Corporate Compliance Director
Corporate Compliance Director
A growing Home Care organization is seeking a Corporate Compliance Director for an all-female office to lead and oversee all corporate compliance, regulatory oversight, and provider relations initiatives while ensuring adherence to federal, state, and contractual requirements. This role serves as the primary compliance authority for the organization and acts as a key liaison with regulatory agencies and payer partners.
The ideal candidate is a strategic, detail-oriented leader with deep compliance expertise, strong analytical skills, and the confidence to interpret complex regulations, manage audits, and guide the organization through ongoing regulatory readiness.
Key Responsibilities:
Provider Relations
Oversee contracting and credentialing with MLTCs/HMOs.
Lead rate negotiations and ensure accurate rate entry into HHAX and other systems.
Resolve HHAX/finance rate discrepancies and non-payment issues.
Manage, oversee, and respond to provider audits.
Compliance Program Oversight
Maintain and update company policies.
Collaborate with DPS on nursing-related policies.
Review and interpret DALs; ensure timely updates and organizational compliance.
Oversee all internal and external audits
Ensure required posters are updated in office waiting areas and employee portals.
Perform daily login and oversight responsibilities.
Governance & Reporting
Prepare and participate in quarterly Board of Directors meetings.
Lead quarterly Compliance Committee meetings.
Serve as the Corporate Compliance Officer for OMIG purposes.
Perform and oversee weekly and quarterly compliance reviews
Investigations & Complaints
Serve as Complaint Coordinator
Conduct investigations regarding sexual harassment, patient complaints, and other sensitive matters.
Ensure proper documentation, corrective actions, and regulatory reporting.
Required Qualifications:
Extensive experience in compliance and regulatory oversight.
Strong analytical, critical-thinking and research skills to interpret complex statutes, regulations, contracts, policies as well as review data, identify risk areas and assess their operational impact.
Proven ability to manage internal and external audits, risk assessment processes, monitor adherence to policies, corrective action plans, and ensure ongoing regulatory readiness.
Ability to synthesize complex regulatory information and translate it into actionable guidance for staff, leadership, and external partners.
Experience leading investigations, managing grievance processes, or conducting root-cause analysis.
High level of integrity, discretion, and professionalism when handling confidential matters.
Preferred Qualifications:
Strong knowledge of OMIG, DOH, HRA, Joint Commission, and Medicaid program requirements.
Experience with MLTC/HMO contracting, credentialing, and payer relations.
Experience preparing Board materials, compliance dashboards, or structured audit reporting.
Background in policy development, workflow design, and regulatory training.
Familiarity with HHA Exchange and Smartsheet.
This role offers the opportunity to lead compliance at a senior level within a growing organization, influence policy and governance decisions, and play a critical role in maintaining operational integrity and regulatory excellence.
Schedule: M T: 9:00 AM 5:00 PM; F: 9:00 AM 12/1:00 PM
For more details or to apply reach out to Avizel@hiresolutionsny.com or call 845-422-8098 Ext. 114 .
monsey
full timehealthcare