Healthcare Compliance Director & Audit Excellence

Essen Health Care; New York (NY); Vor Ort; USD 130.000 - 170.000; Vollzeit

Zusammenfassung

Essen Health Care, the largest privately held multispecialty medical group in New York, seeks a Director of Compliance to lead the development, implementation, and enforcement of Essen's Compliance Program.

You will partner with clinical and operational leadership to strengthen regulatory compliance, drive audit readiness, and foster a culture of ethics and accountability across 50+ locations.

Qualifikationen

• Minimum 7–10 years of progressive experience in healthcare compliance within a hospital, physician group, managed care organization, health plan, or payer environment.
• 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.
• Strong analytical, communication, project management, and leadership skills.
• Proficiency with EHR systems and Microsoft Office Suite.

Aufgaben

• 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.
• Monitors changes in federal and state healthcare regulations and communicate impacts and recommended actions to operational teams.
• Coordinates corrective action plans resulting from audits, investigations, monitoring activities, or regulatory reviews, and monitor remediation efforts through completion.
• Prepares reports, dashboards, and executive summaries that communicate compliance program performance, risk trends, key metrics, and organizational priorities to executive leadership and compliance committees.

Kenntnisse

Healthcare compliance

Regulatory knowledge

Audit readiness

Leadership

Data analysis

Communication

Ausbildung

Bachelor's degree in Health Information Management, Healthcare Administration, Public Health, Healthcare Law, Nursing, or related field

Tools

EHR systems

Microsoft Office Suite

Jobbeschreibung

Essen Health Care, the largest privately held multispecialty medical group in New York, seeks a Director of Compliance to lead the development, implementation, and enforcement of Essen's Compliance Program.

You will partner with clinical and operational leadership to strengthen regulatory compliance, drive audit readiness, and foster a culture of ethics and accountability across 50+ locations.