Director of Compliance

Director Of Compliance

Type : Regular

We are hiring for a Director of Compliance to join our team at RHA Health Services! If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team!

Duties and Responsibilities :

• Operationalize and continuously improve an enterprise Compliance Program aligned to OIG's seven elements (standards, oversight, education, communication, auditing / monitoring, enforcement / discipline, response / prevention).
• Maintain the Compliance Charter, annual work plan, and a written standards / code of conduct; ensure consistent deployment across all states and service lines.
• Coordinate the enterprise compliance risk assessment and translate results into prioritized mitigation plans and monitoring.
• Own the lifecycle of Compliance and Privacy policies, SOPs, and document-retention standards; ensure alignment to federal / state HCBS waiver, Medicaid / Medicare, and commercial payer requirements.
• Define the annual training strategy and calendar; develop role-based education (general compliance, HIPAA privacy / security basics, fraud / waste / abuse, conflicts, documentation standards).
• Maintain accessible FAQs, toolkits, and targeted communications to reinforce standards and lessons learned.
• Support confidential reporting channels (hotline, web, internal reports) by ensuring proper intake, triage, and documentation in alignment with established protocols.
• Assist in compliance investigation processes by coordinating case information, maintaining records, and ensuring timely escalation of matters as needed.
• Monitor case progress for adherence to protocols such as retaliation-prevention, documentation standards, and closure requirements.
• Manage compliance platforms (e.g., Resolver, Diligent, or other designated systems), ensuring data integrity, reporting accuracy, and user access controls.
• Track and summarize trends, case metrics, and system usage to support compliance oversight and reporting needs.
• Oversee OIG / GSA / state Medicaid exclusion screening for employees, contractors, and vendors; ensure timely remediation of matches and documentation.
• Administer the annual Conflict-of-Interest disclosure process and manage follow-ups, mitigation, and Board / leadership reporting.
• Lead the operational Privacy Program (in partnership with Security / IT) : incident intake, assessment, breach determination / notifications, mitigation, and prevention education.
• Ensure Business Associate Agreement governance, minimum necessary standards, and PHI safeguarding practices; coordinate with InfoSec on incidents that intersect privacy / security.
• Build an annual audit / monitoring plan (documentation standards, billing / claims risk areas, exclusion screening, training completion, policy adherence).
• Deploy dashboards and KPIs for leadership and oversight committees (e.g., hotline volumes, time-to-first-action, time-to-closure, trends by region, training completion, policy exceptions).
• Validate corrective action effectiveness and sustainment; escalate unresolved risks.
• Coordinate responses to government inquiries, surveys, and audits; manage timely external notifications when required by law / regulation or payer contract.
• Maintain a regulatory calendar (reportable events, timelines, renewal / attestation dates) and ensure state-specific requirements are met for IDD / behavioral health, HCBS, residential / day programs, and healthcare facilities.
• Prepare materials and present to the Management Compliance Committee and Compliance Steering Committee; support Board-level reporting through the CCO.
• Promote a just-culture approach, psychological safety, and non-retaliation; partner with Operations and Quality / Risk to share "lessons learned."
• Oversee compliance due diligence and onboarding for acquisitions / affiliations; align policies, training, and exclusion screening pre- and post-close.
• Support vendor compliance (contract language, BAAs where applicable, right-to-audit, performance and sanction checks).
• Perform other duties as assigned.

Supervisory Responsibilities :

This position may supervise Compliance team members.

Minimum Qualifications :

Physical Demands and Work Environment :

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories : race, creed, color, national origin, nationality, ancestry, age, sex / gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.

Pre-employment screening :

We offer the following benefits to employees :

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA : At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and / or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.