Director, Compliance

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

🚔 Compliance

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Ventra Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Ventra Health is a healthcare revenue cycle management (RCM) company that provides end-to-end medical billing, coding, claims management, denial prevention, payer contracting, and collections services for hospitals, health systems, and physician practices across the U. S. Its offerings combine domain expertise and white‑glove client service with proprietary data and AI-powered platforms—vCision (AI & automation) and vSight (data & analytics)—to improve reimbursement, reduce denials, accelerate cash collections, and deliver measurable RCM performance improvements. Ventra emphasizes enterprise service delivery, provider education, compliance and coding audits, patient responsibility management, and payer strategy, serving thousands of providers and facilities nationwide.

📋 Description

• Support the Vice President of Legal Affairs & Compliance in developing and overseeing Ventra’s enterprise compliance program • Translate strategic compliance objectives into actionable plans, operational processes, and measurable outcomes • Lead the annual compliance work plan, including risk assessments, monitoring activities, and program evaluations • Prepare and present updates to the Compliance Committee • Oversee compliance policies, procedures, training programs, and communications • Provide senior oversight of the compliance hotline and incident tracking system • Lead and participate in compliance investigations, root-cause analysis, and corrective action planning • Report compliance incidents to regulatory agencies, clients, and stakeholders • Maintain documentation of investigations, audits, risk assessments, and training records • Oversee compliance auditing and monitoring activities • Monitor federal and state regulatory developments, including HIPAA, OIG guidance, fraud and abuse laws, and payer-specific requirements • Research relevant laws, regulations, and industry standards • Provide compliance guidance to internal teams and leadership • Support regulatory reports, client deliverables, and executive briefings • Partner with Legal, People, IT, Operations, and other departments to integrate compliance requirements into business processes • Represent Compliance in cross-functional committees and strategic projects • Lead, mentor, and develop the Compliance team • Oversee workload distribution, performance management, and resource planning • Foster a collaborative, high-performing compliance team

🎯 Requirements

• Minimum of Bachelor’s Degree or at least 10 years’ progressive experience in healthcare • At least 5 years’ leadership or management experience within healthcare compliance • At least 7 years’ experience working in revenue cycle management, coding, or other healthcare operations • Experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine strongly preferred • Deep working knowledge of HIPAA, OIG compliance guidance, U.S. healthcare fraud and abuse laws, and other relevant regulatory frameworks • Professional compliance certification (e.g., CHC, CCEP, CPCO) preferred • Strong leadership, communication, analytical, problem-solving, organizational, time-management, and decision-making skills • Ability to manage multiple priorities in a fast-paced, evolving environment • Ability to read, understand, and apply state and federal laws and regulations • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software • Ability to work 40 hours per week • Ability to lift and/or move up to 15–20 pounds • Ability to comply with Ventra Health’s attendance policy and maintain regular and predictable attendance

🏖️ Benefits

• Ventra performance-based incentive plan • Referral bonus • Discretionary incentive bonus

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