Compliance Director - Remote

National Spine & PainRockville, MD, US

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Job Description

Description : Position Summary

The Compliance Director provides strategic leadership and direction for all risk management, compliance, and quality assurance activities across the National Spine & Pain Centers (NSPC) organization. This role will lead a team of risk, quality, and compliance personnel to ensure the organization meets all federal, state, and local regulations while maintaining the highest standards of clinical care and regulatory compliance. The role will consult on the development and implementation of policies and programs designed to mitigate clinical, operational, legal, and technological risks, and promote a culture of safety, accountability, and continuous improvement.

Span of influence includes the following areas :

Risk Management
Compliance Oversight
Clinical Quality and Safety
IT Risk and Cybersecurity Compliance
Leadership and Strategic Initiatives

Duties and Responsibilities

Risk Management

Identify, assess, monitor, and mitigate organizational risks across clinical, operational, regulatory, reputational, and cybersecurity domains.

Lead incident response investigations and root cause analyses for adverse events, data breaches, and compliance violations.

Develop mitigation strategies for identified risks and ensure timely implementation and reporting.

Advise executive leadership and the Board of Directors on emerging risk issues and trends.

Compliance Oversight

Oversee compliance department activities to ensure alignment with all relevant federal and state regulations including HIPAA, HITECH, OSHA, DEA, CMS, and state licensing boards.

Review changes to federal and state regulations as needed to ensure ongoing alignment to changing regulations.

Ensure organizational adherence to pain management and controlled substance prescribing laws.

Coordinate internal and external audits and prepare the organization for external regulatory inspections and accreditations.

Direct the organization’s designated Compliance Officer(s) compliance activities and initiatives

Monitor the Compliance program’s establishment and management of a compliance hotline and investigation process.

Collaborate with Operations and Revenue cycle to ensure policies and process of their respective areas maintain compliance and ensure review of policies on at least a bi-annual process to ensure compliance with updated standards.

Clinical Quality & Safety

Partner with clinical leadership to evaluate and improve clinical outcomes, patient satisfaction, and patient safety.

Oversee clinical documentation compliance, including proper coding, billing practices, and adherence to treatment protocols.

Implement training programs to ensure staff are up to date on clinical best practices and quality standards.

IT Risk and Cybersecurity Compliance

Collaborate with the Chief Information Officer (CIO) and IT department to ensure robust data privacy and cybersecurity protocols are in place.

Ensure IT systems meet regulatory standards (e.g., HIPAA Security Rule, HITECH, NIST).

Leadership & Strategic Initiatives

Lead cross-functional committees on quality, compliance, and risk management.

Consult on the development and maintenance of organizational policies and procedures related to compliance, risk, and quality.

Provide executive leadership and guidance during crises, regulatory inquiries, and major incidents.

Provide Updates to CMO, COO and VP RCM on status of various initiatives

Report regularly to the CEO and Board of Directors on risk trends, compliance status, and improvement initiatives.

Cultivate a culture of compliance, transparency, and continuous learning across the organization.

Requirements :

Education & Experience :

Master’s degree in Healthcare Administration, Nursing, Law, Public Health, or related field (required)

Certification in Risk Management (CPHRM), Certified Compliance Ethics Professional (CCEP) or related credential (preferred)

Certified Professional Coder (CPC) or Certified Coding Specialists (CCS) recommended

8+ years of progressive experience in healthcare risk management, compliance, or quality leadership roles

Experience working in multi-state, outpatient clinical environments; pain management or specialty care experience a plus

Familiarity with regulatory requirements in pain management, controlled substances, and health IT systems

Skills & Competencies :

Deep understanding of clinical operations, healthcare regulations, and risk management frameworks

Proven leadership and team management abilities

Excellent communication, negotiation, and presentation skills

Strategic thinker with ability to manage complex compliance and risk environments

High ethical standards and a commitment to patient safety and organizational integrity

Working Conditions

Remote based Position. Remote employees will perform their job duties in areas free from background noise and from distraction.

The work area must protect the confidentiality of the work the employee is performing.

Regular use of standard office equipment (including computers, phones, photocopiers, filing cabinets, fax machines, etc.).

Physical Requirements

Extensive and regular periods of sitting, standing, bending, walking, seeing, talking, and listening.

A full range of body motion including complete manual and finger dexterity, as well as effective hand-eye coordination.

Adequate visual acuity includes ability to read information.

An occasional requirement to reach with hands / arms, stoop, kneel, or crouch.

An occasional requirement to push, pull, lift and / or move up to 10 pounds.

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Director Compliance • Rockville, MD, US