Director of Regulatory Affairs & Compliance

Bachelor’s degree in healthcare administration, business or a related field. Master’s degree preferred
Demonstrated ability to manage and develop regulatory programs and strategies in a healthcare setting
Experience in managing audits, with a strong understanding of internal and external audit processes
7+ years of senior regulatory compliance management experience within the healthcare industry, with expertise in Medicaid regulatory standards, DOL regulations and audits, and physician practice regulations
Effective project management skills with the ability to oversee multiple workstreams and drive project completion
Solution oriented, essential for addressing complex regulatory challenges and implementing solutions that ensure continuous compliance
Strong communication and presentation skills with the ability to build and maintain relationships across the organization

Manage and guide the Compliance team, creating a culture of operational excellence and accountability
Manage operational plans to ensure compliance with CMS, OMIG, state DOH departments, HIPPA, TCPA, anti-kickback statutes, False Claims Act, Stark Law and other relevant regulations
Oversee compliance with Medicaid regulations across multiple states, ensuring accurate and timely reporting
Support the company’s readiness for health care regulations, technology, data, finance, and privacy related risks
Manage both internal and external audits of policies, procedures, and compliance programs, ensuring alignment with regulatory changes
Participate in regulatory due diligence assessments for new business opportunities to ensure compliance from the onset
Partner with Learning & Talent Development to design and execute compliance training programs that promote business and ethics and regulatory adherence
Collaborate with internal teams such as Legal, Operations, Marketing, National Expansion, Technology, Clinical, Physician Practice, People & Culture, and others to ensure cohesive compliance efforts
Keep stakeholders informed of changes in the regulatory landscape and support strategic adjustments as necessary
Maintain up-to-date knowledge of laws and regulations impacting Medicaid and home care

No preferred qualifications provided.