Urrly
Director of Healthcare Compliance, Value-Based Care & Risk Adjustment
Charlotte, NC · Director
Sponsorship not specified$140k-$160kDetected 11 days ago
Data VisualizationComplianceM&ALogisticsHIPAALeadershipCommunicationCollaboration
About the role
- This is a senior compliance seat for someone who has worked inside a value-based care enabler or closely comparable model, not a broad hospital-only compliance role.
- Participate in CMS, Medicare Advantage, Medicaid, HIPAA, NCQA, URAC, payer, and related healthcare audits.
- 7+ years of progressively responsible healthcare compliance experience.
Responsibilities
- Lead and strengthen the enterprise compliance program across corporate and clinical compliance.
- Lead internal compliance investigations, root-cause analysis, corrective action plans, and follow-through.
- Partner with Clinical Operations, Legal, HR, Information Security, Revenue Cycle, Quality, Credentialing, and Executive Leadership.
- Support compliance with Medicare Advantage, Medicaid, CMS, telehealth, payer, and risk adjustment requirements.
- Support HIPAA Privacy and Security initiatives in partnership with Information Security.
- Build executive dashboards, compliance metrics, and Board-ready reporting.
- Support M&A, integration, and expansion diligence from a compliance perspective when needed.
- You will help build and run a compliance program that supports growth while protecting patients, providers, payers, and the business.
Nice to have
- Experience supporting Medicaid compliance across multiple states.
- Experience with M&A diligence, integration, or rapid multi-state expansion.
Compensation
- Conduct compliance risk assessments and help build annual compliance work plans.
Benefits
- Maintain policies, standards, procedures, evidence, reporting, and governance aligned with OIG guidance and applicable federal and state healthcare requirements.
- Develop compliance education and training for employees, providers, and leaders.
- What We Are Looking For Direct compliance experience in value-based care, population health, risk adjustment, Medicare Advantage, Medicaid, home-based care, or a comparable healthcare enablement environment.
This listing is sourced directly from Urrly's careers page and normalized into a canonical job model.