Head of Compliance

Unified Women's Healthcare•UNAVAILABLE, Florida

19h•Hybrid

About The Position

The Head of Compliance provides executive leadership for Unified’s compliance department and team, including the infrastructure, governance, systems, audit, investigation, monitoring, corrective action, and reporting functions that support an effective enterprise compliance program. The role sets the strategic direction, operating model, and performance expectations for core compliance activities, including policy governance, compliance data and analytics, education and training, monitoring, issue management, audits, investigations, hotline management, regulatory inquiries, and corrective action programs. The role ensures compliance initiatives are scalable, consistently executed, clearly communicated, and integrated across the enterprise to support regulatory adherence, ethical conduct, organizational accountability, risk mitigation, and business objectives. It provides independent and objective evaluation of compliance risks while promoting accountability, integrity, collaboration, and operational excellence. Working closely with Legal, Compliance, IT, Operations, RCM/Finance, Human Resources, clinical leadership, and business leaders, the Head of Compliance strengthens the compliance operating model, optimizes systems and workflows, addresses compliance concerns, supports clinicians and their independent practices, and embeds compliance expectations into daily business practices. This is a hybrid position requiring at least two days per week in the office in Lone Tree, Colorado, or Tampa, Florida.

Requirements

Bachelor’s degree required.
At least 10 years of progressive compliance, audit, investigations, risk management, legal, regulatory, or healthcare operations experience in healthcare or a similarly regulated environment.
At least 5 years of leadership experience overseeing compliance programs, audit functions, investigation teams, enterprise initiatives, processes, projects, or cross-functional teams.
Experience leading enterprise compliance operations, audit, monitoring, investigations, hotline management, corrective action, policy governance, education, reporting, and program management.
Experience developing and executing risk-based compliance audit plans, investigative priorities, compliance monitoring activities, corrective action programs, and executive-level reporting.
Experience conducting, overseeing, or providing executive governance for complex audits and investigations involving sensitive or confidential matters, regulatory issues, fraud, waste and abuse, conflicts of interest, retaliation, or other compliance concerns.
Demonstrated success implementing enterprise-wide compliance initiatives, operating models, governance structures, technology solutions, and process improvements in complex, highly regulated environments.
Strong knowledge of compliance program frameworks, healthcare regulatory requirements, audit methodologies, investigative practices, regulatory enforcement, corrective action management, and evidence collection standards.
Knowledge of compliance technologies, workflow systems, hotline and case management tools, audit management platforms, reporting tools, automation, and artificial intelligence solutions.
Strong analytical, problem-solving, organizational, risk assessment, root cause analysis, decision-making, and executive judgment skills.
Excellent written, verbal, executive communication, interviewing, report writing, presentation, and stakeholder management skills.
Ability to lead cross-functional initiatives, influence senior and executive leaders, manage sensitive and confidential matters, build partnerships across organizational levels, and drive compliance accountability across clinical, operational, and corporate teams.
Ability to manage multiple priorities, lead through ambiguity, make sound risk-based decisions, and operate effectively in a complex, highly regulated environment.

Nice To Haves

Advanced degree in Healthcare Administration, Business Administration, Accounting, Auditing, Compliance, Criminal Justice, Law, Risk Management, or a related field.
Certified in Healthcare Compliance (CHC).
Certified Compliance & Ethics Professional (CCEP).
Certified Internal Auditor (CIA).
Certified Fraud Examiner (CFE).
Certified Risk Management Assurance (CRMA).
Project Management Professional (PMP).
Lean Six Sigma Certification.
Other relevant compliance, audit, governance, risk management, healthcare, or investigative certifications.

Responsibilities

Set enterprise strategic direction, operating priorities, governance, and performance expectations for compliance operations, audits, investigations, monitoring, issue management, corrective action, education, reporting, and program administration.
Develop and maintain the compliance program operating framework, including governance structures, standards, procedures, work plans, project portfolios, annual initiatives, audit plans, investigation priorities, and executive reporting.
Lead enterprise policy governance, including policy development, approval, lifecycle management, periodic review, exception management, and maintenance of related documentation.
Oversee enterprise compliance audits and monitoring, including risk-based audit strategy, coding and documentation audits, internal control assessments, program-effectiveness evaluation, control-gap identification, and improvement recommendations.
Provide executive oversight of investigations into compliance-related misconduct, regulatory violations, fraud, conflicts of interest, retaliation, hotline concerns, and other compliance matters; ensure investigations are timely, objective, confidential, documented, and rigorous.
Establish audit and investigation methodologies, protocols, documentation standards, quality assurance practices, case management expectations, hotline intake and triage processes, non-retaliation practices, and escalation protocols.
Oversee compliance issue management and remediation, including identification, tracking, escalation, corrective action planning, validation, monitoring results, documentation, retention, and sustainable resolution.
Define and execute compliance data, analytics, technology, and reporting strategy, including dashboards, scorecards, metrics, trend analysis, executive reporting, and technology-enabled processes.
Lead enterprise compliance education, training, awareness, and targeted communications to promote ethical behavior, regulatory compliance, issue escalation, non-retaliation, and risk mitigation.
Manage compliance committees, program governance, regulatory reviews, external audits, government inquiries, and senior leadership reporting.
Identify and implement compliance technologies, automation, artificial intelligence, workflow tools, and process improvements to drive efficiency, standardization, reliable documentation, audit readiness, and compliant outcomes.
Lead, develop, and mentor compliance operations, audit, and investigation leaders and teams; build cross-functional partnerships and promote accountability, collaboration, continuous improvement, operational excellence, and an ethical culture.
Perform other duties as assigned.

Benefits

Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Vacation, personal days, and paid holidays.
401(k) with employer contribution.
Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Short- and long-term disability.
Paid parental leave.
Basic life insurance and optional additional coverage.
Employee Assistance Program.
Commuter benefits.
Pet insurance.
Identity theft protection.
Professional development opportunities and resources.