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)