Director, Compliance Investigations

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: The Director, Compliance is responsible for leading and overseeing the organization's compliance program, ensuring adherence to applicable federal and state regulations, industry standards, client requirements, and internal policies. This leader serves as a trusted partner to operational and executive leadership, promoting a culture of integrity, accountability, and continuous improvement while mitigating organizational risk. The Director, Compliance will develop, implement, and monitor compliance initiatives that support organizational objectives and regulatory requirements across healthcare revenue cycle operations. Key Responsibilities Compliance Program Leadership Develop, implement, and maintain an effective compliance program aligned with regulatory and organizational requirements. Monitor changes in healthcare laws, regulations, and industry standards and assess organizational impact. Establish compliance policies, procedures, and controls to mitigate risk and promote adherence to applicable regulations. Lead compliance risk assessments and develop action plans to address identified gaps. Regulatory Oversight & Risk Management Ensure compliance with federal, state, and local healthcare regulations, including but not limited to HIPAA, CMS guidelines, and applicable revenue cycle requirements. Investigate compliance concerns, regulatory inquiries, and reported violations. Partner with Legal, Human Resources, Internal Audit, Information Security, and Operations to resolve identified issues. Maintain documentation supporting compliance activities, corrective actions, and regulatory readiness. Auditing & Monitoring Direct ongoing auditing and monitoring activities to evaluate compliance effectiveness. Analyze trends and audit findings to identify areas of risk and improvement. Develop and oversee corrective action plans and monitor progress through resolution. Report audit outcomes and compliance metrics to executive leadership. Education & Culture Promote a culture of compliance and ethical conduct throughout the organization. Develop and deliver compliance education and awareness programs. Provide guidance and coaching to leaders and associates regarding compliance-related matters. Foster open communication and encourage reporting of compliance concerns. Leadership & Strategic Partnership Serve as a strategic advisor to executive leadership on compliance matters. Lead and develop compliance team members through coaching, mentoring, and performance development. Collaborate with operational leaders to embed compliance best practices into daily workflows. Support organizational growth initiatives while ensuring regulatory compliance. Qualifications Required Bachelor's degree in Healthcare Administration, Business Administration, Law, Finance, or a related field. 8+ years of progressive healthcare compliance, regulatory, audit, risk management, or revenue cycle leadership experience. 5+ years of leadership experience managing teams and compliance programs. Strong knowledge of healthcare regulatory requirements, including HIPAA, CMS, OIG guidance, and healthcare compliance frameworks. Demonstrated experience conducting investigations, audits, and risk assessments. Excellent communication, presentation, and executive stakeholder management skills. Preferred Master's degree in Healthcare Administration, Business Administration, Public Health, Law, or related field. Healthcare compliance certification (CHC, CHPC, CHRC, CCEP, or equivalent). Experience supporting large, multi-site healthcare systems or revenue cycle organizations. Experience presenting compliance findings and recommendations to executive leadership and boards. This position pays between: $130000-165000K Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact . This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. Employment Disclaimers – Ensemble