Senior Director of Compliance

Lifespark Careers•St. Louis Park, MN

6d•Onsite

About The Position

The Senior Director of Compliance provides strategic leadership, guidance, and oversight of the enterprise-wide compliance program across community-based services, home care, home health, hospice, senior living, and medical group operations. Reporting to the Chief Administrative Officer, this role advises executive leadership and key stakeholders and ensures compliance with federal and state healthcare regulations, licensure requirements, accreditation standards, and organizational policies. The role serves as the organization's designated Compliance Officer and HIPAA Privacy Officer. It develops and continuously improves the compliance program, leads risk assessment, audit, monitoring, investigation, training, and reporting activities, and oversees privacy, security, billing, licensing, and regulatory compliance. The position also leads survey and audit readiness, manages responses to regulatory reviews, and partners with teams across the organization to address compliance risks and support sustainable growth. The position requires a strong on-site presence. Candidates must reside in Minnesota and be willing to travel to the corporate office and company locations as needed. Work is primarily performed in a professional office environment, with periodic visits to healthcare and residential care settings.

Requirements

Bachelor's degree in healthcare administration, business, nursing, law, or a related field.
Minimum of 8–10 years of progressive compliance experience in community home care, medical group, home health, hospice, senior living, or another regulated post-acute or senior care setting.
At least 3 years in a compliance leadership role.
Working knowledge of CMS Conditions of Participation, OIG Compliance Program Guidance, HIPAA, the False Claims Act, Anti-Kickback Statute, Stark Law, and applicable state licensure regulations.
Demonstrated experience designing and administering compliance programs, conducting risk assessments, and leading internal audits or investigations.
Solid understanding of Medicare/Medicaid billing, coding, and documentation requirements as they relate to compliance risk.
Strong leadership presence and communication skills, including the ability to advise senior leaders, the Board, and regulators clearly and confidently.
Proven ability to manage sensitive investigations, corrective action plans, and regulatory reporting.
Valid driver's license and ability to travel periodically among company locations.
In-depth knowledge of federal and state healthcare regulations and OIG Compliance Program Guidance applicable to the organization's service lines.
Skills in policy development, training design, risk assessment, and audit methodologies.
Proficiency with compliance management systems, case/incident tracking tools, and Microsoft Office.
Strong analytical, investigative, and project management skills, including the ability to manage multiple priorities.
Sound judgment, discretion, and a high degree of personal and professional integrity.
Ability to build trust and collaborate across clinical, operational, legal, and executive teams.
Must reside in Minnesota and be willing to travel to the corporate office and various company locations.

Nice To Haves

Master's degree in a related field.
Healthcare Compliance Certification (CHC) or another relevant compliance credential.
Experience supporting multi-site healthcare or post-acute care organizations.
Experience working directly with executive leadership and governance committees.

Responsibilities

Design, implement, and continuously improve an organization-wide compliance program consistent with the OIG's Seven Elements of an Effective Compliance Program and tailored to the organization's lines of business.
Serve as the designated Compliance Officer and HIPAA Privacy Officer, overseeing compliance with privacy, security, and fraud, waste, and abuse requirements.
Develop and maintain policies, procedures, internal controls, training programs, and workflows that support regulatory compliance and ethical business practices.
Monitor federal, state, and local regulatory and legislative changes and translate them into organizational policies, procedures, and workflows.
Monitor compliance with CMS Conditions of Participation and applicable state licensure and regulatory requirements.
Lead enterprise risk assessments, audits, and monitoring across clinical, billing, admissions, and operational functions.
Own compliance hotline and internal reporting channels; oversee reported concerns, investigations, resolutions, corrective action plans, and follow-up monitoring.
Direct OIG/GSA exclusion screening, license and certification verification, and background screening in partnership with Human Resources.
Oversee compliance audits, assessments, investigations, corrective action planning, and regulatory reporting.
Maintain readiness for surveys, inspections, audits, and accreditation reviews; lead organizational responses to state surveys, CMS audits, and accreditation reviews.
Prepare and present compliance reporting, risk assessments, and program updates to executive leadership and the Board of Directors.
Develop and deliver compliance, ethics, and HIPAA training for staff, management, and the Board, and maintain training completion records.
Partner with Revenue Cycle and Clinical Operations leadership to monitor billing, coding, documentation integrity, and Medicare/Medicaid compliance.
Oversee self-disclosure protocols, overpayment identification, and voluntary refunds in coordination with legal counsel and finance.
Lead root-cause analysis for compliance incidents and near-misses and drive systemic corrective action.
Manage privacy and security incident response, including breach risk assessments and required regulatory notifications.
Partner with General Counsel on regulatory inquiries, investigations, subpoenas, and litigation holds involving compliance matters.
Build trusted relationships with organizational leaders, coach them on compliance expectations, and balance operational needs with organizational objectives.
Foster collaboration between compliance and operational teams and influence decisions through data, risk analysis, and regulatory insight.
Travel periodically among company locations, including senior living communities, and to regulatory meetings and industry conferences.