Director, Compliance - ACO & Payor Operations
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Overview
Compensation
$160,000-$160,000/year
Job Description
Director, Compliance ACO & Payor OperationsLocation: Farmers Branch, TX (Hybrid 3 Days Onsite)Employment Type: Full-Time | Direct HireCompensation: $160,000 $180,000 annuallyPosition OverviewWheeler Staffing Partners is seeking a Director, Compliance ACO & Payor Operations to lead the enterprise compliance program for a large, value-based healthcare organization. This role ensures compliance with CMS regulations, managed care and payor contracts, and internal governance policies while mitigating regulatory, financial, and operational risk.Key Responsibilities
- Lead and maintain the corporate compliance program aligned with OIG and CMS requirements
- Oversee compliance for ACO programs (MSSP, ACO REACH), Medicare Advantage, and commercial payors
- Conduct enterprise risk assessments and develop compliance workplans and corrective actions
- Lead investigations into compliance concerns, fraud, waste, and abuse
- Partner cross-functionally with Legal, HR, Finance, Revenue Cycle, and Credentialing teams
- Provide reporting to executive leadership, compliance committees, and Board of Trustees
- Manage audits, including CMS, payor, and regulatory reviews
- Develop compliance training programs and promote a culture of compliance
- Bachelors degree in Healthcare Administration, Business, or related field
- 5+ years of leadership experience in healthcare compliance
- Experience in managed care, payor operations, or ACO/value-based environments
- Strong knowledge of CMS regulations, FWA, and healthcare compliance standards
- Experience with enterprise risk management and board-level reporting
- Certified in Healthcare Compliance (CHC) or willingness to obtain within one year of hire
- Experience in large health systems, managed care organizations, or Medicare Advantage
- Background in risk-bearing or value-based care environments
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FAQs About Director, Compliance - ACO & Payor Operations Jobs at Wheeler Staffing Partners
What is the work location for this position at Wheeler Staffing Partners?
This job at Wheeler Staffing Partners is located in Farmers Branch, TX, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Wheeler Staffing Partners?
Candidates can expect a pay range of $160,000 and $160,000 per year.
What employment applies to this position at Wheeler Staffing Partners?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Wheeler Staffing Partners?
You can apply for this role at Wheeler Staffing Partners either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.