Director of Clinical Compliance

Eleanor Health

6d•$120,000 - $150,000•Hybrid

About The Position

Eleanor Health is seeking a Director of Clinical Compliance to manage and advance the company's compliance infrastructure. This national leadership role is responsible for ensuring all clinics are licensed, accredited, and audit-ready, while proactively identifying and mitigating emerging risks. The position involves informing and maintaining compliance related to facility licensure, state and federal collaborating agreements, incident management, CARF accreditation, and policy/procedure management. The Director will serve as a compliance strategy partner to the VP of Clinical Excellence and Expansion, supporting Eleanor Health's growth into new and existing markets. This role requires up to 50% travel, strong organizational skills, the ability to work from a home office or clinic office, and proficiency with Excel, AI tools, and G-Suite.

Requirements

At least five years of experience in healthcare compliance, regulatory operations, or licensure, including direct experience managing multi-state licensure or regulatory compliance programs.
Direct experience with CARF accreditation processes - surveys, standards, and ongoing compliance.
Experience with collaborating/collaborative practice agreements, physician-NP/PA oversight structures, or credentialing in a multi-state clinical environment.
Expertise navigating multi-state licensure landscapes (10+ states).
Experience owning incident management, grievance response, or risk/quality programs in a healthcare setting.
Technical proficiency with Excel, Word, PowerPoint, and G-Suite.

Nice To Haves

A clinical background or licensure (e.g., RN, LCSW, LPC, or similar) strongly preferred.
SUD/behavioral health industry experience strongly preferred.
A track record of leading, or being ready to lead and grow, a team.
Experience with policy and procedure management tools, and comfort with Monday.com or similar project management platforms.
Comfort operating in ambiguity - curious enough to dig into what we don't yet know rather than wait for clarity.

Responsibilities

Serve as the single source of truth and single point of accountability for the acquisition and maintenance of all clinic, state, and organizational licenses, certifications, and registrations across Eleanor Health's national footprint.
Maintain a current state-by-state inventory of licensure requirements, application status, renewal timelines, and operational obligations, and manage the external portals and internal systems that track them.
Direct the identification and resolution of licensure barriers to entry — including certificate of need requirements, moratoriums, and exemptions — as Eleanor Health expands into new markets.
Oversee training on, and organizational application of, licensing expectations, ensuring functional and market leaders are equipped with actionable, accurate compliance guidance.
Manage audits and surveys associated with facility licensure, and lead corrective action planning in response to findings.
Serve as Eleanor Health's source of truth on state and federal collaborating (collaborative practice) agreement rules governing NP/PA prescribing authority, physician oversight, and Medication for Addiction Treatment delivery across our multi-state footprint.
Track and interpret the regulatory landscape for collaborating agreements — including state-by-state practice authority (full, reduced, restricted), required chart-review cadence, DEA and controlled-substance prescribing requirements, and Medicare collaboration standards — translating what's changing into what it means operationally.
Own the lifecycle of collaborating agreements: drafting standards, renewal tracking, credentialing verification of collaborating physicians (active license, DEA registration, SUD/addiction medicine experience where required), and audit-readiness of agreement files.
Partner with Credentialing and Enrollment, Clinical, and Legal leadership to ensure collaborating agreement structures keep pace as states shift practice-authority models or Eleanor Health enters new jurisdictions.
Own the end-to-end incident management program: intake, triage, and response for all reported critical and non-critical incidents, grievances, and complaints across Eleanor Health clinics.
Establish and lead a recurring incident review process (e.g., an internal Incident Review Team) to ensure timely investigation, root cause analysis, and corrective action planning for every reportable event.
Determine and manage mandatory reporting obligations to state licensing boards, accrediting bodies, and other regulators within required timeframes, including abuse/neglect and other sentinel-event reporting where applicable.
Own the organization-wide policy and procedure lifecycle: drafting, version control, review cadence, and approval workflows for all clinical compliance policies and procedures.
Partner with functional and market leaders to roll out policy updates with clear, actionable training so changes translate into consistent practice at the clinic level.
Maintain an audit-ready policy library, with version history and sign-off documentation available for licensure surveys, CARF surveys, and payer audits.
Own CARF accreditation readiness organization-wide — standards interpretation, survey preparation, on-site survey management, and continuous compliance between survey cycles.
Lead response to CARF findings and required plans of correction, and drive the continuous quality improvement cycle (assess, plan, implement, review, refine) that keeps Eleanor Health survey-ready year-round rather than only at renewal.
Serve as the primary point of contact for CARF surveyors and other accreditation or regulatory auditors.
Partner with the Sr. Director of CQCM to inform Clinical Compliance strategy and KPIs.
Proactively assess and report resource barriers and/or support needed to meet internal and external timelines.
Provide data-driven feedback on Eleanor Health's performance.
Analysis of staffing, vendors, options, implementation plans, and expectations.
Other responsibilities and tasks as needed and assigned.
Leverage AI tools to build and maintain the trackers, checklists, and workflows that keep a multi-state compliance program running efficiently.

Benefits

Generous Paid Time Off (prorated for new employees)
12 Vacation days
12 Wellness (Sick) days
3 Floating holidays
9 Company-observed holidays
Jury Duty, Voting Leave, and other forms of paid time off may be available
Eleanor-paid medical and dental insurance plans, with affordable vision coverage
401(k) plan with 3% match
Short-term disability
Long Term Disability
Life Insurance
Family Medical Leave
Wellness Perks & Benefits
Mindfulness App Reimbursement
EAP with eight face-to-face sessions
Virtual health and wellness visits covered by our medical plan.