Director of Regulatory Compliance and Strategy

Genesis Administrative Services • Kennett Square, PA

1d

About The Position

The Director, Regulatory and Compliance Strategy serves as a strategic liaison between the company's lines of business and its regulatory and compliance functions. The role ensures business operations comply with applicable federal and state laws, professional standards, and regulations while fostering strategic alignment and communication across departments. The Director provides expert regulatory guidance, monitors legislative developments, assesses risk, and leads compliance initiatives that support company objectives.

The position develops, maintains, and revises policies and procedures and oversees audit processes, including analysis and reporting in support of the Quality Improvement Program. It monitors, reviews, implements, and provides organizational support for reimbursement, payer, and regulatory matters in skilled nursing, outpatient, and home health settings. The Director ensures company areas integrate and comply with national and state legislation and adhere to Powerback policies and standards. The role also serves as a technical consultant and resource to the organization, the healthcare industry, and other assigned entities on legislative processes, regulatory development, and business compliance.

The role supervises and develops assigned staff, manages resources and budgets for areas of responsibility, and performs other duties supporting corporate compliance and organizational goals.

Requirements

• Bachelor’s degree, at minimum, in physical therapy, occupational therapy, speech-language pathology, or another healthcare-related field.
• At least 10 years of experience in clinical care, including 8 years of progressive experience in regulatory affairs, compliance, or a related healthcare-industry field.
• Demonstrated experience in a strategic or leadership role and a strong understanding of business operations.
• Hold an office or leadership role on state and/or national professional, government relations, clinical, policy, or steering committees and/or executive boards.

Nice To Haves

• Master’s or doctorate degree.

Responsibilities

• Provide regulatory and professional advice and guidance to assigned lines of business as a subject matter expert, ensuring compliance with complex laws, regulations, and industry standards.
• Monitor regulatory changes and emerging issues, assess their impact, and share critical intelligence with key stakeholders.
• Interpret regulatory policy and provide strategic direction on compliance matters.
• Oversee updates and maintenance of regulatory data, reimbursement resources, and company policies and procedures.
• Identify, assess, and report regulatory, operational, and financial risk areas, including supporting and reporting on current CMS and Intermediary probe reviews and audits.
• Develop and implement risk mitigation strategies and ensure appropriate controls are in place.
• Support compliance with reimbursement requirements, business operations, health and safety standards, and clinical documentation and billing requirements.
• Provide compliance oversight and reporting for Quality Improvement and Policies & Procedures Committees.
• Conduct onsite and remote audits, analyses, and support for Corporate Compliance and internal audit functions.
• Contribute to the development, implementation, and continuous improvement of the corporate compliance program, including policies, procedures, best practices, and audit and monitoring initiatives.
• Develop and implement processes and systems that promote patient advocacy, professional integrity, regulatory compliance, and service reimbursement.
• Assist in developing and maintaining compliance resources, including coding tools, clinical programs, and operational initiatives.
• Use a project management approach to drive interdepartmental and interdisciplinary initiatives to timely completion.
• Build partnerships across company lines of business, regulatory affairs, legal, and other departments to align compliance strategies.
• Establish and maintain collaborative relationships with internal systems and external agencies, including federal and state agencies and professional organizations, to advance advocacy and compliance initiatives.
• Represent the company on industry and professional committees to integrate nationally legislated, standardized, and corporate-directed mandates.
• Act as a liaison and ad hoc resource to legal services on regulatory, reimbursement, and operational risk areas.
• Develop and deliver targeted training on regulatory requirements, compliance responsibilities, and ethical standards, and monitor behavior change.
• Promote a culture of compliance, accountability, and awareness throughout the organization.
• Provide informational support for corporate publications, resource documents, and compliance communications.
• Supervise, mentor, and evaluate assigned staff to support professional growth and departmental effectiveness.
• Maintain budgetary oversight and manage resources efficiently for areas of responsibility.
• Perform other duties as assigned to support corporate compliance and organizational goals.

Benefits

• Medical, dental, and vision plans for full-time team members; dental and vision plans for part-time team members.
• Generous paid time off for full-time and part-time team members.
• Powerback Clinical Mentorship Program for new graduates.
• Free continuing education units through Medbridge.
• Visa or Green Card sponsorship support and relocation assistance through the Journey Travel Program.
• Exclusive discounts on wireless/TV, home/auto/renters and pet insurance, childcare, eldercare, and other offerings.
• PowerZone Employee Recognition Program rewards.
• Clinicians in Action professional development program.

What This Job Offers

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