Director, Corporate Compliance - #1 Hospital in CA

Cedars-Sinai · Los Angeles

Job Description

The Director, Corporate Compliance leads the implementation and ongoing administration of compliance programs aligned with the seven elements of an effective compliance program under the U.S. Federal Sentencing Guidelines and applicable guidance issued by the Department of Health and Human Services Office of Inspector General. The Director oversees day-to-day compliance operations across Cedars-Sinai Medical Center, the Medical Network, and Marina Hospital, and serves as a primary resource for regulatory and compliance-related matters. Responsibilities include directing the evaluation, investigation, documentation, and resolution of potential compliance concerns; overseeing compliance monitoring, effectiveness tracking, and reporting activities; and leading initiatives that promote adherence to organizational policies and regulatory requirements. Under the direction of the Vice President of Corporate Integrity and Chief Compliance Officer, the Director provides leadership representation on compliance-related committees, initiatives, and operational projects supporting the Corporate Integrity Program.

Directs and oversee day-to-day compliance program operations, including assigned compliance initiatives, issue resolution processes, and program administration activities across enterprise entities. Lead, coach, and manage compliance staff, including assigning priorities, monitoring performance, and supporting staff development and operational effectiveness.
Serve as a compliance resource to leaders, departments, and committees by providing guidance on regulatory requirements, organizational policies, and compliance-related risk matters. Chair and facilitate compliance committee meetings across Cedars-Sinai Medical Center (CSMC), Cedars-Sinai Medical Network (CSMN), Cedars-Sinai Marina del Rey Hospital (CSMH), and Accountable Compliance Partners (ACPs).
Direct the development, implementation, maintenance, and periodic review of Corporate Integrity and compliance policies, standards, and governance documentation to support regulatory alignment, operational consistency, and organizational accountability. Oversee updates to the Standards of Conduct in collaboration with leadership and ensure enterprise-wide accessibility and communication through established compliance resources and systems. Manage the Corporate Integrity policy portfolio within the policy management system, including policies related to compliance reporting, hotline operations, workforce training, sanctioned individual and entity screening, fraud, waste and abuse prevention, and gifts and business courtesies.
Manage enterprise compliance education activities, including new-hire and annual training assignments, curriculum coordination, learning management system oversight, and completion tracking.
Coordinate and oversee compliance hotline operations, intake processes, issue triage, investigations, corrective action follow-up, and case documentation in collaboration with Human Resources, Legal Affairs, and operational leaders.
Direct sanction screening and exclusion monitoring activities for workforce members and applicable third parties across Cedars-Sinai Medical Center, the Medical Network, and Marina Hospital. Oversee review, escalation, investigation, and documentation processes related to potential or confirmed exclusions, and ensure screening activities are conducted in accordance with applicable federal and state regulatory requirements and organizational policies.
Support organizational responses to audits, government inquiries, regulatory reviews, and monitoring activities by coordinating documentation, corrective action plans (CAPs), and status reporting.
Monitor changes in healthcare laws, regulations, and compliance guidance to evaluate operational impact, identify potential areas of risk, and recommend program enhancements or mitigation activities. Prepare and communicate updates on Corporate Integrity matters to the Vice President of Corporate Integrity, including analysis of complex compliance issues, emerging risks, and operational considerations affecting the organization.
Develop and maintain compliance metrics, dashboards, reports, and presentations to support program oversight, regulatory readiness, and informed decision-making by executive leadership, committees, and governing bodies. Present operational updates, compliance activities, and program performance information to leadership, the Board, the Corporate Integrity Committee, and other governance groups, as requested by the Vice President of Corporate Integrity.
Coordinate periodic compliance risk assessments, monitoring activities, and related follow-up efforts to evaluate program effectiveness, identify operational vulnerabilities, and support risk reduction initiatives. Review incident reports, trends, and monitoring results to identify areas of concern and recommend corrective or preventive actions. Develop and maintain program metrics, dashboards, and written reports to monitor compliance activities, track program performance, and support leadership reporting.
Oversee administration of conflict-of-interest disclosure and gifts/business courtesies reporting processes, including questionnaire administration, documentation review, issue escalation, record maintenance, and related compliance follow-up activities for leadership and governing bodies. Support periodic evaluation and refinement of associated policies and procedures, and prepare reports, summaries, and related materials for leadership, the Board, and applicable compliance committees.
Maintain compliance program records, reporting tools, and evidence repositories to support audits, investigations, and governance requirements.
Build collaborative working relationships with operational leaders and cross-functional teams to promote consistent compliance practices and effective communication throughout the organization. Collaborate with departments to identify high-risk roles and ensure job-function-specific compliance training is provided.
Promote a culture of integrity, accountability, and respectful workplace conduct consistent with organizational mission, values, and standards of conduct. Support organizational compliance and ethics initiatives, including administration of culture assessment activities and incorporation of findings into ongoing program improvement efforts.
Support development of training content that integrates emerging risks and regulatory changes, and coordinate exemptions/extensions with HR and the Executive Compliance Council.

Qualifications

Educational Requirements:
Bachelor's degree in Business Administration, Healthcare Administration, Public Health, or other related healthcare, compliance, regulatory, or business discipline required.
Master of Business Administration (MBA), Master of Healthcare Administration (MHA), Juris Doctor (JD), or other advanced degree related to healthcare administration, compliance, law, business operation, public policy, or risk management preferred.

Experience:
10 years leadership experience in healthcare compliance, corporate integrity, internal audit, risk management, regulatory oversight, or related operational compliance functions within a complex healthcare or regulated environment.
Relevant experience may include past legal, internal audit, external audit, risk assurance, regulatory, or other compliance experience. Experience leading risk-based audit and monitoring programs, corrective action plan remediation, and reporting to audit, risk, and compliance committees is desirable. Prior executive level management experience and professional certification (e.g., CHC, CCEP, CPA, CIA, CISA) preferred.

8 years experience supporting investigations, audits, compliance monitoring activities, corrective action planning, and executive-level reporting preferred.

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