Provide enterprise-wide compliance leadership for population health, care management, community health, and patient access functions
Implement the BSMH Compliance program within their assigned functional area
Conduct compliance investigations, education, auditing and monitoring
Lead functional compliance committees across the system
Provide advice/consultation to functional leadership regarding compliance and regulatory initiatives impacting the Ministry
Develop monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud
Evaluate and utilize data analytics techniques, statistical analysis and modeling to detect and trend potential compliance issues
Requirements
Certified in Healthcare Compliance (CHC) – Health Care Compliance Association (required)
Bachelors: Healthcare, Business Administration, or Related Field (required)
Masters: Healthcare, Business Administration, or Related Field (preferred)
7 to 10 years of in-depth experience within healthcare operations or compliance-related activities (required)
Demonstrate expert-level understanding of healthcare regulations (HIPAA, GDPR, DPA, CMS, OIG, Stark, Anti-Kickback, etc.) and compliance operations.
Oversee enterprise compliance auditing, monitoring and investigations.
Design and operationalize compliance presence within assigned functional areas.
Identify, assess and mitigate compliance risks through structured risk management frameworks.
Leverage AI, analytics, and reporting tools (Microsoft Copilot, Power BI, or similar) and healthcare databases and technologies for compliance insights.
Oversee development and revision of compliance policies to maintain regulatory alignment.
Conduct in-depth regulatory research and provide actionable interpretations to leadership.
Design and deliver engaging presentations, training programs, and educational courses.
Recruit, mentor and manage compliance staff and leaders.
Benefits
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, short
and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support