Compliance Director

Job Description

Job Description

Director of Compliance

CLC Group Services, Inc. is seeking a strategic and detail-oriented Compliance Director to lead the agency’s Compliance Program and ensure adherence to all regulatory, ethical, and organizational standards.

Key Responsibilities :

Oversee the implementation, monitoring, and evaluation of the Compliance Program and Standards of Conduct.

Develop, update, and enforce compliance policies, procedures, and training.

Conduct internal audits, investigations, and corrective action plans to reduce risk, fraud, abuse, and waste.

Serve as Chair of the Compliance and Policy Committees; participate in Grievance Committee as needed.

Advise leadership, staff, and contractors on compliance matters and regulatory changes.

Maintain reporting systems, including confidential and anonymous reporting processes.

Provide guidance to management on compliance-related issues and ensure excluded individuals / entities are not employed.

Report compliance matters and serious incidents to the CEO and Board of Directors.

Education and Requirements :

• Bachelor’s degree required.  Advanced degree (Masters, Law, PhD) and prior compliance experience preferred.
• Minimum five years’ experience in healthcare or related field.
• Experience with regulatory issues, New York Medicaid program requirements, and regulatory requirements of health care compliance.

Proven experience in compliance leadership within healthcare, human services, or related fields.

Strong knowledge of federal and state regulatory standards.

Excellent communication, investigation, and leadership skills.

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