Director of Compliance

RHA Health Services, LLCNashville, TN
95d

About The Position

We are hiring for: Director of Compliance Type: Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services! The Director of Compliance directs day-to-day operations of the enterprise Compliance Program and serves as a key leader to the Chief Compliance Officer. This role oversees the privacy program, sanction/exclusion screening, investigations, policy management, and compliance reporting while building and sustaining an effective program aligned to OIG elements, HIPAA/HITECH, state HCBS/IDD requirements, and payer rules across multiple states. It expands on existing responsibilities for hotline management, sanction checking, investigations, policy/procedure oversight, conflict-of-interest disclosures, annual training planning, privacy program leadership, and compliance analytics/reporting.

Requirements

  • Bachelor’s degree required (Business, Healthcare Administration, Public Health, Nursing, Legal/Compliance, or related field).
  • 5+ years of progressive experience in healthcare/HCBS compliance, including investigation oversight and policy management.
  • Strong knowledge of HIPAA/HITECH, federal/state healthcare and HCBS regulations.
  • Demonstrated ability to manage hotlines, conduct/oversee investigations, and produce clear, objective reports.
  • Proficiency with compliance case-management and analytics/reporting tools.
  • Multi-state IDD/behavioral health or long-term services and supports experience.
  • Experience presenting to executive/Board audiences and working within a three-lines-of-defense or ERM structure preferred.

Nice To Haves

  • Payer/Medicaid waiver familiarity preferred.
  • Experience in compliance analytics/reporting tools.

Responsibilities

  • Operationalize and continuously improve an enterprise Compliance Program aligned to OIG’s seven elements.
  • Maintain the Compliance Charter, annual work plan, and a written standards/code of conduct.
  • Coordinate the enterprise compliance risk assessment and translate results into prioritized mitigation plans and monitoring.
  • Own the lifecycle of Compliance and Privacy policies, SOPs, and document-retention standards.
  • Define the annual training strategy and calendar; develop role-based education.
  • Maintain accessible FAQs, toolkits, and targeted communications to reinforce standards and lessons learned.
  • Support confidential reporting channels and assist in compliance investigation processes.
  • Monitor case progress for adherence to protocols such as retaliation-prevention.
  • Manage compliance platforms ensuring data integrity, reporting accuracy, and user access controls.
  • Oversee OIG/GSA/state Medicaid exclusion screening for employees, contractors, and vendors.
  • Administer the annual Conflict-of-Interest disclosure process.
  • Lead the operational Privacy Program in partnership with Security/IT.
  • Build an annual audit/monitoring plan and deploy dashboards and KPIs for leadership.
  • Coordinate responses to government inquiries, surveys, and audits.
  • Prepare materials and present to the Management Compliance Committee and Compliance Steering Committee.
  • Oversee compliance due diligence and onboarding for acquisitions/affiliations.

Benefits

  • Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
  • Employee perks and discount program.
  • Paid Time Off (full-time employees only).
  • Health/Insurance (full-time employees only).
  • 401(k) retirement savings program.
  • Wellbeing Programs: Physical, Emotional and Financial.
  • Chronic Disease management programs for hypertension and diabetes (for qualifying employees).
  • Free CPR, first aid, and job-specific training opportunities.

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What This Job Offers

Job Type

Full-time

Career Level

Director

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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