Director, Compliance

Summary

Join Honest Health's Compliance team as the Compliance Director and play a central leadership role in ensuring compliance with healthcare regulations. You will be responsible for developing and implementing compliance programs, monitoring activities, and providing guidance to internal and external stakeholders. This role requires strong leadership, communication, and analytical skills, along with 8-10+ years of experience in government healthcare programs. A Bachelor's degree in a relevant field is required, and a CPA or related audit certification is preferred. Honest Health offers a competitive compensation package, including a comprehensive benefits package, performance-based bonuses, and opportunities for professional development.

Requirements

• Bachelor’s degree in healthcare administration, business administration, or a similar field
• 8-10+ years of experience with government health care programs
• Demonstrated health care compliance expertise
• Ability to evaluate and analyze regulations, interpret significance, and recommend policies to comply and apply and ensure compliance to applicable regulations
• Demonstrated ability to apply critical thinking skills to proactively identify issues and problem solve through complex compliance situations
• Strong leadership and interpersonal skills with ability to work with a diverse group of people across the organization and externally
• Exceptional written and oral communication skills

Responsibilities

• Ensure Honest’s compliance with applicable federal government healthcare programs, state and federal regulatory and sub-regulatory requirements, and contractual obligations for the organization, and its partners
• Serve as a primary compliance contact and be responsible for ensuring overall compliance and coordination of enterprise-wide monitoring programs, policies, and procedures to ensure compliance with applicable federal and state laws and regulations, as well as company compliance standards
• Work with business partners to ensure compliance requirements are understood and appropriately implemented
• Work with business partners to develop, implement, track, and validate monitoring, controls and, when necessary, implementing corrective action plans (CAPs)
• Coordinate and facilitate cross-functional compliance dashboards and committees
• Conduct compliance monitoring and auditing activities
• Provide compliance support for Fraud, Waste and Abuse (FWA) and compliance investigations
• Serve as a partner to internal and external stakeholders regarding the development, implementation, and oversight of compliance related requirements
• Work closely with designated business areas, Legal, and other matrix partners to identify changing laws and regulations, contractual obligations, provides compliance guidance, and supports designated business areas’ implementation in alignment with compliance requirements
• Direct internal compliance initiatives and oversee regulatory audits and examinations, ensuring adherence to applicable laws, policies, and industry standards
• Support designated business areas’ development of key performance indicators that demonstrate adherence to compliance requirements
• Develop and provide compliance reports to leadership and key stakeholders
• Execute compliance reviews for designated business areas
• Oversee the development and execution of monitoring activities and control implementations, ensuring that all regulatory standards are understood. Establish processes to address any gaps
• Support the prompt and thorough investigation of detected or reported compliance or privacy related issues, partnering with Legal and HR as appropriate
• Foster and support the structures that reinforce a culture of compliance throughout the organization
• Develop strategic compliance solutions to meet business needs by staying informed of current legislation and enforcement issues affecting the healthcare industry, as well as compliance best practices
• Facilitate compliance training and education to employees, management, and stakeholders to promote awareness and understanding of compliance requirements
• Partner and collaborate with business leaders to proficiently represent them both internally and externally to Regulators and Auditors as appropriate for all audit, regulatory, and compliance issues
• Create and champion quality process enhancement initiatives to maintain an environment of continuous improvement
• Manage the governance of company policies and procedures, ensuring alignment with regulatory requirements and organizational objectives
• Staff, direct, organize, and control the day-to-day compliance operations, as assigned
• Perform other related responsibilities as assigned

Preferred Qualifications

• ACO compliance experience
• CPA or related audit certification experience
• Flexibility and ability to travel, as needed
• Ability to thrive in a fast-paced environment

Benefits

• Competitive Compensation
• Attractive base salary with performance-based bonuses and rewards
• 401(k) plan with a generous company match, fully vested from day one
• Comprehensive Health and Wellness Benefits
• Flexible health, dental, and vision insurance options tailored to your needs
• Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
• 100% company-paid short-term disability, long-term disability, and life insurance
• Wellness programs and resources to support your physical and mental health
• Generous paid time off, including vacation, sick leave, and 11 paid holidays annually
• Two paid volunteer days to support causes you're passionate about
• Flexible work arrangements to accommodate your lifestyle
• Robust onboarding program and ongoing training opportunities
• Reimbursement for role-related continuing education and certifications
• Paid parental leave for new parents
• Dependent care flexible spending accounts
• Support for work-life integration
• Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
• Opportunities to contribute to meaningful projects and initiatives
• Team member recognition programs
• Team-building events and social activities