Director, Compliance Operations & Optimization

C002 Medical University Hospital Authority (MUHA); Town of Charleston (NY); On-site; USD 130,000 - 195,000; Full time

Job summary

Medical University Hospital Authority (MUHA) is seeking a Director of Compliance and Privacy to ensure adherence to federal, state, accreditation, and CMS requirements. You will lead a team across clinical, operational, and administrative areas to promote integrity, readiness, and continuous improvement.

The role focuses on strategic oversight of regulatory risk, development of education programs, and coordination of audits, investigations, and corrective actions, with emphasis on data integrity

Qualifications

• Bachelor’s degree in a healthcare compliance-related field and at least 10 years of relevant experience.
• Or a master’s degree in a healthcare compliance-related field plus 7 years of relevant experience.
• Experience interpreting and operationalizing regulatory requirements related to Provider-Based Regulations, Stark and Anti-kickback Statutes, CMS Conditions of Participation, and related standards.
• CMS First-Tier Downstream and Related Entity Obligations, 340b Drug Pricing Program Provisions, Cost Reporting Compliance, Durable Medical Equipment Requirements, Research Compliance, and Telehealth Regulations.
• Strong leadership, consultative and analytical skills are required.
• Proficient in modern technology platforms and emerging AI capabilities.

Responsibilities

• Ensure communication channels operate effectively to support remediation of compliance concerns from internal reports, the hotline, and exit interviews.
• Conduct targeted research across statutes, rules, and guidance documents to develop compliant, evidence-based advice.
• Monitor, analyze, and interpret regulatory requirements and industry guidance to assess organizational risk and impact.
• Direct the Facility Compliance Liaison Program and expand participation to strengthen local ownership.
• Manage go-live readiness and ongoing compliance for provider-based entities, identifying vulnerabilities and implementing corrective action plans.
• Lead the implementation, administration, and optimization of the compliance performance management system and enterprise case management repository, ensuring data integrity and reporting accuracy.
• Maintain current and aligned written compliance standards including policies, the Code of Conduct, the Compliance Plan, and Annual Report.
• Oversee compliance education program design and governance, including new-hire orientation and annual training modules.
• Assure CMS FDR requirements compliance by monitoring delegated entities and coordinating audits.
• Coordinate with regulatory agencies for external audits, investigations, and self-reporting obligations and drive corrective actions.
• Represent the compliance department on councils, committees, and workgroups to integrate compliance into decision-making.

Skills

Leadership

Analytical skills

Communication skills

Project management

Education

Bachelor's degree in healthcare compliance-related field

Master's degree in healthcare compliance-related field

Job description

Medical University Hospital Authority (MUHA) is seeking a Director of Compliance and Privacy to ensure adherence to federal, state, accreditation, and CMS requirements. You will lead a team across clinical, operational, and administrative areas to promote integrity, readiness, and continuous improvement.

The role focuses on strategic oversight of regulatory risk, development of education programs, and coordination of audits, investigations, and corrective actions, with emphasis on data integrity