We are seeking an experienced and strategic Director of Compliance to lead and oversee our compliance program for a growing oncology and hematology physician practice with more than 20 clinic locations throughout Southern California.
This individual will be responsible for developing, implementing, and monitoring compliance initiatives to ensure adherence to applicable federal and California laws, healthcare regulations, payer requirements, and organizational policies. The Director of Compliance will partner with executive leadership, physicians, clinical teams, and operational leaders to promote a culture of accountability, integrity, and ethical conduct throughout the organization.
The ideal candidate has a strong background in healthcare compliance, preferably within a multi-site physician practice, oncology, hematology, or another highly regulated healthcare environment.
Key Responsibilities
Compliance Program Leadership
- Develop, implement, and maintain the organization's compliance program, policies, and procedures.
- Monitor compliance with applicable federal and California healthcare laws, regulations, and industry standards.
- Conduct periodic compliance assessments, internal audits, and risk evaluations across multiple clinic locations.
- Identify compliance gaps and develop corrective action plans to mitigate organizational risk.
- Provide regular updates and recommendations to executive leadership regarding compliance risks and program effectiveness.
Regulatory Compliance & Risk Management
- Oversee compliance with applicable healthcare regulations, including HIPAA, patient privacy and confidentiality, fraud and abuse laws, and relevant Medicare and Medi-Cal requirements.
- Support compliance with applicable billing, coding, documentation, and reimbursement requirements.
- Monitor regulatory changes and communicate their operational impact to leadership and affected departments.
- Coordinate responses to regulatory inquiries, audits, investigations, and requests for documentation.
- Maintain appropriate compliance records, audit documentation, and reporting procedures.
Auditing, Investigations & Corrective Action
- Develop and oversee internal auditing and monitoring processes to identify potential compliance concerns.
- Lead or coordinate investigations involving potential policy violations, regulatory concerns, conflicts of interest, or other compliance-related matters.
- Document findings and recommend appropriate corrective and preventive actions.
- Monitor remediation efforts to ensure timely resolution and sustained compliance.
- Promote appropriate reporting and escalation procedures, including non-retaliation and protection for individuals who raise concerns in good faith.
Education, Training & Organizational Partnership
- Develop and deliver compliance training for physicians, clinical staff, administrative employees, and management.
- Partner with Human Resources, Finance, Revenue Cycle, Clinical Operations, and executive leadership on compliance matters.
- Provide guidance to clinic leaders regarding compliance expectations, documentation standards, and operational practices.
- Foster a culture of ethical decision-making, accountability, and continuous improvement across all locations.
- Establish consistent compliance standards and support their implementation throughout the organization.
Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field required.
- Master's degree or relevant advanced education preferred.
- Minimum of 7 years of progressive experience in healthcare compliance, regulatory affairs, auditing, or risk management.
- Previous leadership experience overseeing compliance programs within a multi-site healthcare organization or physician practice.
- Strong knowledge of HIPAA, healthcare fraud and abuse laws, Medicare and Medi-Cal requirements, and applicable California healthcare regulations.
- Experience with healthcare compliance audits, investigations, risk assessments, and corrective action plans.
- Ability to interpret regulatory requirements and translate them into practical policies, procedures, and operational guidance.
- Strong analytical, organizational, communication, and leadership skills.
- Ability to collaborate effectively with physicians, executive leadership, and cross-functional teams.
- Ability to travel to clinic locations throughout Southern California as needed.
Preferred Qualifications
- Experience in oncology, hematology, infusion services, or a specialty physician practice.
- Certified in Healthcare Compliance (CHC) or another relevant compliance certification.
- Experience supporting multi-location physician practices, healthcare organizations, or physician groups undergoing organizational growth or integration.
- Familiarity with healthcare billing and coding audits, payer audits, and regulatory reporting requirements.
Salary Range: $130,000–$165,000 annually, depending on qualifications and experience.
Benefits may include medical, dental, and vision insurance, paid time off, retirement benefits, and other programs offered by the organization.
Why Join Us?
This is an opportunity to make a meaningful impact within a growing oncology and hematology practice dedicated to providing high‑quality patient care. The Director of Compliance will play a key role in strengthening regulatory oversight, supporting our physicians and clinic teams, and ensuring consistent compliance practices across our Southern California locations.