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VP of Compliance

Santa Ana, CA

 

Position Title
Vice President of Compliance
Position Summary
The Vice President (VP) of Compliance will be responsible for developing, implementing, and managing the organization’s overall compliance program. Reporting directly to the CEO (or General Counsel, depending on organizational structure), the VP of Compliance will ensure that all business units, including clinical operations, adhere to applicable laws, regulations, and internal policies. This leader will work collaboratively across the organization to foster a culture of transparency, integrity, and ethical decision-making.
Key Responsibilities
  1. Strategic Compliance Leadership
    • Develop and maintain a comprehensive compliance program that ensures adherence to federal, state, and local regulations, as well as industry standards (e.g., HIPAA, OSHA, CMS guidelines).
    • Regularly review and update compliance policies, procedures, and training materials to keep pace with changing regulations.
  2. Policy Development & Enforcement
    • Create, implement, and enforce policies and procedures designed to identify and mitigate risk.
    • Investigate and resolve reported compliance concerns, ensuring fair and consistent application of policies.
  3. Regulatory Monitoring & Reporting
    • Stay informed of industry developments, regulatory changes, and enforcement trends.
    • Oversee internal audits to assess the effectiveness of the compliance program and identify areas for improvement.
    • Prepare and present compliance reports to executive leadership and the Board of Directors.
  4. Risk Assessment & Management
    • Lead organization-wide risk assessments, analyzing data to identify compliance vulnerabilities.
    • Proactively recommend strategies to mitigate risk, ensuring business continuity and protecting the organization’s reputation.
  5. Team Leadership & Culture Building
    • Recruit, train, and mentor compliance team members, fostering continuous learning and professional development.
    • Collaborate with cross-functional teams (legal, finance, clinical operations, HR) to create a culture of compliance and ethical conduct.
  6. Internal & External Collaboration
    • Serve as the primary liaison with external regulatory bodies and auditors.
    • Work closely with senior leadership to integrate compliance considerations into strategic decision-making and operational planning.
Qualifications & Requirements
  • Education: Bachelor’s degree in Business Administration, Healthcare Administration, Law, or a related field. A Master’s degree or Juris Doctor (JD) is preferred.
  • Experience:
    • 10+ years of progressive experience in a compliance-related role, with at least 5 years in a senior leadership capacity.
    • Demonstrated success building and managing compliance programs in a healthcare, hospital, or clinical environment.
  • Regulatory Knowledge: In-depth understanding of healthcare laws and regulations (HIPAA, Medicare/Medicaid rules, Stark Law, Anti-Kickback Statute, etc.).
  • Leadership Skills: Proven ability to influence and collaborate with executive leaders, department heads, and frontline staff. Experience developing high-performing teams.
  • Analytical Abilities: Strong problem-solving and risk assessment skills; ability to interpret complex regulations and translate them into actionable policies.
  • Communication: Excellent written and verbal communication skills, with the ability to clearly articulate compliance requirements and lead trainings or workshops.
  • Certifications: Certified in Healthcare Compliance (CHC) or similar certification is a plus.
Preferred Experience
  • Previous experience working with Medical Groups, Palliative Care, or Hospice organizations.
  • Familiarity with palliative and hospice-specific regulations and quality standards (e.g., CAPC guidelines, NHPCO standards).
  • Demonstrated ability to navigate the unique compliance challenges of multi-location or integrated care networks.
Key Competencies
  • Ethical Judgment: Demonstrates unwavering integrity and moral courage.
  • Strategic Thinker: Ability to foresee regulatory changes and proactively develop compliance strategies.
  • Influential Leader: Can drive cultural change and secure buy-in at all levels of the organization.
  • Adaptability: Skilled in navigating ambiguity and leading teams through change.
  • Detail-Oriented: Ensures accuracy and thoroughness in risk assessments, audits, and reporting.
Working Conditions & Other Information
  • This position typically operates in a professional office setting with some travel to clinical sites as required.
  • Compensation and benefits are competitive and commensurate with experience.
  • The VP of Compliance may work closely with clinical leadership to ensure full integration of compliance standards across the continuum of care.

Salary: DOE $140,000-$190,000 (DOE)

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