Director of Compliance
About The Position
Essen Health Care is seeking a Director of Compliance to develop, implement, maintain, and enforce key components of its Compliance Program. Reporting to and working under the direction of the Chief Compliance Officer, the Director promotes compliance with applicable federal, state, and local laws and regulations, including Medicare, Medicaid, and HIPAA requirements. The role serves as a strategic leader and subject matter expert, partnering with operational and clinical leadership to strengthen regulatory compliance, mitigate organizational risk, facilitate audit readiness, and foster a culture of ethics and accountability. The position is based onsite at Essen Health Care’s Bronx, New York office, Monday through Friday.
Requirements
- Minimum of 7–10 years of progressive experience in healthcare compliance within a hospital, physician group, managed care organization, health plan, or payer environment.
- Strong knowledge of CMS regulations, Medicare Advantage, New York State Medicaid, HIPAA, and other applicable healthcare regulations.
- Demonstrated experience supporting regulatory audits, compliance monitoring activities, corrective action planning, and organizational audit readiness.
- Strong analytical, communication, project management, and leadership skills.
- Proficiency with electronic health record (EHR) systems and Microsoft Office Suite.
Nice To Haves
- Experience supporting delegated vendor oversight, government program compliance, and regulatory examinations.
- Bachelor’s degree in Health Information Management, Healthcare Administration, Public Health, Healthcare Law, Nursing, or a related field preferred.
Responsibilities
- Develop, implement, and coordinate program-specific workplans with internal stakeholders, reflecting current external and internal compliance risks within the assigned area of responsibility.
- Facilitate internal and external compliance, regulatory, and payer audits by coordinating documentation, stakeholder engagement, audit responses, and follow-up activities.
- Coordinate organizational audit readiness and assist departments in preparing for regulatory reviews, payer audits, and accreditation surveys.
- Identify compliance trends, emerging risks, and process improvement opportunities through monitoring, data analysis, and collaboration with operational teams.
- Partner with Compliance, Clinical Operations, Revenue Cycle Management, Provider Education, Information Technology, and other departments to support enterprise compliance initiatives.
- Develop and deliver compliance education to providers on regulatory requirements, documentation standards, and organizational policies.
- Monitor changes in federal and state healthcare regulations and communicate impacts and recommended actions to operational teams.
- Coordinate corrective action plans resulting from audits, investigations, monitoring activities, or regulatory reviews, and monitor remediation through completion.
- Prepare reports, dashboards, and executive summaries on compliance program performance, risk trends, key metrics, and organizational priorities for executive leadership and compliance committees.
- Support organizational oversight activities related to Fraud, Waste, and Abuse (FWA), documentation integrity, privacy, and regulatory compliance.
- Serve as a compliance resource and advisor to leadership on regulatory requirements, policy interpretation, and compliance best practices.
- Promote continuous improvement of compliance processes, governance, and internal controls across the organization.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
