BCHN is seeking an experienced healthcare compliance leader to serve as our Director of Compliance. In this role, you will build, lead, and continuously improve BCHN’s corporate compliance program in accordance with New York State Social Services Law §363-d, 18 NYCRR Part 521, HRSA Health Center Program requirements, and other federal, state, and local laws governing Federally Qualified Health Centers. The Director of Compliance serves as BCHN’s designated Corporate Compliance Officer and HIPAA Privacy Officer and promotes a culture of ethical conduct, accountability, and transparency in support of BCHN’s mission.

Reporting directly to the Chief Executive Officer (CEO), with direct and unrestricted access to the Board of Directors, the Director of Compliance works closely with the Chief Medical Officer, Chief Financial Officer, Chief Operating Officer, and the rest of the Executive Leadership Team. This is a full-time, hands-on role in a growing organization that is opening new service sites.

About BCHN

Founded in 1996, Bronx Community Health Network is a not-for-profit, community-based organization and Federally Qualified Health Center. BCHN ensures that low-income and medically underserved residents of the Bronx have access to high-quality, comprehensive health care.

BCHN provides coordinated primary medical, oral, and mental health care along with diagnostic, pharmacy, social support, and enabling services. Our service area covers the entire borough of the Bronx and all 25 zip codes, with sites focused on low-income and underserved populations.

Our mission is to improve the health of people and families in the Bronx, provide access to affordable and quality health care, promote disease prevention and early treatment, and secure the resources that make this work possible.

Key Responsibilities:

Compliance Program Leadership

• Develop, implement, and oversee a compliance program that meets all required elements of 18 NYCRR Part 521 and Social Services Law §363-d
• Draft and maintain written compliance policies, procedures, and the Standards of Conduct, and review them at least annually
• Prepare an annual compliance work plan and risk assessment, and update them as risks change
• Report directly to the CEO, the Board of Directors, and the Board's Corporate Compliance Committee at least quarterly on program activities, risks, investigations, and corrective actions
• Serve as staff liaison to the Board's Corporate Compliance Committee, providing the reports and materials it needs to oversee the program and make recommendations to the Board on program revisions
• Conduct the annual compliance program effectiveness review, share the results with leadership and the Board, and support the Corporate Compliance Committee's review of program effectiveness at least twice each year
• Prepare BCHN’s annual compliance program certification to the NYS Office of the Medicaid Inspector General (OMIG)

Auditing, Monitoring, and Investigations

• Design and carry out routine internal audits and monitoring of billing, coding, clinical documentation, and operational risk areas, and coordinate external audits as needed
• Screen employees, contractors, board members, and vendors against the HHS OIG, NYS OMIG, and SAM.gov exclusion lists at hire and at least every 30 days
• Maintain confidential reporting channels, including an anonymous hotline, and enforce BCHN’s non-retaliation policy consistent with NY Labor Law §§740 and 741
• Investigate reported or suspected compliance issues promptly and independently, and document findings, discipline, and corrective action
• Oversee the process for identifying, reporting, and returning Medicaid and Medicare overpayments within 60 days of identification, in partnership with the Chief Financial Officer, and lead submissions to the OMIG Self-Disclosure Program when required
• Manage Corrective Action Plans (CAPs) and responses to audits, surveys, and inquiries from HRSA, NYSDOH, OMIG, CMS, and other funders and regulators

Billing and Regulatory Compliance

• Monitor compliance with Medicaid and Medicare FQHC billing and reimbursement rules, including NYS Medicaid PPS and APG requirements, and monitor provider enrollment and revalidation, in partnership with Finance and revenue cycle staff
• Advise leadership on the federal Anti-Kickback Statute, Stark Law, federal and NYS False Claims Acts, and Civil Monetary Penalties Law
• Maintain readiness for HRSA Operational Site Visits and compliance with the HRSA Health Center Program Compliance Manual, including sliding fee discount, contract and subrecipient oversight, and board authority requirements
• Oversee compliance with federal grant terms and the Uniform Guidance (2 CFR 200), including mandatory disclosures
• Oversee 340B Drug Pricing Program compliance, including annual recertification, self-audits, and prevention of diversion and duplicate discounts
• Support compliance with Article 28 of the NYS Public Health Law and NYSDOH regulations (10 NYCRR), Certificate of Need conditions, and survey readiness for new and existing sites
• Review contracts with vendors, clinical contractors, and partner organizations to confirm compliance obligations are included and monitored

Privacy and Information Security

• Serve as HIPAA Privacy Officer and partner with the Security Officer to maintain HIPAA Privacy, Security, and Breach Notification compliance
• Oversee confidentiality requirements for HIV-related information (NYS Public Health Law Article 27-F), substance use disorder records (42 CFR Part 2), and mental health records (NYS Mental Hygiene Law §33.13)
• Oversee patient access to records under HIPAA and NYS Public Health Law §18
• Lead breach risk assessments and required notifications under HIPAA and the NY SHIELD Act
• Maintain business associate agreements and monitor vendor privacy and security practices

Conflict of Interest, Risk, and Quality

• Administer the Conflict-of-Interest policy consistent with NY Not-for-Profit Corporation Law §715-a and HRSA standards of conduct, including annual disclosures by board members, officers, key employees, and contractors, and support the Corporate Compliance Committee in disseminating the annual Conflict of Interest Survey and reviewing responses for completion and potential conflicts
• Review and resolve reported conflicts of interest and maintain a central record of disclosures and determinations
• Support the FTCA risk management program, including incident tracking, risk assessments, and claims coordination
• Partner with the Chief Medical Officer on the Quality Improvement and Quality Assurance program, including clinical documentation audits and peer review support

Training and Culture

• Deliver compliance training at orientation and at least annually for employees, contractors, executives, and board members, and track completion
• Serve as a resource to staff, contractors, and partners on compliance questions
• Perform other duties as assigned based on organizational needs, including support for new site openings, mobile health operations, emergency preparedness, and special projects

Experience and Qualifications:

• Bachelor’s degree in healthcare administration, Public Health, Business, or a related field. Master’s degree or Juris Doctor (JD) preferred
• 5+ years of healthcare compliance experience, including at least 3 years in an FQHC, hospital, or Article 28 setting
• Working knowledge of Medicaid and Medicare billing, reimbursement, and fraud and abuse laws
• Demonstrated experience implementing an 18 NYCRR Part 521 compliance program and working with OMIG
• Experience conducting compliance audits and investigations and reporting results to senior leadership and boards
• Experience with HRSA Health Center Program requirements and Operational Site Visits strongly preferred
• Certified in Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) preferred. Certified in Healthcare Privacy Compliance (CHPC) a plus

Special Skills and Knowledge:

• Independence, integrity, and sound judgment when handling sensitive and confidential matters
• Ability to explain complex regulations in plain language to staff, executives, and board members
• Strong analytical skills, with experience using data to identify risk and measure program effectiveness
• Knowledge of clinical operations, documentation standards, and FQHC workflows
• Excellent written and verbal communication skills, including board-level reporting
• Strong project management and organizational skills with the ability to manage multiple priorities simultaneously
• Ability to build trust and work collaboratively with clinical, administrative, and contracted teams
• Proficiency with Microsoft Office Suite, electronic health records, and compliance reporting systems

We encourage candidates who meet most, though not all, of these qualifications to apply.

Location: Bronx, NY

Compensation and Benefits:

The base salary range for this position is $125,000 to $140,000 annually.

Total compensation for the selected finalist will be determined based on level of experience, education, accomplishments, internal equity, budget, and Fair Market Value evaluation. The range above is a good faith determination at the time of posting and may be modified in the future.

BCHN offers:

• Medical, dental, and vision coverage
• Retirement savings plan
• Paid time off and holidays

How to Apply

Submit a resume and a brief cover letter describing your interest in BCHN’s mission through our career page at www.bchnhealth.org. Applications are reviewed on a rolling basis.

Important Notice Regarding Recruitment Fraud

BCHN has become aware of fraudulent recruitment activity by individuals or organizations falsely claiming to represent BCHN. BCHN never requests payment or fees from job applicants at any stage of the recruitment process. All legitimate openings are posted exclusively on our official career website at www.bchnhealth.org, and all email communication from our recruitment team comes only from addresses ending in bchnhealth.org. If you receive suspicious communication, do not engage or provide personal information, and report the incident to your local authorities.

Bronx Community Health Network is an equal opportunity employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information, or any other characteristic protected by applicable law.