Director of Compliance

The Children s Center of Hamden Inc•Hamden, CT

19h•$75,000 - $85,000

About The Position

The Director of Compliance leads, coordinates, and monitors the organization’s compliance, regulatory readiness, privacy, policy management, and enterprise risk management activities. Reporting to the Chief Clinical Officer, the Director provides organization-wide leadership to establish and maintain systems that promote regulatory compliance, operational accountability, quality improvement, and risk reduction. The Director is the organization’s designated HIPAA Privacy Officer, chairs the organizational Policy Committee, coordinates activities related to The Joint Commission accreditation, and oversees a structured compliance and risk management process across programs and administrative departments. The role conducts routine audits, coordinates corrective actions, and reports compliance performance, emerging risks, and recommendations to senior leadership.

Requirements

Bachelor’s degree in healthcare administration, public health, human services, business administration, nursing, social work, or a related field.
At least five years of progressively responsible experience in healthcare, behavioral health, human services, compliance, quality assurance, risk management, or a related field.
Experience conducting audits, interpreting regulations, coordinating corrective actions, and working with senior leaders.
Knowledge of healthcare compliance, HIPAA privacy, confidentiality, accreditation, licensing, and contractual oversight.
Ability to develop risk-based audits, interpret requirements, and translate them into practical procedures.
Strong analytical, investigative, problem-solving, written communication, and executive reporting skills.
Ability to develop dashboards, monitor indicators, and manage multiple organizational priorities.
Professional independence, confidentiality, sound judgment, and collaborative leadership.

Nice To Haves

Master’s degree in a relevant discipline.
Joint Commission and multi-program behavioral health experience.
Familiarity with Connecticut healthcare and human services requirements.
Certification in Healthcare Compliance (CHC), Certified Professional in Healthcare Risk Management (CPHRM), or similar certification.

Responsibilities

Develop, implement, and maintain an organization-wide compliance program consistent with applicable federal and Connecticut laws, regulations, contractual obligations, accreditation standards, and organizational policies.
Establish an annual compliance work plan identifying priorities, monitoring activities, regulatory requirements, and organizational risk areas.
Advise program and department leaders on compliance expectations, monitor regulatory changes, and coordinate organizational responses.
Maintain processes for receiving, evaluating, investigating, documenting, and resolving compliance concerns; coordinate significant matters with senior leadership, legal counsel, and designated personnel.
Coordinate The Joint Commission accreditation activities and continuous survey readiness, including monitoring standards, mock surveys, tracers, document reviews, readiness assessments, findings, corrective actions, and follow-up submissions.
Serve as the designated HIPAA Privacy Officer; oversee HIPAA Privacy Rule and applicable state confidentiality requirements, privacy policies, inquiries, complaints, investigations, breach assessments, notifications, corrective actions, patient privacy rights processes, education, and documentation.
Collaborate with the designated HIPAA Security Officer and IT leadership on privacy and information security risks.
Coordinate responses to licensing, accreditation, contractual, and regulatory reviews; support external audits, inspections, and investigations; track findings, plans of correction, deadlines, and evidence.
Review corrective action plans, monitor implementation, verify sustained effectiveness, and coordinate assigned internal compliance investigations. Refer legal, clinical, personnel, or executive decisions to the appropriate authority.
Chair the organizational Policy Committee and manage policy development, review, approval, revision, and retirement processes, including the policy inventory, review calendar, version controls, approval records, communications, and status reporting.
Lead organization-wide identification, assessment, documentation, monitoring, and mitigation of compliance and operational risks; maintain a risk register and facilitate periodic risk assessments.
Coordinate with quality, patient safety, HR, finance, and operations leaders; escalate significant or unresolved risks; monitor incident trends and risk mitigation effectiveness.
Develop and execute an annual risk-based internal audit schedule across programs and administrative departments, covering applicable requirements and areas such as clinical documentation, authorizations, privacy, staff credentials, regulatory records, and operational controls.
Coordinate billing and reimbursement compliance audits with finance and revenue cycle personnel; develop audit tools and reports; track corrective actions and conduct follow-up audits to verify sustained improvement and identify trends.
Prepare and present routine compliance reports and an organizational compliance dashboard to senior management; report readiness, privacy incidents, audit findings, corrective actions, policy review completion, and risk trends.
Escalate critical concerns, support reporting to the governing body or designated board committee when requested or required, and monitor compliance indicators and progress toward organizational goals.
Identify compliance training needs and coordinate education on HIPAA, regulations, policies, ethics, and risk; partner with HR and program leaders on onboarding and ongoing development, coach leaders, and evaluate training effectiveness.