Director, Compliance - FT - Days - Corporate Compliance @ MV
About The Position
El Camino Health is seeking a Director, Compliance to lead its enterprise-wide compliance program across the hospital, Medical Network, and affiliated entities. The Director develops and evolves the program’s strategic direction, policies, procedures, and annual work plan, and advises leadership on compliance risk, regulatory changes, and program effectiveness. The role oversees daily compliance operations, including the hotline and reporting channel, case intake, tracking, and resolution. It ensures alignment with applicable laws and regulations, including HIPAA, Stark Law, the Anti-Kickback Statute, the False Claims Act, CMS requirements, accreditation standards, and commercial payer requirements. The Director maintains enterprise compliance policies, leads auditing, monitoring, and investigations, and oversees responses to government audits, subpoenas, inquiries, and other external reviews. The Director designs and delivers role-based compliance education, monitors regulatory developments, supports compliance provisions in contracts, and prepares compliance reports, dashboards, and risk assessments for leadership and the Board. The role partners with clinical, operational, and support-function leaders to identify and mitigate risks and to integrate compliance risk data into enterprise risk management. The position requires a bachelor’s degree in Healthcare Administration, Law, Business, or a related field and at least five years of progressive healthcare compliance experience. Healthcare Compliance certification, such as CHC or CHPC, is required or must be obtained within the first 24 months. A graduate degree or JD is preferred. The role is full-time, scheduled for 80 hours bi-weekly, on the day shift.
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 certification within the first 24 months.
- Deep knowledge of healthcare regulatory frameworks, compliance program elements, and enterprise risk management principles.
- 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 in handling sensitive and confidential matters.
- Strong project management skills and ability to balance 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 daily compliance program operations, including the hotline and reporting channel, case intake, tracking, and issue resolution.
- Ensure compliance with applicable laws, regulations, accreditation standards, and commercial payer requirements across the organization’s lines of business.
- Maintain and update enterprise compliance policies, standards, and governance documents.
- Lead audits and ongoing monitoring related to billing, coding, documentation, referral patterns, and regulatory adherence.
- Conduct and document investigations of 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 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 leadership to identify, prioritize, and mitigate compliance risks.
- Integrate compliance risk data into the enterprise risk management program.
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What This Job Offers
Job Type
Full-time
Career Level
Director
