Manager of Compliance Operations

CompassusBrentwood, TN
Onsite

About The Position

The Manager, Compliance Operations, is a hands-on operational leader responsible for the day-to-day execution and continuous improvement of the enterprise Compliance Program across our hospice, home health, palliative, and infusion lines of business, including all joint ventures (JVs) and value-based enterprises (VBEs). Reporting to the Chief Compliance Officer (CCO), this role operationalizes the Compliance Program's seven elements, while building durable, repeatable, customer-centric processes that scale with the enterprise.

Requirements

  • Bachelor's degree required.
  • Five or more years of progressive healthcare compliance experience, with demonstrated ownership of one or more of: training/education/communications initiatives; auditing/monitoring, third-party screening; or GRC/dashboards.
  • Working knowledge of the federal health care compliance landscape: HHS-OIG Seven Elements, Federal Sentencing Guidelines, DOJ Evaluation of Corporate Compliance Programs, Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, and Conditions of Participation for hospice and home health.
  • Demonstrated ability to build and routinize processes, write clear standard work, and manage to SLAs.
  • Track record of customer-service-oriented program delivery to internal stakeholders.
  • Strong written and verbal communication skills, including board-level reporting.
  • Ability to add, subtract, multiply, and divide using whole numbers, fractions, and decimals.
  • Ability to calculate rates, ratios, percentages, and basic statistical measures.
  • Ability to interpret and analyze compliance metrics, trend data, and performance indicators.
  • Ability to read, analyze, and interpret professional journals, business publications, technical procedures, contracts, and governmental regulations.
  • Ability to prepare reports, policies, procedures, business correspondence, and executive presentations.
  • Ability to effectively communicate complex compliance concepts to diverse audiences.
  • Ability to present information and respond to questions from leaders, team members, external stakeholders, and regulatory agencies.

Nice To Haves

  • Degree in Healthcare Administration, Business Administration, Public Health, Compliance, Risk Management, or a related field preferred.

Responsibilities

  • Lead the development and ongoing maintenance of the annual Compliance Work Plan, in close coordination with cross-functional business and functional leaders; ensures alignment with regulatory expectations and organizational risk priorities, and supports timely execution, tracking, and reporting of compliance activities across the enterprise.
  • Maintain the Code of Conduct and the enterprise Compliance policy library, with a documented review cadence that responds to changes in the business, our regulatory landscape, and government enforcement priorities.
  • Operate the central policy repository and governance framework, including version control, retirement, and a documented exception/approval process; ensure policies are accessible, searchable, and written in plain language for end-user clinicians and operators.
  • Lead the future-state build-out of enterprise-wide policy governance, including standardized templates, owner accountability, attestation tracking, and harmonization across legacy service lines and joint ventures (JVs) and value-based enterprise (VBE) participants.
  • Own New Hire and Annual Compliance Training content and delivery enterprise-wide, including curriculum design, role-based assignments, completion tracking, and learning-impact measurement.
  • Translate findings from investigations, audits, and monitoring into targeted training enhancements; recommend remediation curricula and refreshers based on demonstrated opportunities or gaps.
  • Design and execute the Compliance Communications Program, including campaigns, micro-learning, recognition/incentive opportunities, and just-in-time guidance for higher-risk workflows.
  • Maintain post-hire and post-contract screening protocols for employees, contractors, vendors, medical staff, and JV/VBE participants, including OIG LEIE, GSA SAM, state Medicaid exclusion lists, and applicable sanctions and debarment screens.
  • Manage Department vendor contracts (Hotline, sanctions screening, GRC platform, e-learning) including SLAs, renewals, and performance scorecards.
  • Conduct desk audits, as assigned.
  • Participate in the annual enterprise Compliance Risk Assessment, including risk identification, scoring, and subsequent work- or mitigation-plan development.
  • Partner with Operations, as appropriate, to build routine monitoring routines for identified risks.
  • Participate in corrective action planning and follow-up as assigned, ensuring documented root-cause analysis, owner assignment, due-date discipline, and verification of effectiveness before closure.
  • Coordinate enterprise Compliance Culture and Program Effectiveness assessments and monitor effectiveness over time.
  • Investigate cultural drivers of misconduct identified through surveys, exit interviews, and case data; translate insights into management actions.
  • Facilitate regular Compliance team meetings to align on priorities, risk updates, and emerging issues; build agendas that balance functional updates with team discussion; incorporate case studies, audit findings, lessons learned, and guest speakers to drive practical application and deeper Company and Compliance knowledge.
  • Prepare dashboards and reports for local leaders and the Management Ethics & Compliance Committee/Board covering the Compliance Work Plan, Disclosure Program, Policies, Exclusions/Sanctions, and Annual Compliance Training.
  • Oversees the annual Conflict of Interest (COI) attestation process, including coordination of survey dissemination, stakeholder engagement, response tracking, and follow-up activities to ensure complete, timely participation and effective identification and mitigation of potential conflicts across the organization.
  • Translate raw data into a consistent, board-ready narrative; standardize cadence, format, and definitions so leaders see the same metric the same way every reporting cycle.
  • Owns and administers the organization’s Governance, Risk, and Compliance (GRC) platform, including oversight of system configuration.

Benefits

  • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
  • Career Development: Access leadership pathways, mentorship, and personalized professional development.
  • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
  • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
  • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
  • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
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