Director of Compliance

Luminary Hospice•Nashville, TN

About The Position

The Director of Compliance leads Luminary Hospice’s enterprise-wide compliance program, designing, implementing, and strengthening the systems, processes, and controls that support ethical operations and adherence to federal, state, and accreditation requirements. In partnership with the Chief People Officer and Operations, this leader promotes accountability, transparency, and proactive risk mitigation, with responsibility for compliance operations, internal audits, regulatory readiness, and policy governance across the agency. The role oversees survey readiness, audit and investigation responses, internal audits, policy development, employee and contractor training, compliance investigations, corrective action plans, and leadership reporting. It also provides direct leadership to compliance-related personnel and performs other duties as assigned by the Chief People Officer.

Requirements

Minimum of 5 years of leadership experience in healthcare compliance.
Strong knowledge of hospice regulations.
Demonstrated ability to lead compliance programs, conduct investigations, and manage regulatory interactions.
Strong communication, analytical, and interpersonal skills, with the ability to influence and partner across functions.
Must be a licensed driver with an insured automobile, in accordance with state and organizational requirements.
Knowledge of Medicare regulations, state licensure rules, CHAP standards, HIPAA, and compliance program effectiveness best practices.

Nice To Haves

Bachelor’s degree in compliance or a related field preferred.
CHC (Certified in Healthcare Compliance) or related certification strongly preferred.

Responsibilities

Lead the development, execution, and evaluation of the organization’s comprehensive compliance program.
Identify regulatory, operational, and clinical risks and develop mitigation plans aligned with the organization’s mission, ethics, and standards.
Ensure compliance with Medicare Conditions of Participation, state hospice regulations, CHAP standards, HIPAA, and other applicable laws and policies.
Advise senior leadership on compliance trends, potential vulnerabilities, and required corrective actions.
Maintain survey readiness and lead preparation for state, federal, and accreditation surveys.
Oversee timely and accurate responses to audits, investigations, and external inquiries.
Conduct internal audits, including medical record reviews, billing compliance checks, and operational assessments.
Develop, review, and update organizational policies and procedures to reflect current regulations and best practices.
Ensure policies are communicated effectively and consistently across the organization.
Partner with leaders to assess operational practices for compliance and identify improvement opportunities.
Design and oversee compliance training for employees, contractors, and leaders.
Coach and guide operational and clinical leaders on ethical decision-making and compliance expectations.
Manage intake, triage, investigation, and resolution of compliance concerns, complaints, and incidents.
Collaborate with HR, Clinical Services, Quality, and other departments to address issues promptly and thoroughly.
Monitor corrective action plans for effectiveness and sustainable improvement.
Develop dashboards and reporting mechanisms that provide leadership with actionable compliance insights.
Present routine compliance reports to senior leadership, highlighting risks, trends, and emerging concerns.
Direct compliance-related personnel, set expectations, evaluate performance, and support their professional growth.
Perform other duties as assigned by the Chief People Officer.