VP of Compliance

Full Spectrum Search Group; Austin (TX); On-site; USD 180,000 - 280,000; Full time

Job summary

Full Spectrum Search Group is seeking a Vice President of Compliance to lead clinical compliance across a national hospice footprint from its Austin-area base. The role reports to the CEO and oversees Medicare compliance, privacy, QAPI, and enterprise risk remediation while guiding survey readiness and accreditation preparedness.

Qualified candidates are experienced hospice RN compliance leaders with multi-market oversight, a track record of translating regulations into durable operations, and

Qualifications

• RN licensure required.
• Significant hospice compliance leadership experience.
• Deep clinical and regulatory knowledge of hospice operations and Medicare requirements.
• Experience leading compliance for a hospice census of 400–500 patients+.
• Strong knowledge of QAPI, HIPAA, privacy, and risk mitigation.
• Experience supporting compliance across multiple hospice locations or markets.
• ACHC accreditation experience strongly preferred; CHAP readiness a plus.
• Regional or national hospice compliance leadership preferred.
• Operations turnaround or fixer experience valued.
• Ability to collaborate across US timezones; Midwest location preferred.

Responsibilities

• Lead hospice compliance function across multiple markets and expand East Coast support.
• Identify, assess, prioritize, and remediate clinical, regulatory, Medicare, privacy, and operational risks.
• Partner with CEO, operations leaders, clinical staff, attorneys, and outside resources.
• Establish stronger compliance visibility, reporting and go-forward processes.
• Lead survey readiness efforts, mock surveys, and deficiency remediation.
• Oversee Medicare requirements, ADRs, recoupment risk, and HIPAA/privacy.
• Maintain ACHC accreditation readiness and CHAP readiness consideration.
• Evaluate team structure and resources; clarify responsibilities.
• Coach leaders on compliant hospice operations and risk mitigation.
• Translate audits and regulatory changes into prioritized action plans.

Skills

RN licensure

Hospice compliance leadership

Regulatory knowledge

Multi-site leadership

QAPI

HIPAA privacy

Risk assessment

Accreditation experience

Survey readiness

Cross-timezone collaboration

Job description

Vice President of Compliance

Hospice | Nationwide (Midwest Preferred)

Full Spectrum Search Group is a full-service healthcare recruiting agency specializing in post-acute leadership and healthcare administration, serving skilled nursing, senior living, home health, hospice, home care, and the providers and technologies that support the post-acute space.

Our client is a multi-market hospice provider seeking a VP of Compliance to lead clinical compliance strategy and execution across its national footprint.

This is a hands-on leadership opportunity for an experienced hospice RN compliance executive who can quickly identify risk, bring order to a developing compliance program inside a growing hospice organization, and implement practical solutions across multiple markets. You will partner directly with the CEO and clinical leadership teams while building stronger visibility, accountability, survey readiness, and remediation discipline throughout the organization.

Four Uniques

• \- Lead hospice compliance across a nationwide organization, with increasing focus on East Coast operations over the next two years.
• \- Partner directly with the CEO in a high-trust role designed to bring clearer risk prioritization, stronger analytics, and practical compliance oversight to the organization.
• \- Rapidly growing company with lots of room to grow professionally.
• \- Be given the resources and autonomy to get the job done.

Position Summary

The Vice President of Compliance will provide clinical compliance leadership across a multi-site hospice organization. Reporting directly to the CEO, this leader will oversee hospice regulatory compliance, Medicare compliance, survey readiness, QAPI, privacy, accreditation preparedness, and enterprise risk remediation.

The successful candidate is an experienced RN hospice compliance leader who has supported a substantial hospice census (400+ ADC required), led multi-market compliance efforts, and understands how to translate regulatory requirements into durable operational practices. This role requires sound judgment, a practical approach to remediation, and the confidence to evaluate current processes, team structure, and risk exposure.

Key Responsibilities

• \- Lead the hospice compliance function across multiple markets, and expanding East Coast support needs.
• \- Identify, assess, prioritize, and remediate clinical, regulatory, Medicare, privacy, and operational compliance risks.
• \- Partner with the CEO, operations leaders, clinical-services staff, attorneys, and outside consulting resources.
• \- Establish stronger compliance visibility, reporting, accountability, and go-forward processes across the organization.
• \- Lead survey readiness efforts, including mock surveys, plan-of-correction support, deficiency remediation, and ongoing readiness monitoring.
• \- Oversee compliance activities related to Medicare requirements, ADRs, recoupment risk, clinical documentation, QAPI, privacy, and HIPAA.
• \- Maintain ACHC accreditation readiness and contribute to the organization's future evaluation of CHAP readiness as appropriate.
• \- Evaluate the current compliance and clinical-services team structure, clarify responsibilities, and recommend the resources needed to support the function effectively.
• \- Coach and develop direct reports and cross-functional leaders on compliant hospice operations and practical risk mitigation.
• \- Translate audit findings, regulatory changes, and operational issues into prioritized action plans that can be executed at the local level.
• \- Help protect organizational performance by addressing process issues that may create material revenue risk.

Qualifications

• \- RN licensure required.
• \- Significant hospice compliance leadership experience required.
• \- Deep clinical and regulatory knowledge of hospice operations, Medicare requirements, and hospice Conditions of Participation.
• \- Experience leading compliance for a hospice organization with a census of approximately 400-500 patients or more.
• \- Demonstrated success leading survey readiness, mock surveys, deficiency remediation, and accreditation preparation.
• \- Strong knowledge of QAPI, HIPAA, privacy, clinical documentation, risk assessment, and corrective-action planning.
• \- Experience supporting compliance across multiple hospice locations, branches, or markets.
• \- Experience with ACHC accreditation strongly preferred. CHAP survey preparation experience is a plus.
• \- Prior regional or national hospice compliance leadership experience is preferred.
• \- Operations experience and success in turnaround, cleanup, or fixer environments are highly valued.
• \- Ability to collaborate effectively across all US timezones. Midwest location is preferred; Mountain and East Coast candidates will be considered.

Full Spectrum is an equal opportunity search firm. We recruit candidates without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, medical condition, marital status, veteran status, or any other protected characteristic under local, state or federal law.