VP Chief Compliance Officer

Spire Orthopedic Partners•Stamford, CT

35d•$200,500 - $300,800•Onsite

About The Position

The Vice President, Compliance is the senior executive responsible for the independent leadership, administration, and continuous improvement of Spire Orthopedic Partners’ enterprise Compliance and Privacy Program. The organization includes a multi-state, multi-practice healthcare Management Services Organization, outpatient orthopedic specialty practices, ancillary services, and Ambulatory Surgery Centers. The role establishes a risk-based framework to prevent, detect, investigate, and remediate conduct inconsistent with laws, regulations, contractual requirements, organizational policies, or ethical standards. The Vice President reports directly to the Chief Executive Officer and has direct, unrestricted access to the appropriate governing body or committee for significant compliance matters. The role works closely with clinical, operational, revenue cycle, finance, legal, human resources, information technology, security, and physician leadership while maintaining the authority, visibility, resources, and independence needed for an effective compliance function. The position is based in Stamford, Connecticut, is full-time, and requires some travel between company locations.

Requirements

Bachelor’s degree in healthcare administration, business, law, finance, nursing, health information management, public health, or a related field.
At least 10 years of progressively responsible healthcare compliance, privacy, regulatory, legal, audit, or related experience, including substantial leadership responsibility in a complex, multi-site organization.
Demonstrated success leading and evaluating an enterprise compliance and privacy program, with direct interaction with a CEO, executive leadership, physician leaders, and governing bodies.
Deep knowledge of healthcare fraud and abuse, including the False Claims Act, Anti-Kickback Statute, Stark Law, billing and coding requirements, overpayment obligations, HIPAA/HITECH, exclusion requirements, and applicable federal and state privacy and regulatory frameworks.
Ability to exercise independence, discretion, sound judgment, and executive presence while constructively challenging decisions and influencing leaders across decentralized operations.
Demonstrated capability in enterprise risk assessment, investigations, auditing and monitoring, data analytics, policy governance, training, third-party oversight, and corrective-action validation.
Exceptional analytical, problem-solving, and decision-making skills, including the ability to translate complex regulatory requirements into practical, scalable business guidance.
Excellent written, verbal, and presentation skills, including communicating sensitive matters clearly to governing bodies, executives, clinicians, employees, regulators, and external partners.
High integrity and strong relationship-building skills, with commitment to confidentiality, accountability, non-retaliation, and an ethical speak-up culture.
Strong organizational, change-management, and team-development capabilities in a fast-paced, growth-oriented environment.
Ability to travel to supported practices and facilities as needed.
Proficiency with Microsoft Office and compliance case-management, auditing, reporting, visualization, and data-analysis tools.

Nice To Haves

JD, MHA, MPH, MBA, or another relevant advanced degree.
Experience with physician enterprises, outpatient specialty care, revenue cycle operations, ancillary services, Ambulatory Surgery Centers, multi-state operations, and growth through acquisitions or affiliations.
Working knowledge of ASC regulatory and accreditation expectations, survey readiness, corrective-action management, and compliance implications of clinical quality and patient-safety requirements.
Healthcare compliance certification such as CHC, CHPC, or CHC-F; ability to obtain an appropriate certification within an established timeframe may be considered.

Responsibilities

Set the enterprise compliance and privacy strategy and lead the design, implementation, evaluation, and continuous improvement of the Compliance Program across all entities, supported practices, ancillary services, and Ambulatory Surgery Centers.
Advise the CEO, Executive Leadership Team, physician leaders, and appropriate governing body or committee; report on priority risks, investigations, audit results, corrective actions, emerging requirements, and program effectiveness.
Chair or lead the enterprise compliance committee and establish accountability, escalation, documentation, and decision-making processes across operating entities, markets, practices, and facilities.
Lead enterprise compliance risk assessments and annual work planning, maintaining a prioritized risk register and mitigation plans.
Oversee risk-based monitoring, auditing, data analysis, and control testing in areas including medical necessity, documentation, coding, charge capture, claims, denials, refunds, physician compensation and referral arrangements, conflicts of interest, exclusion screening, credentialing, and licensure.
Provide compliance guidance for the MSO model and management services arrangements, including appropriate separation of administrative and clinical decision-making and consistent controls across affiliated professional entities.
Direct the privacy program, including HIPAA and state privacy requirements, privacy and security risk assessments, business associate oversight, incident and breach response, patient notification, mitigation, and coordination with IT and Information Security.
Maintain confidential reporting channels and lead intake, triage, investigation, escalation, documentation, and resolution of compliance, privacy, fraud, waste, abuse, or ethical concerns; promote good-faith reporting and enforce non-retaliation protections.
Ensure substantiated matters receive root-cause analysis, corrective and preventive action, disciplinary coordination when appropriate, repayment or disclosure assessment, sustainability monitoring, and documented closure.
Develop, approve, and maintain the Code of Conduct and enterprise compliance and privacy policies, standards, procedures, and controls, including governance, version control, communication, and jurisdiction-specific implementation.
Oversee role-based education for governing bodies, executives, clinicians, leaders, employees, and contractors, including onboarding and annual training; measure completion, comprehension, and program impact.
Establish third-party compliance oversight, including risk-based due diligence, exclusion and sanction screening, business associate requirements, contractual compliance obligations, monitoring, and escalation.
Partner with General Counsel and subject matter experts on regulatory interpretation, significant investigations, government disclosures, contracting, and remediation while preserving compliance-function independence.
Serve as primary compliance liaison to federal and state regulators, accreditation organizations, payors, and other external stakeholders; oversee responses to inquiries, audits, surveys, investigations, and site visits.
Monitor applicable laws, regulations, enforcement priorities, payor requirements, and industry standards, translating changes into practical controls, policies, training, and operational guidance.
Develop dashboards and key compliance indicators covering risks, hotline activity, investigations, audit findings, training, exclusions, corrective actions, and recurring trends; use results to demonstrate effectiveness and drive improvement.