RCM Compliance Program Director

ModMed•Boca Raton, FL

21h•Hybrid

About The Position

At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care. When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work 2025 Globee Business Awards: Gold Globee for “Technology Team of the Year” 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties Florida Venture Forum: Venture-Backed Company of the Year We are growing fast, thinking big, and we are just getting started. Ready to modernize medicine with us? Job Description Summary: ModMed is seeking an RCM Compliance Project Director as a senior individual contributor responsible for designing, executing, and continuously enhancing the Revenue Cycle Management (RCM) compliance program. This role serves as the internal owner of the RCM compliance program, ensuring it is audit-ready for internal review, aligned with Audit leadership, and in compliance with Legal and regulatory expectations. This role will proactively assess the evolving regulatory landscape, define the organization’s compliance risk posture, and translate regulatory requirements into clear, actionable RCM compliance standards, monitoring protocols, and response guidelines. The role requires deepregulatory expertise, strong executive communication skills, and the ability to engage confidently with both internal stakeholders and external customers.

Requirements

Bachelor’s degree; Masters degree strongly preferred
10+ years of experience in Revenue Cycle Management, healthcare compliance, coding, billing, or reimbursement-related roles.
Deep understanding of the RCM regulatory environment, including coding, billing, payer rules, and compliance risk management.
Proven experience designing, implementing, and executing compliance programs in a healthcare or healthcare technology environment.
Strong ability to translate complex regulatory requirements into practical, executable business guidelines.
Executive-level communication skills with the ability to engage confidently with senior leaders, Legal partners, auditors, and customers.
Experience supporting or partnering with audit functions.
Background in healthcare SaaS, RCM services, or scaled healthcare operations.
Prior experience in a director-level individual contributor or enterprise compliance leadership role.

Responsibilities

RCM Compliance Program Ownership: Own and operate the BOOST RCM Compliance Program, ensuring it is fully documented, auditable, and scalable. Establish and maintain compliance controls, monitoring activities, and escalation protocols across RCM workflows. Ensure audit readiness by partnering closely with internal audit to support reviews, testing, and remediation activities.
Regulatory Risk Assessment & Program Design: Continuously assess the RCM regulatory landscape (e.g., coding, billing, reimbursement, payer requirements, federal and state regulations) to identify compliance risks. Define the organization’s risk tolerance in partnership with executive leadership across RCM, Compliance and Legal. Translate regulatory requirements into a clear compliance framework, including: What the organization will monitor and scan for How violations or risks are identified Defined “then what” response guidelines, remediation steps, and corrective action plans
Legal & Cross-Functional Partnership: Partner closely with Legal, Compliance, RCM Operations, Product, and Customer Success to ensure alignment on compliance expectations and execution. Provide subject-matter expertise to support legal interpretation, policy development, and customer-facing compliance discussions. Act as a trusted advisor to senior leadership on compliance risks, tradeoffs, and mitigation strategies.
Program Execution & Continuous Improvement: Execute the compliance program end-to-end, including monitoring, reporting, issue resolution, and documentation. Enhance and evolve the program as the business, regulatory environment, and customer needs change. Develop metrics and reporting to track compliance trends, risk areas, and program effectiveness.
Customer & External Engagement: Serve as a compliance subject-matter expert in customer conversations, audits, or regulatory inquiries as needed. Clearly articulate regulatory requirements, compliance posture, and remediation approaches to external stakeholders.

Benefits

United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs
Company paid Life and Disability benefits
Flexible Spending Account, and Employee Assistance Programs
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
Hybrid office-based roles and remote availability for some roles
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.