Director of Compliance

Job Details:

Job Location:

USOSM HQ MAIN COMPANY - Irving, TX 75062, Position Type: FT1, Salary Range: $ - $ Salary, The Opportunity

We're looking for a Director of Compliance to lead and mature our enterprise compliance program across a complex, fast-growing, multi-state footprint. This person will own the day-to-day operation of the compliance program and serve as a trusted advisor to executive leadership, operations, revenue cycle, and affiliated clinicians. The ideal candidate combines deep knowledge of healthcare regulation with practical judgment. They know when to elevate and when to solve, and they can operate a program that protects the organization without slowing it down.

This is a high-visibility role with direct access to senior leadership and the Board's compliance committee, and a real opportunity to shape the program's next stage of growth.

• Implement, and continuously improve an enterprise compliance program aligned with the OIG's General Compliance Program Guidance and the seven elements of an effective compliance program.
• Develop and maintain the annual compliance work plan and risk assessment, prioritizing auditing and monitoring based on regulatory, payer, and operational risk.
• Prepare and present regular compliance reports to the Compliance Committee.
• Draft, update, and roll out compliance policies and procedures across all affiliated practices and the support center.

• Oversee audits of dental (CDT) and medical (CPT/ICD-10) coding, documentation, and billing practices.
• Assist with responses to payer audits, records requests, and inquiries from commercial payers, Medicaid, and Medicaid managed care organizations.
• Oversee over payment identification, quantification, and timely refund processes.
• Partner with Revenue Cycle on corrective action plans, education, and follow-up audits.

• Advise on federal and state fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, the False Claims Act, and state self-referral and fee-splitting laws.
• Work with Legal to keep the DSO model compliant with corporate practice of dentistry and medicine restrictions, protecting clinical independence and appropriate separation of clinical and non-clinical functions.
• Monitor regulatory developments across all operating states and translate changes into actionable guidance for operations.
• Review marketing arrangements, patient financing programs, and promotional activities for regulatory risk.

• Oversee the HIPAA Privacy program (directly or alongside the Privacy Officer), including policies, breach risk assessments, notifications, business associate agreements, and patient rights requests.
• Partner with IT and Information Security on HIPAA Security Rule risk analyses and remediation.
• Ensure compliance with applicable state privacy, breach notification, and consumer protection laws.

• Maintain oversight of state dental board requirements, including provider licensure, anesthesia and sedation permits, facility permits, and scope-of-practice rules for dental auxiliaries.
• Coordinate compliance with OSHA, infection control standards, radiation safety and equipment registration, and DEA controlled substance requirements.
• Oversee monthly exclusion and sanction screening (OIG LEIE, SAM, and state Medicaid exclusion lists) for employees, providers, and vendors.

• Manage the compliance hotline and lead or oversee investigations of reported concerns, documenting findings and corrective actions.
• Coordinate with Legal on privileged investigations, government inquiries, and potential…