Director of Compliance

• Competitive Compensation – Salary and benefits package designed to reward your expertise, leadership, and contributions.
• Comprehensive Health Coverage – Medical, dental, vision, and life insurance options to support you and your family.
• Future Security – 401(k) retirement plan with employer matching to help you build long-term financial stability.
• Generous Paid Time Off – Paid Time Off (PTO) and Extended Illness Bank (EIB) to support work-life balance and personal well-being.
• Career Growth Opportunities – Professional development, leadership training, and advancement opportunities across our organization.
• Recognition & Reward Programs – We celebrate employee achievements and contributions to our success.
• Exclusive Employee Discounts & Perks – Access to special savings and benefits designed for our team members.

Job Summary

The Director, Compliance provides leadership and oversight for the facility's regulatory compliance program, ensuring adherence to federal, state, and local regulations, as well as internal policies and accreditation standards. This role is responsible for developing, implementing, and monitoring compliance policies, risk assessments, audits, and training programs to mitigate legal and regulatory risks. The Director collaborates with executive leadership, legal counsel, department heads, and regulatory agencies to promote a culture of ethics, integrity, and regulatory excellence.

Essential Functions

• Develops, implements, and oversees the facility-wide compliance program, ensuring alignment with healthcare laws, regulations, and accreditation requirements (e.g., CMS, The Joint Commission, OIG, HIPAA, Stark Law, Anti-Kickback Statute).
• Conducts risk assessments and compliance audits to identify, investigate, and mitigate potential compliance issues.
• Oversees HIPAA Privacy and Security compliance, ensuring protection of patient health information and adherence to data security standards.
• Develops and delivers compliance training programs for employees, medical staff, and leadership to ensure understanding of regulatory requirements.
• Collaborates with legal, finance, human resources, and clinical teams to address compliance concerns and implement corrective actions.
• Monitors and evaluates federal and state regulatory changes, ensuring timely updates to policies and procedures to maintain compliance.
• Serves as the primary point of contact for regulatory agencies, external auditors, and accreditation bodies, coordinating compliance reviews and inspections.
• Investigates compliance complaints, concerns, and potential violations, ensuring appropriate documentation and resolution.
• Develops and maintains internal reporting mechanisms to encourage transparency and accountability for compliance-related issues.
• Advises senior leadership on compliance risks, strategies, and best practices to enhance operational integrity and minimize legal exposure.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Leadership Responsibilities

• Supervision and Staff Management
  • Provides leadership, mentorship and professional development opportunities for departmental staff.
  • Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues.
  • Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development.
• Strategic Planning and Financial Oversight
  • Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning.
  • Monitors expenditures, ensuring cost-effective delivery of services.
  • Evaluates and implements new technologies to enhance operational efficiency.
  • Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies.
• Quality Assurance and Regulatory Compliance
  • Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards.
  • Participates in audits, inspections and accreditation processes as applicable.
  • Follows established quality control practices to ensure accuracy, consistency and safety.
• Collaboration and Communication
  • Works closely with leadership teams to coordinate and improve service delivery.
  • Stays up-to-date with industry advancements, new technologies, and regulatory changes.
• Staff Responsibilities
  • May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job.

Qualifications

• Bachelor's Degree in relevant field required or
• Seven (7) plus years of direct experience in lieu of a Bachelor's degree required
• Master's Degree preferred
• 3-5 years of experience in closely related field with Bachelor's degree required
• 3-5 years of previous leadership experience preferred

Knowledge, Skills and Abilities

• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
• Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
• Communicate effectively with leadership, team members, and stakeholders.
• Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines.
• Problem-solving and critical thinking skills.
• In depth knowledge of industry best practices and regulatory compliance (if applicable).
• Strong organizational and time management skills.
• Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools.

Licenses and Certifications

• CHC - Certified Healthcare Compliance required or

• Certified Compliance & Ethics Professional (CCEP) required

Why Work at Baldwin Health?
At Baldwin Health, we’re more than healthcare providers, we’re a team dedicated to compassionate care and community wellness. Join us for a supportive work environment, opportunities for professional growth, and the chance to make a real difference in the lives of our patients every day. Your skills, your passion, and your commitment matter here.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

INDLEAD