Director, Compliance - FT - Days - Corporate Compliance @ MV

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward.  We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care.  Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

1

Scheduled Bi-Weekly Hours

80

Work Shift

Day: 8 hours

Job Description

Strategic Compliance Leadership

Develop, own, and continuously evolve the strategic direction, policies, procedures, and annual work plan for El Camino Health's enterprise-wide compliance program, spanning the hospital setting, Medical Network, and all affiliated entities.

Serve as a key advisor to leadership on compliance risk, regulatory change, and program effectiveness.

Compliance Program Management and Daily Operations

Oversee day-to-day administration of the compliance program, including the compliance hotline and reporting channel, case intake, tracking, and issue resolution across the enterprise.

Ensure alignment with applicable laws and regulations, including HIPAA, Stark Law, the Anti-Kickback Statute, the False Claims Act, CMS, accreditation standards, and commercial payer requirements, across all El Camino Health lines of business.

Maintain and update the enterprise’s compliance policies, standards, and governance documents.

Monitoring, Auditing, and Investigations

Lead and manage audits and ongoing monitoring activities related to billing, coding, documentation, referral patterns, and regulatory adherence across hospital, medical group, and ancillary operations.

Conduct and document investigations of reported compliance concerns enterprise-wide and implement corrective action plans as needed.

Oversee the organization's response to government audits, subpoenas, inquiries, and other compliance-related external reviews.

Education and Training

Design, deliver, and continuously improve compliance education programs for physicians, employees, leaders, and contractors across all El Camino Health entities.

Maintain ongoing, role-based training on the Code of Conduct, privacy and security, fraud and abuse prevention, and emerging regulatory topics.

Regulatory and Contractual Oversight

Monitor federal and state regulatory developments and translate their implications into practical guidance for business and clinical operations.

Review and support compliance provisions in contracts with payers, vendors, and business associates across the enterprise.

Reporting and Risk Management

Prepare and, as needed, present compliance reports, dashboards, and risk assessments for leadership and the Board.

Partner with support functions and clinical and operational leadership to identify, prioritize, and mitigate compliance risks across the enterprise.

Integrate compliance risk data into El Camino Health's broader enterprise risk management program.

Qualifications

• Minimum Requirements
• Education: Bachelor's degree in Healthcare Administration, Law, Business, or a related field required; graduate degree or Juris Doctor (JD) preferred.
• Experience: Minimum of 5 years of progressive healthcare compliance experience, with a preference for significant experience leading a compliance function across multiple entities or a complex, multi-site health system. Prior experience managing both the operational and strategic aspects of a compliance program is required.
• Other: Certification in Healthcare Compliance (e.g., CHC, CHPC) or must be obtained in the first 24 months.
• Knowledge, Skills, and Abilities
• Strategic, detail-oriented leader with deep knowledge of healthcare regulations and proven experience building and running compliance operations across a multi-entity health system.
• Deep knowledge of healthcare regulatory frameworks, compliance program elements, and enterprise risk management principles.
• Demonstrated ability to help lead an enterprise-wide compliance function spanning hospital, medical group, and ambulatory operations.
• Excellent communication, influencing, and relationship-building skills; ability to engage and educate physicians, executives, Board members, and staff at all levels.
• Proficiency in designing audit programs, corrective action plans, and regulatory filings.
• Ability to interpret complex, evolving regulations and translate them into practical operational guidance.
• High integrity, discretion, and sound judgment in handling sensitive and confidential matters.
• Strong project management skills, with the ability to balance daily operational demands with long-term strategic program development.
• License/Certification/Registration Requirements  Certification in Healthcare Compliance, such as Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) or must be obtained in the first 24 months.

An Equal Opportunity Employer:

In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.