Director, Compliance - ACO & Payor Operations

Wheeler Staffing Partners

Farmers Branch, TX

JOB DETAILS
SALARY
SKILLS
Auditing, Career Counseling, Content Management Systems (CMS), Corporate Compliance, Corrective Action, Cross-Functional, Finance, Financial Operations, Financial Regulations, Financial Risk, Healthcare, Healthcare Administration, Leadership, Legal, Maintain Compliance, Managed Care, Medicare, Regulations, Regulatory Compliance, Reporting Skills, Risk, Risk Analysis, Risk Management, Training Program Development
LOCATION
Farmers Branch, TX
POSTED
30+ days ago

Director, Compliance – ACO & Payor Operations

Location: Farmers Branch, TX (Hybrid – 3 Days Onsite)
Employment Type: Full-Time | Direct Hire
Compensation: $160,000 – $180,000 annually


Position Overview
Wheeler Staffing Partners is seeking a Director, Compliance – ACO & Payor Operations to lead the enterprise compliance program for a large, value-based healthcare organization. This role ensures compliance with CMS regulations, managed care and payor contracts, and internal governance policies while mitigating regulatory, financial, and operational risk.


Key Responsibilities
  • Lead and maintain the corporate compliance program aligned with OIG and CMS requirements
  • Oversee compliance for ACO programs (MSSP, ACO REACH), Medicare Advantage, and commercial payors
  • Conduct enterprise risk assessments and develop compliance workplans and corrective actions
  • Lead investigations into compliance concerns, fraud, waste, and abuse
  • Partner cross-functionally with Legal, HR, Finance, Revenue Cycle, and Credentialing teams
  • Provide reporting to executive leadership, compliance committees, and Board of Trustees
  • Manage audits, including CMS, payor, and regulatory reviews
  • Develop compliance training programs and promote a culture of compliance


Required Qualifications
  • Bachelor’s degree in Healthcare Administration, Business, or related field
  • 5+ years of leadership experience in healthcare compliance
  • Experience in managed care, payor operations, or ACO/value-based environments
  • Strong knowledge of CMS regulations, FWA, and healthcare compliance standards
  • Experience with enterprise risk management and board-level reporting


Licensure and Certification
  • Certified in Healthcare Compliance (CHC) or willingness to obtain within one year of hire


Preferred Qualifications
  • Experience in large health systems, managed care organizations, or Medicare Advantage
  • Background in risk-bearing or value-based care environments


Why Work with Wheeler Staffing Partners?
Wheeler Staffing Partners connects professionals to impactful opportunities with leading healthcare organizations. Our team provides personalized support, career guidance, and advocacy to help you succeed long-term.

About the Company

W

Wheeler Staffing Partners

Wheeler Staffing Partners' (WSP) has outstanding client relationships providing consultants with access to some of the most desirable employment opportunities across the nation. Our experience, the solutions we provide, our business processes, and partnerships with our consultants and clients has made the company one of the most sought after placement firms for job seekers and companies of all sizes. WSP, provides all candidates with career opportunities, skill assessments, and interview consulting services and our clients with the candidates that meet their culture and skill set. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals to our RPO Service offerings, we create models to deliver a world-class service, with a sense of urgency and professionalism at the best price. Let us put our expertise and services to work for you!

COMPANY SIZE
50 to 99 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2014
WEBSITE
http://wheelersp.com/