Job Description

Employment Status:
Full time
Job Function:
Management and Executive
406001 Compliance-Mgmt
Shift Hours / Days:
Hours / Pay Period:


The Director of Compliance & Privacy is responsible for managing the implementation of CTCA’s Ethics and Compliance program at the hospital.  This role implements and monitors CTCA’s policies and procedures to ensure compliance with all applicable federal, state and local laws, regulations and accreditation requirements including Medicare and Medicaid reimbursement, STARK and AKS, Joint Commission and HIPAA, as well as non-healthcare specific requirements such as ADA, OSHA and EEO.  The Director if also responsible for oversight of CTCA’s compliance education plan at the hospital in accordance with local needs and enterprise-wide priorities, including educating Stakeholders on CTCA’s Standards of Conduct and ethics plan and HIPAA.  The Director tracks laws and regulations that might affect the organization’s policies and procedures and works with other members of the compliance team to design policies and training as appropriate.  The Director investigates reports of alleged violations of CTCA’s compliance policies.  The Director prepares compliance reports to present to senior management and the hospital board of directors.  The Director advises and issues guidance on compliance and legal matters as they are presented and serves as the Privacy Officer for the hospital.

The role is also responsible for monitoring and managing compliance related complaints via the hotline or via other method, investigating and enforcement.

The Director will report to CTCA’s Chief Compliance Counsel with dotted line responsibility to the hospital CEO.  The Director will also have substantial accountability to the hospital board of directors.


  • Bachelor’s Degree in health related field required, i.e., RN, RHIA, etc.
  • Masters of Health Administration, JD or MBA strongly preferred
  • Certified in Healthcare Compliance, CHC, or equivalent required
  • 5+ years of progressive compliance experience required with a minimum of 3 years of healthcare experience in a hospital setting.