Director, Healthcare Compliance & Risk Oversight

Alameda Health System; Oakland (CA); Presencial; USD 109 000 - 182 000; Tempo integral

Resumo da oferta

Alameda Health System in Oakland, CA is seeking a Director, System Compliance to lead the enterprise-wide regulatory and ethics program and partner with VP Compliance and General Counsel. This role drives strategy, risk management, auditing, investigations, training, and communications to sustain a culture of integrity.

The director provides expert guidance on Medicare/Medicaid, privacy, billing compliance, and external reviews, ensuring timely corrective actions and governance alignment with

Qualificações

• Bachelor's Degree in Business Administration or Healthcare related field.
• Ten years’ experience in a health care organization with direct experience in health care compliance and audit procedures.
• Certified in Healthcare Compliance (CHC) required; CHRC, CPC/CCS-P, CHPC preferred.

Responsabilidades

• Provides strategic leadership for the implementation, administration, and continuous improvement of the AHS Corporate Compliance Program.
• Oversees development and maintenance of compliance-related policies, procedures, and standards.
• Directs enterprise-wide education and training on Code of Conduct and regulatory requirements.
• Oversees confidential reporting mechanisms including the compliance hotline and retaliation protections.
• Develops communication strategies to promote awareness of the Compliance Program and Code of Conduct.
• Partners with VP Compliance and Internal Audit to execute risk-based auditing and monitoring activities.
• Oversees investigations and ensures timely corrective action plans to mitigate risk.
• Collaborates with leadership to identify emerging compliance risks and strengthen internal controls.
• Coordinates targeted education and corrective training based on audit findings and regulatory changes.
• Serves as SME on healthcare regulatory requirements including Medicare/Medicaid, fraud and abuse, privacy, and billing compliance.
• Assists in responding to government audits and inquiries with GC alignment.
• Maintains collaboration with GC to address regulatory issues and legal matters.
• Coordinates workforce screening, disciplinary actions, and conflicts of interest in compliance programs.
• Provides executive support on departmental priorities and special projects.
• Supports System Privacy Officer on privacy and information governance initiatives.
• Represents Compliance on governance bodies and reports metrics to leadership and the Board.

Conhecimentos

Healthcare compliance

Auditing & monitoring

Regulatory knowledge

Leadership

Strategic planning

Formação académica

Bachelor's Degree in Business Administration or Healthcare related field

Master's Degree (preferred)

Descrição da oferta de emprego

Alameda Health System in Oakland, CA is seeking a Director, System Compliance to lead the enterprise-wide regulatory and ethics program and partner with VP Compliance and General Counsel. This role drives strategy, risk management, auditing, investigations, training, and communications to sustain a culture of integrity.

The director provides expert guidance on Medicare/Medicaid, privacy, billing compliance, and external reviews, ensuring timely corrective actions and governance alignment with