Director, Compliance

Summary
The Director develops and oversees execution of annual compliance work plans, assesses the effectiveness of internal controls and compliance processes, oversees compliance monitoring activities, and provides timely reporting of significant risks, corrective action plans, and emerging regulatory issues to executive leadership and the Board of Directors Compliance Oversight Committee. The role serves as a strategic advisor to leadership.

The Director, Compliance provides independent, objective leadership and oversight of the health system's compliance function. This role is responsible for developing, implementing, and maintaining a comprehensive compliance program designed to evaluate and strengthen governance, risk management, regulatory compliance, internal controls, operational effectiveness, financial stewardship, and organizational integrity.

The Director collaborates closely with Legal, Finance, Revenue Cycle, Human Resources, Information Security, Privacy, Clinical Operations, and other business leaders to identify, assess, monitor, and mitigate operational, financial, regulatory, privacy, cybersecurity, and enterprise risks.

Reports administratively to the President/CEO and maintains direct reporting access to the Chair of the Board Compliance Oversight Committee. This reporting relationship supports the independence and objectivity required for effective compliance oversight.

• Monitors trends, emerging risks, and industry developments impacting healthcare compliance.
• Supports the design, implementation, and continuous improvement of the health system's compliance program.
• Evaluates and monitors compliance program effectiveness across all areas of the organization.
• Oversees compliance auditing and monitoring activities related to federal and state healthcare regulations, payer requirements, organizational policies, and other applicable laws.
• Oversees follow-up reviews and/or compliance monitoring to ensure timely implementation and sustained effectiveness of corrective action plans.
• Works collaboratively with the Legal department and operational leaders to address and mitigate compliance risks.
• Facilitates compliance education, awareness, and communication initiatives that promote ethical business conduct and regulatory compliance.
• Supports the review, investigation, documentation, and resolution of compliance concerns and reported allegations of misconduct, as appropriate.
• Monitors emerging healthcare regulatory requirements and collaborated with leadership to assess organizational implications.
• Identified opportunities for process improvement and control performance.
• Serves as a trusted advisor to leadership on compliance practices.
• Serves as HIPAA Privacy Officer for CHKDHS with in-depth knowledge of HIPAA Privacy, Security, and Breach Notification standards and oversight of related investigations and activities.
• Promotes a culture of ethics, accountability, transparency, and continuous improvement throughout the organization.

• Provides routine and ad hoc reports to executive leadership and the Board Compliance Oversight Committee regarding compliance audits and compliance work plan execution, significant findings, compliance program performance, regulatory developments, corrective action status, and emerging risk trends.
• Escalates significant compliance concerns, control deficiencies, fraud risks, and other high-risk matters requiring immediate executive or Board attention.

• Collaborates with Information Security, Information Technology, Privacy, Legal, and business leaders to evaluate technology, cybersecurity, privacy, data governance, and system-access risks.
• Supports planning and actively participates in exercises that assess controls related to electronic health records, financial systems, data integrity, cybersecurity, third-party technology vendors, and digital operations.
• Supports enterprise initiatives involving emerging technologies and automation by evaluating associated compliance and control risks.

• Provides strategic leadership and direction for the Compliance and Internal Audit Department.
• Recruits, develops, coaches, mentors, and evaluates staff to achieve departmental and organizational goals.
• Establishes departmental objectives annual enterprise-wide compliance work plan, performance expectations, succession plans, and professional development initiatives.
• Fosters a culture of collaboration, accountability, innovation, integrity, service excellence, and continuous improvement.
• Manages departmental budgets, resources, and operational priorities to ensure effective utilization and achievement of strategic objectives.
• Leads, manages, coaches, and trains a team or department, provides guidance, support, and mentors to ensure optimal performance and productivity.
• Oversees the recruitment, hiring, team/department orientation, performance…