VP, Compliance
Core
Senior leader responsible for leading, evolving, and strengthening the enterprise-wide Compliance Program across Medicare Advantage and other lines of business to ensure regulatory adherence and embed a culture of compliance, ethics, and integrity.
Role type
VP, Compliance (Senior IC / Strategy & Mentorship)
Builds
Scalable compliance systems, high-performing teams, and a data-driven compliance culture for a fast-growing health plan.
Domain
Healthcare (Medicare Advantage) + Regulatory Compliance
Deliverable
Dashboards & analysis | Client delivery (regulatory bodies)
Required skills
MAO Compliance leadership, CMS and State regulatory interfacing, Enterprise Risk Alignment, Executive-level communication, Compliance Management, Regulatory Compliance, Health Care Risk Management, Compliance Reporting, Health Laws, Incident Reporting & Investigation
Preferred skills
Experience in rapidly growing/integrating MAO, Prior #2 Compliance leadership role with Board-level exposure, Advanced degree in compliance-adjacent discipline
Technologies
None explicitly stated
Responsibilities
Design and mature a risk-based Compliance Program aligned with CMS and State requirements; Provide strategic regulatory guidance to executive leadership; Oversee compliance monitoring, auditing, and executive-level reporting; Direct investigations of compliance violations and HIPAA breaches; Govern HIPAA privacy and data protection compliance; Champion compliance training and culture; Lead development of compliance policies; Develop and retain a scalable Compliance organization.
Seniority
VP, strategic leadership with hands-on program ownership