Director, System Compliance

Alameda Health System

Oakland (CA)

On-site

USD 109,000 - 182,000

Full time

5 days ago
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Job summary

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

Qualifications

  • 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.

Responsibilities

  • 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.

Skills

Healthcare compliance
Auditing & monitoring
Regulatory knowledge
Leadership
Strategic planning

Education

Bachelor's Degree in Business Administration or Healthcare related field
Master's Degree (preferred)

Job description

Director, System Compliance
  • Oakland, CA

  • Legal and Compliance

  • SYS Compliance

  • Full Time - Day

  • Management

  • $79.29 - $132.15/ per hour

  • Req #:44516-33097

  • FTE:1

  • Posted:October 15, 2026

Summary

Director, System Compliance is responsible for supporting the Vice President, Compliance and/or the Chief Compliance Officer in the strategic planning, implementation, oversight, and continuous improvement of the Alameda Health System (AHS) Corporate Compliance Program. This role provides leadership for enterprise-wide compliance initiatives, regulatory risk management, auditing and monitoring activities, investigations, education, and compliance operations. The Director serves as a trusted advisor to executive leadership and operational departments on healthcare regulatory requirements and organizational compliance strategies while promoting a culture of ethics, integrity, and accountability throughout the organization.

DUTIES & ESSENTIAL JOB FUNCTIONS

NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

  1. Provides strategic leadership for the implementation, administration, and continuous improvement of the AHS Corporate Compliance Program consistent with federal and state regulatory requirements and industry best practices.

  2. Oversees the development, implementation, and maintenance of compliance-related policies, procedures, and standards that support organizational compliance objectives and regulatory obligations.

  3. Ensure effective processes are maintained to prevent the employment or contracting of individuals and entities excluded from participation in federal healthcare programs, including oversight of exclusion screening and vendor compliance activities.

  4. Directs the development and administration of enterprise-wide compliance education and training programs to ensure workforce, medical staff, contractors, and vendors understand the Code of Conduct, compliance expectations, and applicable regulatory requirements.

  5. Oversee confidential reporting mechanisms, including the compliance hotline and other reporting channels, ensuring concerns are promptly evaluated, investigated, and addressed while protecting individuals from retaliation.

  6. Develops and implements communication strategies that promote awareness of the Corporate Compliance Program, Code of Conduct, ethical standards, and applicable healthcare laws and regulations across the organization.

  7. Partners with the Vice President, Compliance and Internal Audit to develop and execute risk-based auditing and monitoring activities that evaluate compliance with applicable laws, regulations, payer requirements, and organizational policies.

  8. Oversees compliance investigations and collaborate with operational leadership to ensure timely implementation, monitoring, and validation of corrective action plans designed to mitigate compliance risk and prevent recurrence.

  9. Collaborates with executive leadership and operational departments to identify emerging compliance risks and develop policies, procedures, and internal controls that strengthen organizational compliance.

  10. Coordinates targeted education and corrective training initiatives based on audit findings, investigations, regulatory changes, compliance trends, and identified organizational risks.

  11. Serves as a subject matter expert on healthcare regulatory requirements, including Medicare and Medicaid program requirements, fraud and abuse laws, documentation standards, billing and coding compliance, clinical quality, patient safety, privacy, and related regulatory obligations.

  12. Partners with the Vice President, Compliance and Internal Audit and the Office of General Counsel in responding to government audits, investigations, regulatory inquiries, and external reviews conducted by federal, state, and accrediting agencies.

  13. Maintains effective collaboration with the Office of General Counsel to ensure coordinated responses to regulatory compliance issues, investigations, disclosures, and legal matters impacting the organization.

  14. Collaborates with Human Resources and other business partners to establish and maintain compliance-related processes involving workforce screening, disciplinary actions, conflict of interest, Code of Conduct enforcement, and other compliance program requirements.

  15. Assists the Vice President, Compliance and Internal Audit in evaluating and maintaining an effective compliance program consistent with guidance issued by the U.S. Department of Justice, the Office of Inspector General, the Federal Sentencing Guidelines, and other applicable regulatory authorities.

  16. Provides strategic consultation, operational support, and executive-level assistance to the Vice President, Compliance and Internal Audit on departmental priorities, organizational initiatives, and special projects.

  17. Provides guidance and operational support to the System Privacy Officer regarding privacy, confidentiality, and information governance initiatives, as appropriate.

  18. Represents the Compliance Department on executive committees, multidisciplinary workgroups, and organizational governance committees, serving as a trusted advisor on compliance and regulatory matters.

  19. Develops, monitors, and reports compliance metrics, dashboards, and analytics that measure program effectiveness, identify trends, and support executive and Board reporting.

  20. Leads strategic compliance initiatives and continuous process improvement efforts that enhance operational effectiveness, strengthen internal controls, reduce organizational risk, and advance the organization's culture of integrity and ethical conduct.

  21. Perform other related duties as assigned.

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Required Education: Bachelor's Degree, Business Administration or Healthcare related field.

Preferred Education: Master’s Degree in a related field.

Required Experience: Ten year’s experience in a health care organization with direct experience in health care compliance and audit procedures.

Required Licensure/Certification: Certified in Healthcare Compliance (CHC)

Preferred Licenses/Certifications: Certified Healthcare Research Compliance (CHRC)

Preferred Licenses/Certifications: Certified Professional Coder (CPC or CCS-P)

Preferred Licenses/Certifications: Certified in Healthcare Privacy Compliance (CHPC)

Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

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