Head of Healthcare Compliance & Audit

Essen-Health-Care-67237d2d; New York (NY); On-site; USD 180,000 - 260,000; Full time

Job summary

Essen Health Care, the largest privately held multispecialty medical group in New York, seeks a Director of Compliance to lead, implement, and enforce key elements of the organization’s Compliance Program. You will promote adherence to CMS, NY Medicaid, HIPAA, and related regulations while partnering with clinical and operational leadership to strengthen risk management and foster an ethics-driven culture.

Reporting to the Chief Compliance Officer, you will oversee audits, education, governance,

Qualifications

• 7–10 years of progressive experience in healthcare compliance.
• Strong knowledge of CMS regulations, Medicare Advantage, New York State Medicaid, HIPAA, and other applicable healthcare regulations.
• Demonstrated experience supporting regulatory audits, compliance monitoring activities, corrective action planning, and organizational audit readiness.
• Proficiency with electronic health record (EHR) systems and Microsoft Office Suite.

Responsibilities

• Develops, implements, and coordinates with internal stakeholders, including others in Compliance, program-specific workplans reflecting current external and internal compliance risks within assigned area of responsibility.
• Facilitates internal and external compliance, regulatory, and payer audits by coordinating documentation, stakeholder engagement, audit responses, and follow-up activities.
• Coordinates organizational audit readiness efforts and assist departments in preparing for regulatory reviews, payer audits, and accreditation surveys.
• Identifies compliance trends, emerging risks, and opportunities for process improvement through monitoring, data analysis, and collaboration with operational teams.
• Partners with Compliance, Clinical Operations, Revenue Cycle Management, Provider Education, Information Technology, and other departments to support enterprise compliance initiatives.
• Develops and deliver compliance education to providers on regulatory requirements, documentation standards, and organizational policies.

Skills

Leadership

Analytical thinking

Communication

Project management

EHR proficiency

Microsoft Office

Education

Bachelor's degree in Health Information Management / Healthcare Administration / Public Health

Tools

EHR systems

Microsoft Office

Job description

Essen Health Care, the largest privately held multispecialty medical group in New York, seeks a Director of Compliance to lead, implement, and enforce key elements of the organization’s Compliance Program. You will promote adherence to CMS, NY Medicaid, HIPAA, and related regulations while partnering with clinical and operational leadership to strengthen risk management and foster an ethics-driven culture.

Reporting to the Chief Compliance Officer, you will oversee audits, education, governance,