Cape Cod Healthcare · 23 hours ago
Executive Director, Compliance (TEMP)
Hyannis, MA
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expCape Cod Healthcare is seeking an Executive Director for Compliance to oversee healthcare compliance regulations specific to payor rules and requirements. The role involves collaborating with leadership, conducting audits, and ensuring adherence to federal and state regulations.
Health Care
Responsibilities
Reports to the Chief Compliance Officer
Review all payor requirements, such as National Coverage Determinations and Local Coverage Determinations and develop a plan to operationalize the requirements within the system to ensure compliance
Oversees payors requirements to assure compliance with federal and state healthcare rules and regulations
Partner and collaborate with Department and Senior Leadership to assure compliance with federal and state healthcare rules and regulations
Conduct routine audits to assure compliance with regulatory requirements
Routinely train and educate on federal and state payor healthcare rules and regulations, Compliance Work Plan and Cape Cod Healthcare policies and procedures
Prepare and provide reports routinely to the Chief Compliance Officer, Compliance Committee and Senior Leadership as required
Create and manage any corrective action plan due to gaps and/or non-compliance identified
Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers
Challenges current working practices identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence
Other duties as needed
Qualification
Required
Graduate of an accredited School of Nursing, Advanced degree preferred
Must have 5+ years of Healthcare Compliance experience
Must hold or obtain in 2 years a Certified in Health Care Compliance (CHC) certification
Understanding and knowledge of healthcare payor rules and requirements
Ability to evaluate and educate on healthcare regulatory requirements
Knowledgeable of OIG's Seven Element of a Successful Compliance Program and US Federal Sentencing Guidelines
Prior experience presenting multiple levels of healthcare
Ability to read, write and communicate in English
Preferred
Previous Compliance Integrity Experience preferred
Certification in healthcare compliance a plus
Company
Cape Cod Healthcare
Cape Cod Healthcare offers a comprehensive array of medical services delivered by top-notch teams of healthcare providers.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Michael Lauf
President and CEO
Richard Silveria
Chief Financial Officer
Recent News
2025-09-10
Company data provided by crunchbase