Director of Compliance & Risk Operations

Big Smiles; Phoenix (AZ); Hybrid; USD 140,000 - 195,000; Full time

Job summary

Smile America Partners seeks a Director of Compliance to lead the organization’s Compliance Program from the Phoenix, AZ office in a hybrid work model. The role translates the CCO’s strategy into day-to-day operations, including risk assessment, monitoring, investigations, corrective action, and policy administration.

This position partners with Clinical, Finance, HR, Legal, IT, and Operations to ensure risk-driven, well-documented activities.

Qualifications

• Bachelor’s degree in healthcare administration, business, legal studies, compliance, clinical discipline or related field; advanced degree preferred.
• Progressive experience in healthcare compliance, regulatory compliance, auditing, investigations, revenue cycle compliance, enterprise risk, corporate regulatory administration, or related field.
• Demonstrated knowledge of healthcare compliance program principles and applicable federal and state healthcare regulatory requirements.
• Experience managing compliance projects, investigations, audits, corrective actions, regulatory requirements, and cross-functional initiatives.
• Prior supervisory or leadership experience preferred.

Responsibilities

• Oversee day-to-day operation and administration of the organization’s Compliance Program.
• Coordinate implementation of the annual compliance work plan and track deliverables and corrective actions.
• Promote communication among Compliance, Clinical, Operations, Revenue Cycle, HR, Legal, Finance and IT.
• Maintain documentation showing compliance activities and effectiveness.
• Identify emerging compliance risks through regulatory developments, audits, investigations, and trends.
• Oversee compliance monitoring and auditing activities including clinical, coding, billing, documentation and operational reviews.
• Manage investigations involving suspected violations and coordinate corrective actions with stakeholders.
• Coordinate development, review and maintenance of compliance policies and training.

Skills

Healthcare compliance

Regulatory compliance

Auditing

Investigations

Policy development

Leadership

Communication

Education

Bachelor's degree in healthcare administration or related

Advanced degree preferred

Job description

Smile America Partners seeks a Director of Compliance to lead the organization’s Compliance Program from the Phoenix, AZ office in a hybrid work model. The role translates the CCO’s strategy into day-to-day operations, including risk assessment, monitoring, investigations, corrective action, and policy administration.

This position partners with Clinical, Finance, HR, Legal, IT, and Operations to ensure risk-driven, well-documented activities.