Director of Corporate Compliance

Position Overview

Horizons is seeking a strategic, data-driven Director of Corporate Compliance to lead enterprise-wide quality assurance, regulatory compliance, audit oversight, and continuous performance improvement across clinical and operational services.

This executive-level role is responsible for ensuring regulatory excellence, improving clinical outcomes, strengthening data integrity, mitigating organizational risk, and driving sustainable systems improvement. The Sr. Director of Corporate Compliance partners closely with Executive Leadership, Clinical Services, and People Development to establish and monitor data-informed standards that elevate care quality and organizational performance.

This role plays a critical leadership function in survey readiness, audit design, compliance investigations, staff training, and enterprise analytics, ensuring Horizons consistently exceeds regulatory and accreditation expectations.

Key Responsibilities

• Lead and maintain a comprehensive Quality Assurance & Performance Improvement (QAPI / QAQI) Program aligned with CMS, ICF, CARF, and state regulatory requirements

• Provide 24/7 compliance leadership support, including participation in after-hours and weekend on-call rotation

• Design, implement, and oversee enterprise audit systems, compliance monitoring, and corrective action plans

• Track, analyze, and trend clinical and operational data to identify risk patterns and improvement opportunities

• Lead interdisciplinary performance improvement committees across nursing, DSPs, rehabilitation, dietary, behavioral health, and operations

• Oversee ICF survey readiness, outcomes tracking, and regulatory response coordination

• Maintain CARF accreditation standards for Respite Services

• Partner with Clinical Leadership to monitor and improve:

  • Pressure injury prevention and repositioning compliance

  • Infection prevention and control

  • Fall risk trends and safe transfer practices

  • Hospital admissions and readmissions

  • Behavioral incident patterns and therapy outcomes

• Conduct compliance-related investigations and ensure regulatory-aligned resolution processes

• Ensure documentation accuracy, incident reporting integrity, and regulatory benchmark compliance

• Develop and deliver compliance and QA/QI training during onboarding and ongoing staff education

• Report QA/QI outcomes quarterly to Executive Leadership and the Board of Directors

• Mentor and supervise the QA/QI Coordinator

• Serve as an active member of the Executive Leadership Team

Qualifications & Experience

Required:

• Education and experience qualifying for Qualified Professional (QP) status OR

• Active North Carolina Registered Nurse (RN) license (or ability to obtain NC licensure)

• Minimum 5 years of leadership experience in:

  • Quality Assurance / Continuous Quality Improvement OR

  • Clinical leadership or healthcare operations

• Strong working knowledge of:

  • CMS survey process and regulatory interpretation

  • Audit design and performance improvement plans

  • Clinical compliance and documentation standards

  • Incident reporting and investigation procedures

  • Data analytics and systems-level planning

Preferred Experience:

• Intellectual / Developmental Disabilities (IDD)

• Behavioral health, pediatrics, rehabilitation, or geriatric/post-acute care

• Accreditation readiness (CARF preferred)

Leadership & Competencies

• Executive-level communication and presentation skills

• Proven ability to lead interdisciplinary teams

• Strong analytical and problem-solving mindset

• High accountability, discretion, and ethical judgment

• Comfortable working across all shifts and operational environments

• Advanced proficiency with healthcare technology systems and compliance software

Why Join Horizons

• Executive-level influence with direct CEO partnership

• Mission-driven organization serving individuals with complex needs

• Opportunity to build, refine, and lead enterprise-wide compliance systems

• Collaborative leadership culture focused on excellence and innovation