Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
S
SNFOut
Compliance Director
Career Insights for Compliance Manager
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on New York data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Compliance Manager tracks employer compliance with laws and regulations, particularly for organizations in business and health care. Creates company policies, reviews departmental functions and protocol, follows developments in law and regulations affecting the industry
$168,729 / year median in New York
+6% projected growth
Job Description
NOW HIRING:
Compliance Director- Monsey, NY | Full-time | $125k - $150k
- Position Overview
- The
- Compliance Director
- is responsible for credentialing, contracting, and payer-side oversight across the behavioral health and substance use disorder portfolio managed by the company. The position expands to include authorization oversight as the function matures and provides advisory support for broader compliance matters.
- Core Responsibilities for the Compliance Director
- — Lead provider credentialing and facility contracting across portfolio facilities, including initial credentialing, re-credentialing, and CAQH profile maintenance — Negotiate and manage commercial payer contracts, fee schedules, and renewals — Maintain credentialing status tracking with proactive follow-up to prevent enrollment gaps — Provide advisory support on HIPAA, audit response, regulatory inquiries, and Joint Commission / AHCA compliance posture — Develop and lead a small team of credentialing, contracting, and authorization specialists as the portfolio scales — Serve as internal subject matter expert on commercial payer policy and behavioral health regulatory developments •Required Experience• We need a •Compliance Director• with minimum five years of progressive experience in healthcare credentialing, contracting, and payer relations.
- Compliance Director
- role: — Demonstrated history of commercial contract negotiation and credentialing cycle completion — Working knowledge of major commercial payers and their BH carve-outs: Optum BH, Magellan, Evernorth, Carelon — Experience with
CAQH, NCQA
standards, and provider data management platforms — Familiarity with HIPAA, HITECH, Title 42 CFR Part 2, MHPAEA, and applicable state SUD licensing frameworks- Preferred Qualifications
- — Bachelor's degree in healthcare admin, business admin, or related field — Professional compliance certification: CHC, CPCO, or CHPC — Medicaid and Medicare credentialing and contracting experience — Prior management experience leading credentialing or contracting teams HP