Director of Compliance

VITRA Health • Boston, MA

16h • Onsite

About The Position

Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs. Each client is supported by a dedicated nurse and case manager, ensuring compassionate, personalized, and dignified care. As Vitra continues to grow across multiple MassHealth program lines, we are seeking a Director of Compliance who wants to build and lead the compliance function for a fast-growing, multi-program organization, with direct access to executive leadership and a genuine mandate to shape how the organization manages regulatory excellence.

Requirements

• 8+ years of progressive healthcare experience; experience in healthcare compliance required.
• Experience with Medicaid and/or MassHealth programs, preferably in home-based settings.
• Bachelor’s degree required.
• 5+ years of leadership experience managing compliance, quality, audit, regulatory, or operational teams.
• Demonstrated experience building or leading an organization-wide compliance program.
• Proven success leading regulatory audits, investigations, and corrective action initiatives.
• Strong executive presence with the ability to influence and partner with leaders at all levels.
• Able to analyze data and translate it into action.
• Able to collaborate effectively with teams to translate compliance metrics into operational, executable actions.

Nice To Haves

• Master’s degree preferred.
• Experience with Medicaid-regulated programs.
• Experience leading, managing, or supporting NCQA accreditation preparation, survey activities, and ongoing compliance maintenance.
• Certified in Healthcare Compliance (CHC).
• Experience presenting to executive leadership teams and Boards of Directors.

Responsibilities

• Develop and execute the compliance strategy and annual compliance work plan, aligned with organizational goals and regulatory requirements.
• Lead the annual compliance risk assessment and develop corresponding mitigation strategies.
• Ensure organizational readiness for regulatory audits, accreditation reviews, and government inquiries.
• Report compliance trends, risks, and performance to executive leadership on a defined cadence.
• Monitor emerging regulatory changes and lead implementation of required updates across programs.
• Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
• Ensure compliance with MassHealth program regulations, CMS requirements, HIPAA, and OIG guidance.
• Lead organizational responses to regulatory findings, external audits, and compliance investigations.
• Provide oversight of corrective and preventive action plans (CAPA) and verify the effectiveness of remediation.
• Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.
• Direct the internal audit program, including clinical documentation reviews and billing integrity monitoring.
• Develop and maintain compliance dashboards, scorecards, and executive reporting tools.
• Translate audit findings into measurable operational improvements in partnership with program leaders.
• Align compliance initiatives with quality improvement strategies alongside Quality leadership.
• Lead, mentor, and develop the compliance team, including auditors, specialists, and clinical reviewers.
• Establish departmental goals, manage the department budget, and allocate compliance resources effectively.
• Develop and oversee organization-wide compliance education and training programs.
• Represent the organization with regulatory agencies, payers, and industry associations.
• Serve as a brand ambassador for Vitra reflecting our vision, mission, and values.
• Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
• Mentor and support team members.

Benefits

• Employer-sponsored health insurance with a generous employer match.
• Dental and vision benefits.
• Supplemental benefits: life, accident, critical illness, and disability insurance.
• 401K with a 5% company match.
• Accrued paid time off.
• Ten company-paid holidays.
• Wellness benefits.
• Tuition reimbursement.
• Supportive team structure and company culture with a focus on work/life balance.

What This Job Offers

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