Provider and Practitioner Compliance Director

Lumeris; United States; Remote; USD 153,000 - 211,000; Full time

Job summary

A healthcare technology organization is seeking a Director of Provider and Practitioner Compliance to lead compliance strategies and ensure operational integrity. Your expertise in healthcare regulations and ability to collaborate with multidisciplinary teams are crucial for success in this remote, full-time role. This position offers a competitive salary range of $153,800.00 to $210,650.00 along with robust benefits, including health plans, paid time off, and a 401k match.

Benefits

Medical, Vision and Dental Plans

401k with company match

Paid Time Off and Sick Time

Learning and Development Opportunities

Qualifications

• 7+ years in healthcare and compliance.
• Experience with Medicare, False Claims Act, HIPAA.
• Ability to communicate complex regulations.

Responsibilities

• Shape compliance programs for care models.
• Guide stakeholders through regulatory landscapes.
• Develop training programs for teams on compliance.

Skills

Healthcare compliance knowledge

Regulatory analysis

Strategic collaboration

Analytical thinking

Leadership

Education

Bachelor’s in business, law or health administration

Advanced degree (JD, MBA, MHA)

Job description

Overview

Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. We are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position

Position: Provider and Practitioner Compliance Director

Position Summary

Are you a strategic compliance leader who thrives at the intersection of healthcare innovation and regulatory excellence? Join Lumeris—a trailblazer in value-based care and technology solutions—as we revolutionize the way providers and payers deliver world-class care.

Job Description:

The Opportunity

As our next Director of Provider and Practitioner Compliance, you will be a critical advisor and compliance champion to Lumeris and our provider and payer clients nationwide. You\'ll steer complex organizations through ever-evolving regulatory landscapes, shape new business strategies, and ensure operational integrity as we push the boundaries of what’s possible in value-based healthcare.

What You’ll Do

• Shape the Compliance Future: Architect, implement, and evolve compliance programs across innovative care models and provider relationships.
• Be the Regulatory Authority: Act as the expert for all things provider compliance—guiding stakeholders through gray areas, interpreting regulations, translating dense rules into practical direction, and driving consensus across clinical, legal, and operational teams.
• Lead and Influence: Work shoulder-to-shoulder with senior leaders and clients as a trusted strategic advisor, bringing actionable insights and regulatory clarity to new partnerships, programs, and high-impact initiatives.
• Educate and Empower: Develop engaging training programs and resources that equip teams and partners at every level with the knowledge to navigate compliance and champion a culture of integrity.
• Drive Continuous Improvement: Proactively scan the regulatory horizon for emerging risks, keeping us a step ahead on evolving requirements, and embed robust processes to sustain excellence and transparency.
• Be a Culture Carrier: Forge an organization-wide appreciation for compliance and ethical practice; you’ll be a visible leader who models honesty, transparency, and a continuous-improvement mindset.

Who You Are

• A Proven Expert: You bring 7+ years in healthcare and compliance, with deep, current knowledge of provider regulations—Medicare, False Claims Act, Anti-Kickback, Stark Law, HIPAA, licensure and credentialing, billing and coding, patient safety and risk management, and beyond.
• A Strategic Collaborator: You’ve partnered with physicians, health systems, ACOs, and cross-functional teams, uniting people behind compliance strategies that unlock business value and reduce risk.
• A Solutions-Driven Thinker: Your analytical skills are sharp, your judgment is trusted, and you know how to communicate complex regulations in ways that spark understanding and practical action.
• An Entrepreneurial Leader: You thrive in dynamic, fast-paced environments where building new processes, educating teams, and setting the compliance agenda are second nature.
• Credentialed: Bachelor’s in business, law or health administration required; advanced degree (JD, MBA, MHA) and professional certifications (CHC or similar) strongly preferred.

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Location/Time

Location: Remote, USA

Time Type: Full time

Member Facing Position: No- Not Member or Patient Facing Position

Disclaimer:

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Pay Transparency

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is: $153,800.00-$210,650.00

Benefits

• Medical, Vision and Dental Plans
• Tax-Advantage Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
• Employee Assistance Program
• 401k with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities
• And much more...

Be part of a team that is changing healthcare!

Location Remote, USA

Balance

Time Type Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

EEO: Lumeris is an EEO/AA employer M/F/V/D.