Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
On-siteFort Lauderdale, Florida, United States
Job Summary
Lead the corporate compliance program ensuring alignment with OIG, HHS, CMS, and FDA regulations while overseeing HIPAA privacy controls and DEA compliance. Develop and execute a risk-based annual audit plan, conducting clinical, operational, and financial assessments across all facilities. Manage fraud, waste, and abuse prevention programs and integrate healthcare risks into the enterprise COSO framework. Oversee Internal Controls over Financial Reporting and lead billing audits for Medicare, Medicaid, and commercial payers. Present regulatory risk profiles to the Compliance Committee and Board, serving as the primary liaison for external government inquiries. Partner with Clinical Operations, Legal, Finance, and IT Security to mitigate systemic risks and drive continuous process improvements. Mentor a specialized team of auditors and manage the department's annual budget.
Required Qualifications
- Active CPA or CIA
- 7 to 15 years in healthcare internal audit, corporate compliance, or hospital/pharmacy risk management
- Direct experience with CMS reimbursement models, pharmacy operations, or healthcare consulting
- Deep knowledge of Stark Law, Anti-Kickback Statute (AKS), False Claims Act, and HIPAA
- Proficiency in electronic health record (EHR) systems, pharmacy management software, and data analytics tools
- Executive presence with the ability to communicate complex regulatory findings to non-technical stakeholders
Desired Qualifications
- Bachelor's in Healthcare Administration, or related field
- CHC, CHPC, or CHRC
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