Director, Legal and Regulatory Compliance

The Centers•Cleveland, OH

About The Position

We are seeking an experienced Director of Legal and Regulatory Compliance to lead our organization's compliance strategy and serve as our designated Privacy Officer. This is a critical leadership position that ensures our organization maintains the highest standards of legal, regulatory, and ethical conduct while protecting the privacy rights of those we serve. In this role, you'll provide strategic guidance to senior leadership, design and implement enterprise-wide compliance programs, and oversee our organization's adherence to HIPAA, Medicaid regulations, and other applicable laws and standards.

Requirements

Juris Doctor (JD) or advanced degree in law, compliance, or related field
Proven leadership experience in legal, regulatory, or compliance roles
Strong ethical judgment and decision-making abilities
Excellent analytical and problem-solving skills with ability to evaluate alternative solutions
Demonstrated systems thinking and ability to conceptualize comprehensive approaches
Superior interpersonal, leadership, and teamwork capabilities
Exceptional verbal and written communication skills
Ability to manage complex, multi-faceted workloads and priorities
Experience functioning as a change agent and communicating recommendations to diverse audiences

Nice To Haves

Familiarity with one or more of the following:
HRSA and FQHC (Federally Qualified Health Center) regulations
Ohio Department of Behavioral Health Services
Third-party provider standards for reimbursement
Medicare/Medicaid reimbursement structures
Federal Head Start and Early Head Start programs
Ohio Board of Pharmacy regulations
The Joint Commission standards

Responsibilities

Design, implement, and continuously improve our enterprise-wide compliance program
Monitor evolving laws, regulations, and industry standards; interpret and communicate their implications to stakeholders
Collaborate with program leadership to draft, review, and implement organizational policies and procedures
Oversee compliance with Medicaid and state regulatory agencies
Lead investigations of regulatory concerns and potential violations
Supervise Program Compliance Managers
Oversee all HIPAA privacy activities for the organization as a covered health care provider and health plan
Develop, implement, and maintain comprehensive HIPAA privacy policies and procedures
Establish and administer processes for receiving, investigating, and resolving privacy complaints
Lead privacy incident response, breach identification, and notification protocols
Conduct HIPAA compliance audits and support external investigations
Coordinate with HR on sanctions for privacy policy violations
Maintain expert knowledge of laws governing protected health information (PHI)
Ensure compliance with HIPAA documentation, retention, and notice requirements
Partner with Legal, HR, IT/Security, Operations, Program, and Clinical teams
Provide expert consultation on privacy, regulatory requirements, and policy matters
Foster a culture of compliance and ethical conduct throughout the organization