Vice President, Compliance 

Title: Vice President, Compliance 

Location: New York City Metro Area

Salary: $160,000 -$175,000

Position Overview:

The Vice President, Compliance is responsible for the development, implementation, and management of the organization's compliance program. This position ensures that the organization adheres to legal standards, including those relevant to federally qualified health centers (FQHCs), Article 28 clinics, and other human service programs. The Vice President, Compliance will work collaboratively with clinical and administrative leadership to mitigate risk, promote ethical practices, and maintain regulatory compliance in healthcare delivery and related human services.  The Vice President, Compliance reports directly to the President and CEO and has a direct dotted line relationship to the Board of Directors.

Purpose

This role is critical in supporting the organization's mission of delivering high-quality healthcare and human services while ensuring compliance with all regulatory requirements. It requires a proactive approach to risk management and the ability to balance regulatory needs with operational goals.

Essential Duties & Responsibilities:

1. Compliance Program Leadership

Develop, implement, and continuously improve the organization's compliance and ethics program

Oversee compliance with federal, state, and local laws, including healthcare regulations (e.g., HIPAA, OSHA, Stark Law)

Conduct risk assessments and ensure the organization's compliance program meets FQHC and Article 28 standards

Serve as a trusted advisor to the executive team on compliance matters

2. Policy and Procedure Management

Develop, update, and enforce policies and procedures that promote compliance with healthcare regulations

Ensure alignment with specific guidelines for FQHCs and Article 28 clinics, including patient privacy, billing practices, and clinical standards

Collaborate with department heads to create procedures that are effective and enforceable across all program areas

3. Monitoring and Auditing

Conduct regular internal audits and monitor activities to identify potential compliance risks

Review billing practices, clinical documentation, and operational procedures to ensure compliance with healthcare laws and standards

Establish corrective action plans and oversee their implementation as necessary to address identified risks

4. Education and Training

Develop and deliver ongoing training programs for staff on compliance topics, including privacy, billing, ethics, and regulatory requirements

Ensure that staff understands their role in the compliance program and are aware of reporting channels for compliance concerns

5. Investigations and Reporting

Manage investigations related to compliance concerns, complaints, and potential violations

Maintain a confidential reporting system for staff to raise compliance-related concerns

Report compliance issues to senior management and, when required, to regulatory bodies in accordance with legal requirements

6. Regulatory Liaison

Serve as the primary point of contact with regulatory agencies, ensuring clear and transparent communication

Keep abreast of changes in laws and regulations that impact FQHCs and Article 28 clinics, and adjust the compliance program accordingly

Coordinate responses to audits, inspections, and inquiries from regulatory bodies

Qualifications:

• Bachelor’s degree in healthcare administration, Law, Public Health, or a related field; Master's degree preferred
• Certified in Healthcare Compliance (CHC) or similar certification preferred
• Minimum of 5 years of experience in compliance within a healthcare setting, ideally within FQHC or Article 28 environments
• Comprehensive understanding of federal, state, and local healthcare regulations, including HIPAA, Medicaid/Medicare, and the requirements for FQHCs and Article 28 facilities
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Skills and Competencies

• Analytical Skills: Ability to analyze complex regulatory information and develop actionable plans
• Communication Skills: Excellent written and verbal communication skills to educate staff, report to executives, and interact with regulators
• Ethical Judgment: Strong sense of integrity and ethical judgment in handling sensitive issues
• Detail-Oriented: Ability to manage detailed compliance documentation, audits, and policies
• Leadership: Capacity to lead cross-functional teams and foster a culture of compliance throughout the organization

All newly hired Project Renewal staff must provide verification of being fully vaccinated against Covid-19.