WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred)

We operate in the Eastern Time Zone

Reports to: Vice President of Privacy and Compliance

# of Direct Reports: 3

Primary Function/General Purpose of Position

Under the strategic direction of compliance leadership this position contributes to the Bon Secours Mercy Health mission and vision by assisting in the development and implementation of the Ministry-wide compliance program.  This position provides support and guidance for compliance related activities to Bon Secours Mercy Health operational and clinical leaders.

Essential Job Functions

• Implements the BSMH Compliance program within their assigned functional areas, including application of innovative, leading practice approaches to support the Compliance team in identification, assessment, and mitigation of risks, auditing and monitoring, education of leaders on compliance regulations, establishing functional compliance committees, and implementing compliance policies.

• Implements system wide compliance strategy and deployment of functional area compliance priorities and initiatives.

• Provides advice/consultation to BSMH Leadership regarding compliance and regulatory initiatives impacting the organization and assists in mitigating system-wide risks to the organization. This will include presentations and education sessions on emerging risk areas.  Meet monthly with system and market leadership on compliance concerns and initiatives.

• Assists in the development and evaluation of system-wide operational policies and procedures.

• Leads advanced investigations across the ministry relative to their functional area.  Works collaboratively with Advice and Counsel, Medical Group, Patient Experience, Legal, and other BSMH Partners to conduct interviews, document investigatory steps, and make recommendations for corrective actions. 

• Serves as compliance leader with responsibility for communication to system and market leadership.  Coordinates functional issues that arise with the appropriate functional Director, Compliance. 

• Leads and develops functional compliance directors, conduct system training, ensure consistent application of investigative protocols, compliance tracking system integrity, awareness of BSMH strategic initiatives, and standardization of established processes across the compliance program.

• Develops and implements compliance monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and/or other enforcement agencies as part of the overarching BSMH compliance program.

• Evaluates and utilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third-party vendors to detect and trend potential compliance issues, makes recommendations for compliance program changes and develops education in response to identified trends.

• Supports and coordinates data for the internal compliance leadership meetings, system and market leaders, and the BSMH Executive Compliance Committee. 

• Identifies the need and develops education content and trending of non-compliant activities to enhance proficiency and competency, understanding of standards and the consequences of non-compliance.  Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities.

Licensing/Certification

Certified in Healthcare Compliance (CHC) – Health Care Compliance Association (required)

Education

• Masters - Healthcare, Business Administration or related field. (required)

• Bachelors - Healthcare, Business Administration or related field. (required)

Work Experience

• Eight to ten years of in-depth experience within healthcare operations or compliance-related activities.

• Demonstrated working knowledge of the Department of Health and Human Services

Skills:

Hard Skills

• Translates enterprise compliance strategy into coordinated programs and workflows across multiple functional areas.

• Interprets complex regulations and operationalizes compliant practices across diverse service lines.

• Utilizes compliance data, dashboards, and AI-enabled insights to identify emerging risk patterns and inform mitigation.

• Oversees system-level auditing and monitoring processes, ensuring alignment with risk assessment priorities.

• Leads consistent execution of enterprise compliance policies and ensures harmonization across markets and departments.

• Manages complex compliance investigations with consistency, through documentation and cross-functional collaborations.

• Oversee the designs and delivery of targeted compliance education and training aligned with system priorities and risk trends.

• Measures effectiveness of compliance initiatives using qualitative and quantitative metrics, recommending improvements based on results.

• Works closely with Legal, Audit, I&T, HR and Operations to embed compliance within business processes.

• Ensures appropriate use of compliance systems, tools, and vendor solutions supporting program management and monitoring.

Soft Skills

• Translates high-level compliance strategy into actionable, measurable results across teams and regions.

• Build strong partnerships with operational leaders, physicians, and functional stakeholders to align compliance outcomes with organizational goals.

• Approaches compliance challenges with balanced analytical rigor and pragmatic problem-solving.

• Drives adoption of new compliance processes and behaviors through communication, coaching, and relationship-building.

• Serves as a visible role model for ethical conduct and accountability consistent with the system’s mission and values.

• Tailor communication to executive, operational, and frontline audiences with clarity and diplomacy.

• Mentors Compliance Directors and emerging leaders to build depth and consistency within the compliance function.

• Adjust priorities quickly in response to evolving regulatory demands and emerging risk areas.

• Navigates sensitive investigations and organizational challenges with composure, empathy, and fairness.

• Thinks system-first, balancing local needs with ministry-wide objectives and ensuring alignment with enterprise values and mission.