Director, Compliance

Q Point Health LLC • US,

6d • Remote

About The Position

The Director, Compliance will build and oversee the governance and compliance infrastructure that protects the business, enables strategic growth, and supports regulatory excellence and integrity. The role is an operational partner to the Chief Legal Officer and spans multiple lines of business and states, including compliance with Centers for Medicare and Medicaid Services requirements and state Medicaid agency rules. The position develops and standardizes compliance policies and procedures, auditing and monitoring, training and education, investigations, and reporting. It is a builder role in a fast-paced, mission-driven healthcare organization.

Requirements

• At least 10 years of experience in healthcare compliance, regulatory matters, and/or legal operations in complex healthcare organizations participating in governmental healthcare programs, including Medicaid and Medicare.
• Strong understanding of Medicare and Medicaid reimbursement, Fraud, Waste and Abuse, HIPAA, the Anti-Kickback Statute, and data privacy and security laws and regulations.
• Bachelor’s degree in a related field.
• Excellent communication skills.
• Strong interpersonal and organizational skills to collaborate and influence.
• Some travel may be required, less than 10%.

Responsibilities

• Design, implement, and manage an enterprise compliance program that scales with the organization.
• Translate federal and state regulatory requirements into actionable policies, procedures, and controls for operational teams.
• Build and maintain a compliance dashboard, risk register, and audit-readiness framework.
• Develop and deliver compliance training programs.
• Monitor regulatory developments and identify emerging compliance risks and obligations.
• Manage the compliance hotline process, including investigations, follow-up, and corrective action as necessary.
• Lead enterprise risk assessments to identify, prioritize, and mitigate compliance risks.
• Manage and conduct internal audits covering Stark, Anti-Kickback, Conflict of Interest, Fraud, Waste and Abuse, and other relevant laws and regulations.
• Ensure data privacy, data rights, and communications compliance controls are embedded in operational workflows.

What This Job Offers

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