Head of Compliance

Head Of Compliance

Candidates in some parts of the country will have opportunity for in-office/remote hybrid.

Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest opportunities to impact every woman's health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience.

We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.

The Head Of Compliance provides executive leadership for the compliance department and team including infrastructure, governance, systems, audit, investigation, monitoring, corrective action, and reporting functions that support an effective enterprise compliance program. This role is responsible for setting the strategic direction, operating model, and performance expectations for core compliance program activities, including policy governance, compliance data and analytics, education and training, monitoring, issue management, compliance audits, investigations, hotline management, regulatory inquiries, and corrective action programs.

The Head Of Compliance ensures compliance initiatives are scalable, consistently executed, clearly communicated, and integrated across the enterprise to support regulatory adherence, ethical conduct, organizational accountability, risk mitigation, and alignment with business objectives. This leader also ensures independent and objective evaluation of compliance risks while promoting a culture of accountability, integrity, collaboration, and operational excellence.

This position is the Compliance leader, working closely with Legal, Compliance colleagues, IT, Operations, RCM/Finance, Human Resources, clinical leadership, and business leaders to strengthen the compliance operating model, optimize systems and workflows, address compliance concerns, support clinicians and their independent practices, and embed compliance expectations into day-to-day business practices.

Responsibilities:

• Set the enterprise strategic direction, operating priorities, governance structure, and performance expectations for compliance operations, audits, investigations, monitoring, issue management, corrective action, education, reporting, and program administration to ensure alignment with regulatory requirements and organizational objectives.
• Develop and maintain the compliance program operating framework, including governance structures, operational standards, procedures, work plans, project portfolios, annual compliance initiatives, audit plans, investigation priorities, and executive reporting mechanisms.
• Lead enterprise policy governance, including development, approval, lifecycle management, periodic review, exception management, and ongoing maintenance of compliance policies, standards, procedures, and related program documentation.
• Oversee enterprise compliance audit and monitoring programs, including risk-based audit strategy, coding and documentation audit activities, internal control assessments, evaluation of program effectiveness, identification of control gaps, and development of improvement recommendations.
• Provide executive oversight of compliance investigations involving allegations of compliance-related misconduct, regulatory violations, fraud, conflicts of interest, retaliation, hotline concerns, and other compliance matters, ensuring investigations are timely, objective, confidential, well-documented, and professionally rigorous.
• Establish and maintain audit and investigation methodologies, protocols, documentation standards, quality assurance practices, case management expectations, hotline intake and triage processes, non-retaliation practices, and escalation protocols to promote consistency, defensibility, and enterprise accountability.
• Oversee compliance issue management and remediation processes, including issue identification, tracking, escalation, corrective action planning, validation, monitoring results, documentation, retention, and timely…