Medical Network, and affiliated entities. The role advises leadership on compliance risk, regulatory changes, and program effectiveness, while overseeing program strategy, policies, procedures, and the annual work plan. The Director manages daily compliance operations, including the hotline and reporting channel, case intake, tracking, issue resolution, audits, monitoring, and investigations. The role supports adherence to applicable healthcare laws, regulations, accreditation standards, and payer requirements; oversees responses to government audits and other external reviews; and develops compliance education for physicians, employees, leaders, and contractors. The Director monitors regulatory developments, supports compliance provisions in contracts, prepares reports and risk assessments for leadership and the Board, and partners across clinical, operational, and support functions to mitigate enterprise compliance risks. The position also integrates compliance risk data into the organization’s broader enterprise risk management program.
Requirements
- Bachelor’s degree in Healthcare Administration, Law, Business, or a related field.
- At least 5 years of progressive healthcare compliance experience.
- Experience managing both the operational and strategic aspects of a compliance program.
- Certification in Healthcare Compliance, such as CHC or CHPC, or obtain it within the first 24 months.
- Deep knowledge of healthcare regulations, compliance program elements, and enterprise risk management principles.
- Demonstrated ability to help lead an enterprise-wide compliance function spanning hospital, medical group, and ambulatory operations.
- Excellent communication, influencing, and relationship-building skills, including the ability to engage and educate physicians, executives, Board members, and staff.
- Proficiency in designing audit programs, corrective action plans, and regulatory filings.
- Ability to interpret complex, evolving regulations and translate them into practical operational guidance.
- High integrity, discretion, and sound judgment when handling sensitive and confidential matters.
- Strong project management skills and ability to balance daily operational demands with long-term strategic program development.
Nice To Haves
- Graduate degree or Juris Doctor (JD).
- Significant experience leading a compliance function across multiple entities or a complex, multi-site health system.
Responsibilities
- Develop, own, and evolve the strategic direction, policies, procedures, and annual work plan for the enterprise-wide compliance program.
- Advise leadership on compliance risk, regulatory changes, and program effectiveness.
- Oversee day-to-day compliance program administration, including the hotline and reporting channel, case intake, tracking, and issue resolution.
- Maintain and update enterprise compliance policies, standards, and governance documents.
- Lead audits and ongoing monitoring of billing, coding, documentation, referral patterns, and regulatory adherence across hospital, medical group, and ancillary operations.
- Conduct and document investigations of reported compliance concerns and implement corrective action plans as needed.
- Oversee responses to government audits, subpoenas, inquiries, and other external compliance reviews.
- Design, deliver, and improve compliance education programs for physicians, employees, leaders, and contractors.
- Maintain role-based training on the Code of Conduct, privacy and security, fraud and abuse prevention, and emerging regulatory topics.
- Monitor federal and state regulatory developments and translate their implications into practical guidance for business and clinical operations.
- Review and support compliance provisions in contracts with payers, vendors, and business associates.
- Prepare and, as needed, present compliance reports, dashboards, and risk assessments for leadership and the Board.
- Partner with support functions and clinical and operational leaders to identify, prioritize, and mitigate enterprise compliance risks.
- Integrate compliance risk data into the broader enterprise risk management program.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
