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Senior Director, Compliance Officer
Health Network OneSenior Director leading compliance strategy for Health Network One, which modernizes specialty healthcare delivery and management. Overseeing regulatory adherence, audits, privacy, risk, training, and board reporting.
Posted 8/5/2026full-timeRemote • Florida • 🇺🇸 United StatesSenior💰 $165,000 - $180,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and overseeing compliance programs aligned with federal and state healthcare regulations, including CMS and HIPAA. Proven ability to lead audits, manage compliance training, and collaborate with leadership to integrate compliance into business processes.
Highest-signal resume keywords
Healthcare ComplianceCMS RegulationsHIPAA ComplianceCompliance Training DevelopmentCross-Functional Team Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance Program DevelopmentRisk AssessmentRegulatory ReportingFraud PreventionData Analytics
Soft Skills
Exceptional CommunicationAnalytical Problem-SolvingInfluencing Organizational Change
Tools & Technologies
Compliance Technology Platforms
Certifications & Qualifications
Certification in Healthcare Compliance (CHC)
Industry Keywords
Managed CareDelegated ServicesMedicaid RegulationsMedicare RegulationsCompliance Policies
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Develop, implement, and oversee a comprehensive compliance program aligned with federal and state healthcare regulations, including CMS, HIPAA, and state-specific managed care requirements
- Monitor compliance with contractual obligations related to delegated services across specialties, including claims, call center, and/or medical management operations
- Serve as the Organization’s HIPAA Privacy Official and coordinate with the designated HIPAA Security Official
- Act as primary liaison with regulatory agencies and health plan partners regarding compliance matters
- Lead internal audits and risk assessments
- Develop and deliver compliance training for employees, providers, and contractors
- Investigate and resolve compliance issues, misconduct allegations, and regulatory violations
- Collaborate with operational leaders to integrate compliance into business processes and strategic initiatives
- Prepare and present compliance reports to the General Counsel and Board of Directors
- Advise leadership on evolving healthcare regulations and industry best practices
- Oversee compliance policies and procedures
- Manage Compliance department budget preparation and adherence
- Chair the Compliance Committee and related subcommittees
- Coordinate oversight of affiliated contractors and delegates
- Enhance and maintain a Fraud, Waste, and Abuse prevention, detection, and operations program
Requirements
What you’ll need- Bachelor’s degree required
- Minimum of 8 years of experience in healthcare compliance, preferably within managed care or delegated service organizations
- Deep understanding of CMS, HIPAA, and state Medicaid/Medicare regulations
- Experience working with delegated services and provider networks
- Proven ability to lead cross-functional teams and influence organizational change
- Exceptional communication and presentation skills, including reporting to executive leadership and boards
- Strong analytical and problem-solving skills
- Certification in Healthcare Compliance (CHC) or similar credential preferred
- Experience with compliance technology platforms and data analytics preferred
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Health Network One Website LinkedIn All Job Openings 201 - 500 employees Founded 1999 🏥 Healthcare ⚕️ Healthcare Insurance 🤝 B2B Healthcare
- Healthcare Insurance
- B2B Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification. Senior Director, Compliance Officer Job not on LinkedIn 🔥 1 hour ago 🐊 Florida – Remote 💵 $165k - $180k / year ⏰ Full Time 🟠 Senior 🚔 Compliance Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Develop, implement, and oversee a comprehensive compliance program aligned with federal and state healthcare regulations, including CMS, HIPAA, and state-specific managed care requirements
- Monitor compliance with contractual obligations related to delegated services across specialties, including claims, call center, and/or medical management operations
- Serve as the Organization’s HIPAA Privacy Official and coordinate with the designated HIPAA Security Official
- Act as primary liaison with regulatory agencies and health plan partners regarding compliance matters
- Lead internal audits and risk assessments
- Develop and deliver compliance training for employees, providers, and contractors
- Investigate and resolve compliance issues, misconduct allegations, and regulatory violations
- Collaborate with operational leaders to integrate compliance into business processes and strategic initiatives
- Prepare and present compliance reports to the General Counsel and Board of Directors
- Advise leadership on evolving healthcare regulations and industry best practices
- Oversee compliance policies and procedures
- Manage Compliance department budget preparation and adherence
- Chair the Compliance Committee and related subcommittees
- Coordinate oversight of affiliated contractors and delegates
- Enhance and maintain a Fraud, Waste, and Abuse prevention, detection, and operations program 🎯 Requirements
- Bachelor’s degree required
- Minimum of 8 years of experience in healthcare compliance, preferably within managed care or delegated service organizations
- Deep understanding of CMS, HIPAA, and state Medicaid/Medicare regulations
- Experience working with delegated services and provider networks
- Proven ability to lead cross-functional teams and influence organizational change
- Exceptional communication and presentation skills, including reporting to executive leadership and boards
- Strong analytical and problem-solving skills
- Certification in Healthcare Compliance (CHC) or similar credential preferred
- Experience with compliance technology platforms and data analytics preferred Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs HIPAA Privacy Lead – Policy, Risk & Compliance 🔥 2 hours ago Southend Pharmacy 201 - 500 🏥 Healthcare 💼 Consulting 📦 Logistics Website LinkedIn All Job Openings HIPAA Privacy Lead owning privacy policies, risk, BAAs, de-identification, and training for Allia Health Group’s U.S. healthcare businesses. Partnering with legal, engineering, clinical, and compliance teams. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🚔 Compliance GRC Tool Administrator 🔥 11 hours ago Saliense 51 - 200 🔒 Cybersecurity 🏛️ Government 💼 Consulting Website LinkedIn All Job Openings GRC RegScale Administrator managing platform operations, RMF workflows, migrations, and integrations. Supporting Saliense’s federal cybersecurity, compliance, and audit-readiness programs. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🚔 Compliance Compliance Specialist 🔥 11 hours ago QC Servion, LLC 51 - 200 ⚖️ Legal 📣 Marketing 📦 Logistics Website LinkedIn All Job Openings HR compliance specialist managing multi-state employment law, regulatory reporting, training, policies, and audits. Supporting QC Servion’s data center ecosystem through compliant, efficient HR operations. 🇺🇸 United States – Remote 💵 $78.8k - $95.8k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🚔 Compliance Compliance Analyst 🔥 11 hours ago InsCipher 11 - 50 🛡️ Insurance ☁️ SaaS 🔌 API Website LinkedIn All Job Openings Compliance Analyst supporting U.S. surplus lines tax compliance, regulatory research, and insurance filing systems at InsCipher. Coordinating product projects, customer issues, documentation, and automation initiatives. 🇺🇸 United States – Remote 💵 $60k - $75k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🚔 Compliance Compliance Specialist 🔥 14 hours ago Vimly Benefit Solutions 51 - 200 💼 Consulting 🏥 Healthcare ☁️ SaaS Website LinkedIn All Job Openings Compliance Specialist supporting Vimly Benefit Solutions’ health benefits administration compliance program. Monitoring regulations, managing filings, supporting audits, and mitigating compliance risks. 🇺🇸 United States – Remote 💵 $60k - $70k / year 💰 Venture Round on 2021-10 ⏰ Full Time 🟡 Mid-level 🟠 Senior 🚔 Compliance View More Compliance Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs