Director of Compliance

UHS • Reno, NV

3d

About The Position

The Director of Compliance directs and coordinates Prominence Health’s efforts to ensure compliance with laws, regulations, and policies governing its Medicare and commercial business. Prominence Health is a value-based care organization that connects affiliated health systems and independent providers through trust and collaboration. It works across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships, with a focus on improving health outcomes, controlling costs, and enhancing the patient experience.

Prominence Health was founded in 1993 and acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. UHS operates healthcare facilities and related services across the United States, Washington, D.C., Puerto Rico, and the United Kingdom.

Requirements

• Bachelor’s degree.
• 7–10 years of healthcare compliance, regulatory affairs, government programs, or managed care experience.
• At least 3 years of leadership experience.
• Excellent organizational, judgment, and analytical skills, with the ability to work independently and collaboratively in a matrix environment.
• Strong influencing skills and perseverance in investigating.
• Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, governmental regulations, and legal documents.
• Excellent oral and written communication skills, including the ability to write clear, concise reports, business correspondence, and procedures.
• Ability to present information effectively and respond to inquiries from employees, regulatory agencies, and others as necessary.
• Ability to meet deadlines and adapt to changes in company policies, procedures, and priorities.

Nice To Haves

• Experience with Medicare Advantage.
• Experience managing CMS audits, corrective action plans (CAPs), accreditation reviews, or insurance department examinations.
• Previous state or federal regulatory or managed care compliance experience.
• Preferred certifications: CHC, CHPC, or CRCM.

Responsibilities

• Direct and coordinate efforts to ensure compliance with laws, regulations, and policies governing Prominence Health’s Medicare and commercial business.
• Represent the plan’s interests externally with regulators.
• Initiate administrative activities as necessary and institute quality control procedures.

Benefits

• Loan Forgiveness Program.
• Challenging and rewarding work environment.
• Competitive compensation and generous paid time off.
• Medical, dental, vision, and prescription drug plans.
• 401(k) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Career development opportunities within UHS and its 300+ subsidiaries.

What This Job Offers

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