Clinical Compliance Director

Clinical Compliance Director

Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs—supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

The Director of Clinical Compliance is a senior leadership role responsible for developing, implementing, and overseeing Vitra Health's comprehensive compliance strategy across all clinical programs and operations. Reporting directly to the Vice President of Quality and Compliance, the Director serves as the organization's subject matter expert on healthcare compliance and regulatory affairs while providing strategic leadership for compliance risk management, audit readiness, regulatory governance, and quality oversight.

This role leads the compliance team, partners closely with executive leadership, and influences organizational decision-making to ensure ongoing compliance with state and federal regulations while advancing a culture of ethical conduct, accountability, and continuous improvement.

The Director will oversee compliance activities across AFC, GAFC, ADH, and future program lines, ensuring sustainable compliance frameworks that support organizational growth and operational excellence.

Key Responsibilities

• Develop and execute the organization's enterprise-wide clinical compliance strategy aligned with organizational goals and regulatory requirements.
• Provide strategic leadership for compliance governance, risk management, and regulatory oversight across all service lines.
• Serve as the organization's primary compliance authority and advisor to executive leadership.
• Establish long-term compliance objectives, metrics, and performance indicators.
• Lead annual enterprise compliance risk assessments and develop corresponding mitigation strategies.
• Ensure organizational readiness for regulatory audits, accreditation reviews, and government investigations.
• Present compliance trends, risks, and performance updates to executive leadership and governing bodies.
• Evaluate emerging regulatory changes and proactively lead organizational implementation efforts.

Regulatory Compliance & Risk Management

• Oversee all compliance monitoring, auditing, investigation, and corrective action activities.
• Direct enterprise risk assessments relating to clinical operations, documentation, billing integrity, and service delivery.
• Lead organizational responses to regulatory findings, external audits, and compliance investigations.
• Establish systems for identifying, tracking, and mitigating compliance risks throughout the organization.
• Ensure compliance with CMS, Mass Health, HIPAA, OIG guidance, and other applicable federal and state regulations.
• Provide executive oversight of corrective and preventive action plans (CAPA) and ongoing monitoring activities.
• Ensure appropriate escalation and resolution of high-risk compliance matters.
• Partner with Legal, Operations, Clinical Services, and Human Resources on regulatory and compliance initiatives.

Leadership & Team Development

• Lead, mentor, and develop a high-performing compliance team, including managers, auditors, compliance specialists, and clinical reviewers.
• Establish departmental goals, succession planning initiatives, and workforce development strategies.
• Foster a culture of accountability, continuous improvement, ethical conduct, and operational excellence.
• Guide leaders across departments in implementing compliance-related initiatives.
• Build organizational compliance capabilities through coaching, education, and leadership development.
• Develop department budgets and ensure effective allocation of compliance resources.

Enterprise Audit & Quality Oversight

• Provide executive oversight of internal audit programs, clinical documentation reviews, and quality monitoring activities.
• Ensure data-driven evaluation of compliance performance and organizational risk trends.
• Direct development and maintenance of compliance dashboards, scorecards, and executive…