Analysis Skills, Auditing, Billing, Budgeting, Business Strategy, Communication Skills, Community Health, Content Management Systems (CMS), Corporate Compliance, Corrective Action, Department of Health and Human Services, Environmental Health, Equipment Maintenance/Repair, External Audit, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Information Management, Healthcare, Healthcare Administration, Internal Audit, Investigative Reports, Leadership, Maintain Compliance, Medicaid, Medical Billing, Medicare, Monitor Regulations, OSHA, Operational Strategy, Organizational Development/Management, Patient Care, Pharmacy, Policy Development, Pricing, Privacy Controls, Procedure Development, Process Improvement, Project Planning, Project/Program Management, Public Health, Quality Management, Regulations, Regulatory Compliance, Risk Management, State Laws and Regulations, The Joint Commission (TJC)
Swope Health is seeking a dynamic and mission-driven Director of Compliance to play a vital role in the managing of Swope Health's compliance program. Reporting to the Chief Compliance Officer, the Director of Compliance provides strategic and operational oversite for the compliance functions of the FQHC. This role is responsible for ensuring the organization adheres to all federal, state, and local laws and regulations, including HRSA, HIPAA, OSHA, CMS, and 340B requirements. The Director develops and implements the corporate compliance program, oversees risk mitigation strategies, and ensures organizational policies and procedures promote ethical conduct, regulatory compliance, and quality improvement.
Primary Functions
- Design, implement, and monitor the Corporate Compliance Program and annual Compliance Work Plan in accordance with HRSA, FTCA, JCAHO and HHS OIG guidelines.
- Develop policies and procedures to ensure regulatory compliance and operational integrity.
- Coordinate internal audits and oversee external audit preparations and responses.
- Ensure compliance with federal and Missouri state healthcare regulations, including:
- Health Center Program Requirements (HRSA/330)
- HIPAA Privacy and Security Rules
- Medicare and Medicaid billing regulations
- 340B Drug Pricing Program requirements
- OSHA and environmental health standards
- Serve as the Privacy and/or Security Officer as needed.
- Investigate and respond to compliance concerns, incidents, and whistleblower reports.
- Maintain the organization's incident log, corrective action tracking, and ensure appropriate follow-up
- Lead the Compliance Committee and participate in Quality and Risk Management Committees
- Serve as a key liaison for compliance-related interactions with regulatory bodies and payers.
- Collaborate with departments such as Quality, Revenue Cycle, Pharmacy, and Health Information Management to improve organizational processes and reduce compliance risk.
- Monitor changes in laws and regulations and adapt organizational policies accordingly.
Education/Qualifications
- Bachelor’s degree in Healthcare Administration, Public Health, Business, or related field (Master’s preferred).
- Certified in Healthcare Compliance (CHC) or eligible within 1 year of hire.
- Minimum 5 years of experience in healthcare compliance or regulatory affairs, preferably in a FQHC or community health setting.
- Strong knowledge of HRSA, HIPAA, 340B, FTCA, and CMS regulations.
- Experience conducting audits and investigations and managing compliance reports.
- Excellent communication, analytical, and leadership skills
About Swope Health Services:
For 56 years, the mission of Swope Health mission has been to improve the health and wellness of the community by delivering accessible, quality, comprehensive patient care to all. Founded in 1969 by E. Frank Ellis, Swope Health opened as “Model Cities Health Corporation” in the basement of Metropolitan Missionary Baptist Church with 20 associates and a $100,000 budget to serve 2,000 patients a year. Since then, Swope has since expanded its size, scope, and service offerings to include behavioral and dental care, services for the unhoused, mobile services and school-based clinics, and the PACE KC Adult Wellness Center.
Swope Health serves as a community health asset in the region – transforming lives, strengthening community, and powering our prosperity. Swope Health is committed to maintaining its focus on patient care and experience as well as an integrated, holistic model of health care, ensuring that everyone in the community can be served. The organization’s high-quality services, strong financials, and visionary leadership team position them well to sustain and deepen their impact into the future.
Swope Health Services supports its team members with:
1. Medical benefits (including a Health Savings Account option), dental and vision
2. 401(k) retirement plan with company match
3. Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short and Long Term Disability
4. Flexible Spending Account
5. Paid Days Off beginning at 20 days annually
6. Nine annual company-paid holidays; One annual paid personal day
*Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status, or disability.