Compliance Officer, Healthcare

Full-Time:
Pontiac, MI / Elmhurst, IL / Charlotte, NC

Posted on 12/29/2025

The Compliance Officer is responsible for overseeing and maintaining day-to-day responsibility for the Compliance Plan and leading the Compliance Committee. The Compliance Officer provides guidance for mitigating fraud and abuse and works to identify operational compliance risk areas, particularly focusing efforts on business operations and security vulnerabilities. The Compliance Officer will collaborate with the Quality Coordinator to ensure all overlapping monitoring and reporting is completed accurately and appropriately.

• Oversees and maintains the Company’s Compliance Program to ensure effective prevention, detection, and correction of violations across all service lines.
• Audits, reviews, and updates policies, procedures, Safety Programs, and Infection Control Programs to ensure compliance with ACHC accreditation standards, CMS requirements, and applicable state and federal regulations.
• Collaborates with governing and regulatory bodies, ACHC, Boards of Pharmacy, FDA, CMS, Medicaid, on all matters related to compliance, licensure, and accreditation.
• Coordinates with Human Resources to establish and maintain procedures for orientation, background checks, education, and ongoing training of employees.
• Develops and implements the Company’s Code of Conduct and Ethics Program; reviews and updates annually.
• Creates and delivers compliance and regulatory education for staff, including fraud, waste, and abuse (FWA), HIPAA, safety, and ethics training.
• Identifies and mitigates potential risks by collaborating with IT Security, Operations, and Clinical Leadership to ensure proactive risk management and data protection.
• Develops and coordinates internal and external audit procedures to monitor compliance, detect misconduct, and ensure organizational readiness for accreditation surveys and inspections.
• Oversees clinical licensure and CEU compliance for all credentialed staff and ensures timely renewals and documentation.
• Facilitates and documents the recall process across departments, including Clinical, Purchasing, and Operations.
• Prepares the organization for accreditation surveys and inspections, ensuring documentation, policies, and evidence of compliance are current and readily available. Serves as the primary point of contact and onsite facilitator for accreditation and regulatory surveyors.
• Collaborates with the Quality Coordinator to ensure compliance findings are integrated into Performance Improvement initiatives.
• Manages the complaint management program, ensuring all complaints are logged, investigated, and trended per CMS and ACHC requirements.
• Supports agency and government investigations and ensures timely responses.
• Participates in administrative and leadership meetings to support organizational compliance and readiness.
• Completes required annual compliance education and professional development.
• Performs other duties as assigned.

• Comprehensive knowledge of applicable laws, regulations, and industry standards governing healthcare, pharmacy, and DME operations.
• Strong analytical and critical-thinking skills to interpret regulatory changes and assess organizational impact.
• Expert-level understanding of Medicare and Medicaid regulations, billing requirements, and program integrity guidelines.
• Demonstrated ethical judgment and integrity in decision-making, fostering a culture of compliance and accountability across all departments.
• Proficiency in identifying, assessing, and mitigating compliance risks to safeguard the organization from legal, financial, and reputational exposure.
• Exceptional organizational skills with the ability to maintain detailed records and documentation to support internal and external audits.
• Effective communication skills, capable of translating complex regulatory requirements into clear guidance for staff and leadership.
• Technical proficiency with compliance-related software tools, databases, and reporting systems to enhance efficiency and data integrity.

• Bachelor’s degree in Business Administration, Health, Law or Finance.
• Master’s degree…