Director, Compliance

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Develop, implement, and maintain an effective compliance program aligned with regulatory and organizational requirements • Monitor changes in healthcare laws, regulations, and industry standards and assess organizational impact • Establish compliance policies, procedures, and controls to mitigate risk and promote adherence to applicable regulations • Lead compliance risk assessments and develop action plans to address identified gaps • Ensure compliance with federal, state, and local healthcare regulations, including but not limited to HIPAA, CMS guidelines, and applicable revenue cycle requirements • Investigate compliance concerns, regulatory inquiries, and reported violations • Partner with Legal, Human Resources, Internal Audit, Information Security, and Operations to resolve identified issues • Maintain documentation supporting compliance activities, corrective actions, and regulatory readiness • Direct ongoing auditing and monitoring activities to evaluate compliance effectiveness • Analyze trends and audit findings to identify areas of risk and improvement • Develop and oversee corrective action plans and monitor progress through resolution • Report audit outcomes and compliance metrics to executive leadership • Promote a culture of compliance and ethical conduct throughout the organization • Develop and deliver compliance education and awareness programs • Provide guidance and coaching to leaders and associates regarding compliance-related matters • Serve as a strategic advisor to executive leadership on compliance matters • Lead and develop compliance team members through coaching, mentoring, and performance development • Collaborate with operational leaders to embed compliance best practices into daily workflows • Support organizational growth initiatives while ensuring regulatory compliance

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Law, Finance, or related field • 8+ years of progressive healthcare compliance, regulatory, audit, risk management, or revenue cycle leadership experience • 5+ years of leadership experience managing teams and compliance programs • Strong knowledge of healthcare regulatory requirements, including HIPAA, CMS, OIG guidance, and healthcare compliance frameworks • Demonstrated experience conducting investigations, audits, and risk assessments • Excellent communication, presentation, and executive stakeholder management skills.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Professional development opportunities • Recognition programs