Director of Compliance Education & Outreach

Essential Duties & Responsibilities

Strategic Leadership & Compliance Education

• Develop, implement, and continuously enhance a comprehensive enterprise-wide compliance education, training, and outreach strategy.
• Establish standardized compliance education programs that align with organizational priorities and applicable regulatory requirements.
• Monitor changes in federal and state legislation, accreditation standards, and regulatory guidance, ensuring timely updates to educational content and training requirements.
• Evaluate the effectiveness of compliance education initiatives through metrics, reporting, and continuous improvement efforts.
• Determine required compliance education for all workforce roles to ensure organizational adherence to evolving regulatory expectations.

Regulatory Compliance & Program Oversight

• Ensure compliance education programs align with applicable requirements, including:

• Centers for Medicare & Medicaid Services (CMS)

• National Institutes of Health (NIH)

• Office for Human Research Protections (OHRP)

• State licensing and regulatory agencies

• Privacy and confidentiality regulations

• Institutional policies and accreditation standards

• Coordinate implementation of education related to new or revised regulatory, billing, privacy, research, and accreditation requirements.

Billing & Documentation Compliance

• Provide strategic oversight for education supporting compliant billing and documentation practices.

• Ensure educational programs address:

• Teaching physician supervision requirements

• Resident and fellow documentation standards

• Attestation requirements

• Time-based billing

• Learner participation in patient care

• Collaborate with Revenue Cycle, Finance, Compliance, and operational leaders to ensure educational initiatives align with Medicare, Medicaid, and commercial payer requirements.

• Provide guidance regarding supervision standards and documentation practices that support compliant reimbursement.

Research & Academic Compliance

• Lead compliance education initiatives supporting clinical research and academic programs.

• Ensure education addresses:

• Human subjects protection

• Informed consent requirements

• Good Clinical Practice (GCP)

• CITI training

• Federal research regulations

• Partner with Research Administration, Legal, Compliance, and academic leadership to ensure education aligns with institutional policies and regulatory expectations.

• Provide oversight for learner participation in research activities to ensure appropriate supervision, documentation, and regulatory compliance.

Policy Development & Governance

• Develop, review, and maintain policies, procedures, and educational standards related to:

• Compliance education

• Billing and documentation

• Privacy and confidentiality

• Research compliance

• Promote consistent documentation practices and appropriate record retention across the organization.

Collaboration & Organizational Leadership

• Serve as a trusted advisor to executive leadership, physicians, faculty, researchers, and operational leaders regarding compliance education and regulatory requirements.
• Lead multidisciplinary committees, workgroups, and organizational initiatives focused on compliance education, billing integrity, research oversight, and regulatory readiness.
• Deliver education and consultation to leaders and staff regarding compliance expectations, emerging regulations, and organizational best practices.
• Foster collaborative partnerships across clinical, research, academic, compliance, legal, finance, and operational teams.

Additional Responsibilities

• Participate in departmental and organizational initiatives as assigned.
• Perform other duties as required to support departmental and organizational objectives.

REQUIRED QUALIFICATIONS:

Education

• Bachelor''s degree in Business, Healthcare, or Legal Studies

Experience

• Minimum of 7 years of progressive experience in healthcare compliance, privacy, or legal functions
• Minimum of 5 years of leadership or management experience

PREFERRED QUALIFICATIONS:

• Master''s degree in Business, Healthcare, or Legal Studies
• Juris Doctor Degree (JD) in Business, Healthcare, or Legal Studies
• Certified in Healthcare Privacy and Security (CHPS) through the American Health Information Management Association (AHIMA)