Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 85 days ago

Director of Healthcare Compliance, Value-Based Care & Risk Adjustment

urrly63 open roles

Where
Charlotte, North Carolina, United States, Remote
Work mode
Remote
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowDirector of Healthcare Compliance, Value-Based Care & Risk Adjustmenturrly · Charlotte, North Carolina, United States, Remote

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on urrly's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

7.8% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 1.7%1 day
  2. 3.5%3 days
  3. 7.8%7 days
  4. 14.6%14 days
  5. 34.1%30 days
This job: posted 85 days ago

The posting

Director of Healthcare Compliance, Value-Based Care & Risk Adjustment

About The Opportunity

Lead enterprise compliance for a fast-growing healthcare organization operating at the center of value-based care, population health, Medicare Advantage, Medicaid, risk adjustment, and home-based clinical operations. 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.

The right candidate will understand how compliance actually works when clinical teams, nurse practitioners, payer requirements, risk adjustment documentation, multi-state Medicaid obligations, privacy, quality, audits, and executive governance all intersect. You will help build and run a compliance program that supports growth while protecting patients, providers, payers, and the business.

What You Will Do

  • Lead and strengthen the enterprise compliance program across corporate and clinical compliance.
  • Maintain policies, standards, procedures, evidence, reporting, and governance aligned with OIG guidance and applicable federal and state healthcare requirements.
  • Conduct compliance risk assessments and help build annual compliance work plans.
  • Monitor regulatory changes and translate them into practical operating requirements.
  • 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.
  • Monitor clinical and provider compliance, including nurse practitioner scope of practice, collaboration agreements, supervision requirements, licensure, credentialing, privileging, and enrollment.
  • Support HIPAA Privacy and Security initiatives in partnership with Information Security.
  • Participate in CMS, Medicare Advantage, Medicaid, HIPAA, NCQA, URAC, payer, and related healthcare audits.
  • Develop compliance education and training for employees, providers, and leaders.
  • Build executive dashboards, compliance metrics, and Board-ready reporting.
  • Support M&A, integration, and expansion diligence from a compliance perspective when needed.

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.
  • 7+ years of progressively responsible healthcare compliance experience.
  • 3+ years in a compliance leadership role.
  • A progressive, explainable compliance career history with increasing scope, stable tenure, and current or recent work in a relevant healthcare environment.
  • Experience managing both corporate and clinical compliance programs.
  • Strong working knowledge of OIG Compliance Program Guidance, CMS requirements, Medicare Advantage, Medicaid, HIPAA, Fraud, Waste & Abuse, Stark Law, Anti-Kickback Statute, telehealth regulations, provider licensure, credentialing, and nurse practitioner scope-of-practice requirements.
  • Experience leading internal investigations, audits, regulatory inquiries, and corrective action plans.
  • Ability to translate complex regulatory requirements into practical operating processes.
  • Strong executive communication, judgment, documentation, and cross-functional leadership.
  • Comfort operating in a growing, multi-state healthcare organization where compliance needs to be both rigorous and practical.

Nice To Have

  • Experience with organizations similar to value-based care enablement, home assessment, population health, or risk adjustment platforms.
  • Experience supporting Medicaid compliance across multiple states.
  • Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), JD, MHA, MPH, MBA, or another relevant advanced credential.
  • Experience with CMS, NCQA, URAC, Medicaid, Medicare Advantage, HIPAA, payer, or related healthcare audits.
  • Experience building compliance dashboards, Board reporting, Power BI reporting, or other executive-level metrics.
  • Experience with M&A diligence, integration, or rapid multi-state expansion.
  • Experience thinking through appropriate AI usage and safeguards in a regulated healthcare environment.

Location

This is a remote U.S. role with occasional travel as needed for leadership, audit, clinical, or integration work.

Compensation

The expected compensation range is $140,000 to $160,000 base salary, plus a bonus tied to successful audits and compliance outcomes.

Interview Process

Qualified candidates will complete a video interview with Urrly focused on value-based care compliance depth, Medicare Advantage and Medicaid exposure, clinical/provider compliance, investigations, audit readiness, governance, executive communication, and compensation/logistics alignment. Strong candidates may then be introduced to the client team for additional conversations.

Apply

Apply now and get a response within 24 hours.

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against urrly's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on urrly's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    urrly's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.