Director, Healthcare Compliance & Audit Integrity

ChenMed; Miami (FL); On-site; USD 140,000 - 200,000; Full time

Job summary

ChenMed in Miami, FL is hiring a Director of Compliance & Integrity (Compliance Oversight and Audit) to design, implement, and scale ChenMed’s audit and monitoring program, focusing on RADV, MCMG, HIPAA privacy and security, and risk-based compliance. The role leads the Coding Audit team, collaborates with IT, Legal and Operations, and drives adoption of AI and analytics to improve accuracy and efficiency.

Candidates should have 7+ years in healthcare compliance/audit, a relevant advanced

Qualifications

• 7+ years in healthcare compliance or auditing roles.
• Experience with Medicare Advantage compliance and risk adjustment.
• Ability to work with legal counsel and maintain privilege is a plus.
• Strong leadership and team-building capabilities.
• Excellent communication for executive audiences.

Responsibilities

• Designs, implements, and maintains a structured audit and monitoring program aligned with CMS and regulations.
• Develops and executes a risk-based annual audit plan.
• Leads Coding Audit team and professional development.
• Collaborates with IT, Privacy, Operations to remediate PHI vulnerabilities.
• Reports findings to leadership and drives corrective action.
• Champions AI and data analytics integration in audit workflows.

Skills

Healthcare compliance

Auditing

Leadership

Communication skills

Data analytics

Microsoft Office

Travel flexibility

Strategic thinking

Regulatory knowledge

Education

Master's degree in business/healthcare

Alternate: Bachelor's + experience

Tools

AI-assisted audit tools

Data analytics platforms

GRC systems

Job description

ChenMed in Miami, FL is hiring a Director of Compliance & Integrity (Compliance Oversight and Audit) to design, implement, and scale ChenMed’s audit and monitoring program, focusing on RADV, MCMG, HIPAA privacy and security, and risk-based compliance. The role leads the Coding Audit team, collaborates with IT, Legal and Operations, and drives adoption of AI and analytics to improve accuracy and efficiency.

Candidates should have 7+ years in healthcare compliance/audit, a relevant advanced