Director of Corporate Compliance & Privacy

HealthSearch Group; New York (NY); Sur place; USD 150 000 - 230 000; Plein temps

Résumé du poste

HealthSearch Group is seeking a Director of Corporate Compliance & Privacy to lead the organization’s compliance, privacy, and vendor oversight programs in the New York metropolitan area.

The role requires 7+ years in healthcare compliance, strong knowledge of Medicare/Medicaid/HIPAA/ACA, and proven leadership. You will manage investigations, audits, risk assessments, and training while reporting to the VP of Compliance.

Qualifications

• Bachelor's degree in healthcare, business, public administration, or related field.
• 7+ years of healthcare compliance experience, preferably in managed care.
• Strong knowledge of Medicare, Medicaid, HIPAA, ACA, and federal/state regulations.
• Expertise in FWA, privacy compliance, vendor oversight, and behavioral health parity.
• Experience managing regulatory audits and enterprise-wide programs.
• Strong leadership and ability to collaborate with senior executives.
• Excellent analytical, communication, and organizational skills.

Responsabilités

• Provide strategic leadership and oversight of corporate compliance, privacy, vendor compliance, and behavioral health parity programs.
• Oversee investigations, audits, risk assessments, and corrective action plans.
• Ensure adherence to HIPAA, Medicare, Medicaid, and ACA regulations.
• Lead FWA compliance initiatives and collaborate with SIU.
• Oversee vendor compliance, delegated entity monitoring, and regulatory reporting.
• Develop and enhance policies, procedures, and training programs.
• Identify compliance risks and implement process improvements.
• Lead and mentor team of compliance professionals.

Connaissances

Leadership

Regulatory knowledge

Privacy compliance

FWA compliance

Vendor oversight

Audit management

Policy development

Training programs

Team mentoring

Communication

Formation

Bachelor's degree

Master's degree

CHC

CHPC

CCEP

Description du poste

Director of Corporate Compliance & Privacy

We are seeking an experienced Director of Corporate Compliance & Privacy to join a leading healthcare organization serving the New York metropolitan area.

This leadership opportunity is ideal for a compliance professional with a strong background in managed care, healthcare regulations, fraud, waste and abuse (FWA), privacy, and vendor oversight.

The Director will report to the Vice President of Compliance and oversee the organization's Corporate Compliance, Privacy, Vendor Compliance, and Behavioral Health Parity Compliance programs.

Key Responsibilities

• Provide strategic leadership and oversight of corporate compliance, privacy, vendor compliance, and behavioral health parity programs.
• Oversee compliance investigations, regulatory audits, risk assessments, and corrective action plans.
• Ensure adherence to federal and state healthcare regulations, including HIPAA, Medicare, Medicaid, and the Affordable Care Act.
• Lead fraud, waste, and abuse (FWA) compliance initiatives and collaborate with Special Investigations Units (SIU).
• Oversee vendor compliance, delegated entity monitoring, and regulatory reporting.
• Develop and enhance compliance policies, procedures, internal controls, and training programs.
• Identify compliance risks and implement process improvements to strengthen organizational effectiveness.
• Lead and mentor a team of compliance professionals while promoting a culture of accountability and ethical conduct.

Required Qualifications

Bachelor's degree in Healthcare, Business, Public Administration, or a related field.

7+ years of healthcare compliance experience, preferably within a managed care organization or health insurance plan.

Strong knowledge of Medicare, Medicaid, HIPAA, ACA, and federal/state healthcare regulations.

Demonstrated expertise in FWA, privacy compliance, vendor/delegation oversight, and behavioral health parity.

Experience managing regulatory audits, compliance investigations, and enterprise-wide compliance programs.

Strong leadership experience with the ability to manage teams and collaborate with senior executives.

Excellent analytical, communication, and organizational skills.

Preferred Qualifications

Master's degree in Business Administration, Public Health, Public Administration, or a related field.

Professional certifications such as CHC, CHPC, or CCEP.

Experience within a health plan or large healthcare provider network.

Experience developing, improving, or rebuilding compliance programs and processes.

If you are an experienced healthcare compliance leader looking to make a meaningful impact, we encourage you to apply!