Compliance Director

Our Promise

Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Compliance Director is responsible for overseeing and enhancing the company's compliance program to ensure adherence with federal and state regulations, accreditation standards, and client contractual relationships. This role leads the planning and execution of client and regulatory audits, manages audit responses and ensures that corrective actions are tracked to completion. The Director partners closely with business leaders to strengthen compliance readiness, internal issue resolution and mitigate risks across the organization.

Competencies:

• Serve as the primary liaison for all client, regulatory, and accreditation audits (e.g., CMS, state Medicaid agencies, dental or vision plan clients).
• Oversee the coordination, preparation, and timely submission of audit deliverables.
• Lead on-site or virtual audit activities, ensuring subject matter experts are prepared and aligned.
• Drive efficiency in managing multiple concurrent audits by standardizing processes, streamlining workflows, and ensuring consistent responses.
• Track and monitor audit findings, corrective action plans (CAPs), and deadlines to resolution in a timely and effective manner.
• Collect and maintain documentation and evidence supporting completion of CAPs, providing an audit trail for regulators and clients.
• Partner with internal stakeholders (claims, provider relations, operations, IT, etc.) to proactively identify and mitigate compliance risks.
• Lead corrections-focused compliance initiatives and provide direction to drive results and ensure projects are completed and communicated on time.
• Investigate potential compliance violations, including internal complaints or regulatory inquiries.
• Represents the company in interactions with regulatory agencies.

Core:

• Ability to lead cross-functional teams and work with multiple stakeholders.

• Excellent written and verbal communication skills to effectively communicate complex matters to diverse audiences at different levels.
• Ability to develop reporting to provide meaningful data on audit activity, corrective action status, and mitigation outcomes to varied audiences.
• Demonstrated skillset in identifying root causes of compliance issues and developing effective recommendations for remediation.
• Strong analytical, organizational, and project management skills.
• Experience leveraging tools and technology to streamline compliance processes, improve audit efficiency, and enhance tracking of audit and corrective action related data.
• Lead and mentor compliance team members.

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

• Bachelor's degree in business, healthcare administration, law or related field.
• 7+ years of progressive compliance, regulatory, or healthcare/insurance experience, including leading audits or corrective action initiatives.
• Strong knowledge of federal and state health insurance regulation, including Medicaid/Medicare, HIPAA, and state insurance laws.
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.

Preferred Qualifications:

• Advanced degree preferred (e.g. MBA, MPH)
• 3+ years in a leadership role (managing audits, corrective actions, or compliance teams)
• Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), or equivalent.

At Avsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:

This role may also be eligible for benefits, bonuses, and commission.

Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

How To Stay Safe

Avsis is aware of fraudulent activity by individuals falsely representing themselves as Avsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avsis recruiters will come from a verified email address ending in @ Avsiscom.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

Equal Employment Opportunity

At Avsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avsis, where We See You!