Director of Corporate Compliance & Privacy

Key Responsibilities: Provide strategic leadership and oversight of corporate compliance, privacy, vendor compliance, and behavioral health parity programs. Oversee compliance investigations, regulatory audits, risk assessments, and corrective action plans. Ensure adherence to federal and state healthcare regulations, including HIPAA, Medicare, Medicaid, and the Affordable Care Act. Lead fraud, waste, and abuse (FWA) compliance initiatives and collaborate with Special Investigations Units (SIU).Oversee vendor compliance, delegated entity monitoring, and regulatory reporting. Develop and enhance compliance policies, procedures, internal controls, and training programs. Identify compliance risks and implement process improvements to strengthen organizational effectiveness. Lead and mentor a team of compliance professionals while promoting a culture of accountability and ethical conduct.

Required Qualifications: ✔️ Bachelor's degree in Healthcare, Business, Public Administration, or a related field.✔️ 7+ years of healthcare compliance experience, preferably within a managed care organization or health insurance plan.✔️ Strong knowledge of Medicare, Medicaid, HIPAA, ACA, and federal/state healthcare regulations.✔️ Demonstrated expertise in FWA, privacy compliance, vendor/delegation oversight, and behavioral health parity.✔️ Experience managing regulatory audits, compliance investigations, and enterprise-wide compliance programs.✔️ Strong leadership experience with the ability to manage teams and collaborate with senior executives.✔️ Excellent analytical, communication, and organizational skills.

Preferred Qualifications: ⭐ Master's degree in Business Administration, Public Health, Public Administration, or a related field.⭐ Professional certifications such as CHC, CHPC, or CCEP.⭐ Experience within a health plan or large healthcare provider network.⭐ Experience developing, improving, or rebuilding compliance programs and processes. If you are an experienced healthcare compliance leader looking to make a meaningful impact, we encourage you to apply!