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Director, Compliance

Integrated Services for Behavioral Health
locationJackson, OH 45640, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job Description

We are seeking a Director, Compliance!
Southeastern, Ohio

Hybrid Position

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services – working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.

The Director of Compliance serves as the organization’s primary, full-cycle compliance leader, responsible for designing, implementing, and maintaining an enterprise-wide compliance program with a strong emphasis on behavioral health services. This role ensures adherence to federal, state, and accrediting-body requirements, including but not limited to CARF, PCMH, the Center for Medicare and Medicaid Services, and the Ohio Department of Behavioral Health.

In addition, the Director of Compliance provides supportive compliance and risk management expertise to the organization’s Federally Qualified Health Center (FQHC) operations under HRSA, working in close coordination with leadership and other compliance-focused roles. This position functions as both a strategic advisor and a hands-on practitioner, guiding the organization through regulatory complexity while promoting a culture of ethical practice, quality, and accountability.

The salary range for this position is $112,765.00 to $137,459.90 based on experience, education, and/or licensure.

Essential Functions:

Compliance Leadership

  • Serve as the organization’s subject-matter expert for healthcare compliance, overseeing adherence to applicable federal, state, and accreditation standards
  • This position will be designated as the organization’s “Compliance Officer.”
  • Advises the Chief Executive Officer, Chief Administrative Officer, executive leadership team, and Board on risk, compliance, and emerging regulatory trends
  • Lead and manage compliance with accreditation standards, including readiness assessments, policy alignment, staff education, corrective action planning, and survey preparation and response
  • Oversee compliance with Medicaid and Medicare requirements applicable to services provided, including documentation standards, billing and coding compliance, medical necessity, and program integrity expectations
  • Ensure ongoing compliance with Ohio Department of Behavioral Health rules, licensure standards, and certification requirements for behavioral health programs and services
  • Monitor changes in laws, regulations, payer requirements, and accreditation standards impacting behavioral health services and translate them into actionable organizational guidance
  • Oversees and monitors the organization’s privacy practices, including effective policy, training, and controls; maintains compliance with established HIPAA standards and ensures investigations are conducted into any reported violation or breach
  • May act as the organization’s HIPAA Privacy Officer
  • Partners with program and operational leaders to integrate compliance requirements into service delivery, documentation, and reporting
  • Leads, supervises, and develops the compliance team, providing strategic direction, performance management, and professional mentorship to ensure effective execution of the organization’s compliance and risk management functions

Enterprise Compliance Program Management

  • Develop, implement, and maintain a comprehensive compliance program consistent with federal and state guidance, including policies, procedures, training, auditing, and reporting mechanisms
  • Conduct routine and targeted compliance risk assessments, audits, and monitoring activities across behavioral health operations
  • Investigate compliance concerns, incidents, and potential violations; coordinate corrective action plans and track remediation efforts to completion
  • Maintain systems for handling compliance reporting, including non-retaliation protections, documentation, and follow-up
  • Prepare leadership and the Board (or Board committee, as applicable) with regular compliance reports, trends, and risk updates

Risk Management & Regulatory Readiness

  • Identify, assess, and proactively manage regulatory, operational, and reputational compliance risks
  • Lead preparation for and response to external reviews, surveys, audits, and investigations, including payers, accrediting bodies, and state or federal agencies
  • Serve as a key organizational partner during licensing reviews, credentialing processes, and regulatory inquiries related to behavioral health services

FQHC / HRSA Compliance Support

  • Provide supportive compliance and risk management guidance for the organization’s partner FQHC operations. Focusing on regulatory and programmatic requirements, including but not limited to HRSA, FTCA, PCMH, HHS-OIG, CPC, and CMS
  • Collaborate with FQHC leadership and other internal compliance roles to support compliance and risk activities, audits, reviews, and action plans
  • Assist with identifying cross-organizational compliance risks affecting both behavioral health and FQHC services and support- coordinated mitigation strategies

Education, Training & Culture

  • Establishes organizational expectations for compliance education and training
  • Promote a culture of ethical conduct, regulatory accountability, and continuous improvement throughout the organization
  • Serve as a trusted advisor to leadership, clinicians, and operational staff on compliance-related decision-making
  • Travel within the designated service area
  • Performs other duties as assigned

Minimum Requirements:

Education/Licensure:

  • Bachelor’s degree in business, social work or counseling, health care administration, public health, or a relevant field required. Master’s degree or Juris Doctorate preferred
  • Professional compliance or healthcare certifications preferred (CHC, CHPC, CCEP, or similar)

Experience:

  • Eight years of health care, regulatory, ethics, compliance, or privacy experience is required.
  • Five years of leadership experience in the behavioral health, healthcare, or related field is required.
  • Experience designing and managing a full-cycle compliance program, including audits, investigations, and corrective action, is required.

Knowledge, Skills, and Abilities:

  • Strong analytical, organizational, and communication skills, with the ability to influence at all levels of the organization
  • Must be able to function independently and have flexibility, personal integrity, and the ability to work effectively with individuals, teams, and partner agencies
  • Working knowledge of local, state, and federal regulations for services for behavioral health
  • Experience working with accrediting bodies
  • Regulatory & accreditation expertise (behavioral health focused)
  • Independent compliance leadership
  • Risk assessment and mitigation
  • Audit and investigation management
  • Cross-functional collaboration
  • Clear, pragmatic communication
  • Excellent organizational skills with the ability to stay focused
  • Ability to prioritize multiple tasks
  • Ability to use appropriate databases, spreadsheets, and other software
  • Able to effectively communicate through verbal/written expression
  • Must be able to operate in an Internet-based, automated office environment
  • Excellent communication skills, both oral and written is required
  • Ability to bill Medicaid without restrictions is required
  • A valid driver's license and the ability to operate a motor vehicle is required
  • An appropriate level of auto insurance coverage is required
  • Ability to manage deadlines within a fast-paced, high-volume environment is required

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer is required
  • Must be able to lift up to 15 pounds at times is required

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.

Benefits include:

  • Medical
  • Dental
  • Vision
  • Short-term Disability
  • Long-term Disability
  • 401K w/ Employer Match
  • Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.

To learn more about our organization: https://ISBH.org/

OUR MISSION
Delivering exceptional care through connection

OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope

Collaboration - We listen to understand and ask how we can best support the people and communities we serve

Wellbeing - We celebrate one another's strengths, and we support one another in being well

Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team

Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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