Compliance Director

At Kyruus Health, our mission is to connect people to the right care, in pursuit of our vision: a better healthcare system- one that's transparent and accessible- where everyone gets the care they need. Our values are at the heart of everything we do:

Here’s what that would mean for you in the Compliance Director role. 

Care: You care about building a culture of compliance and about helping the team do great work within that culture to enable the company’s success 

Driven: You go above and beyond, to look at situations holistically and to proactively engage in problem-solving 

Respect: You are inclusive and collaborative in your work, by taking into account stakeholders’ asks and being a true business partner by always framing your discussions with the impact to the business in mind 

Accountable: You do what you say you will do, communicate effectively on progress of initiatives that you take on, and own up to both your successes and mistakes

What you will do in a Compliance Director role at Kyruus Health:

• You'll be responsible for ensuring that our organization stays on top of state, federal, and healthcare industry-specific laws and regulations. 
• You'll track, and provide compliance guidance related to, regulatory requirements impacting our business, our products, our customers, our policies, and our organization as a whole. 
• You'll manage individual project priorities, deadlines and deliverables, as well as support other cross-functional compliance initiatives.
• You'll be a versatile team player, display leadership qualities, and demonstrate curiosity and passion in addressing new challenges across the organization.
• Proactively monitors industry trends, law/regulatory changes and best practices, and provides guidance to functional leaders and other stakeholders on regulatory and compliance matters. 
• You'll oversee our organization’s responses to regulatory inquiries, questionnaires, and audit requests from our customers and regulatory agencies. 
• Initiates and coordinates teams across Kyruus Health in the evaluation, establishment, and conduct of any internal investigations in response to reports of possible compliance violations or corrective action plans, and prepare responses to regulatory inquiries regarding the same, including managing any necessary document and information collections. 
• You'll support the monitoring and testing of specific compliance controls for effectiveness related to SOC2, HITRUST, HIPAA, and other relevant privacy and security frameworks. 
• You'll maintain proactive visibility into emerging regulatory issues, including US laws and regulations that may impact Kyruus Health specifically and the healthcare industry generally, such as No Surprises Act requirements, Transparency in Coverage rule-making, and Anti-Kickback and Stark referral laws. 
• You'll manage discussions with customers and regulatory authorities regarding compliance matters, including CMS delegation of authority, NCQA accreditation, and other contractual commitments. 
• You'll work closely with stakeholders on NCQA accreditation, 508 / WCAG certifications, and vendor management. 
• You'll establish and manage OIG and other mandated background checks for all personnel and vendors. 
• You'll oversee annual policy refresh and policy/training attestations for the entire organization, including Fraud, Waste & Abuse, Business Code of Conduct, and other compliance. 
• You'll review company processes, policies, controls, operational requirements, and procedures to identify process improvements as they relate to compliance. 
• You'll establish, monitor, and manage metrics related to the function and, where applicable, provide content for leadership reports. 
• Consistently brings forward thinking ideas and action plans for future goals and program enhancements. 
• Demonstrates advanced critical thinking with a business-minded orientation, especially in relation to regulatory analysis, investigations, process reviews and risk mitigation.
• You'll provide audience-appropriate educational materials to functional leaders and other stakeholders regarding new laws and regulations and issues affecting their specific areas of practice. 
• Compliance policy and process standardization and the preparation and implementation of policies and procedures which meet applicable laws and regulations. 
• Is a ready resource for day-to-day questions, guidance, compliance training and mentoring of staff. 
• Partners closely with other team members on various cross-functional initiatives and tasks, including other members of the Legal/Compliance team, InfoSec / Technology teams, People team, Finance / Procurement teams, Product / Engineering teams, Delivery / Operations teams, and Sales / Marketing teams
• Understands and promotes principles of continuous performance improvement.
• You'll report to the General Counsel & Chief Compliance Officer in the Legal Department

How You Can Grow

•  Kyruus Health will bring you through an onboarding process that is both structured and self-guided, designed to enable connection and productivity as you learn more about our company, functions and products. Additionally, we have a culture of feedback, inclusive of our performance review process that provides you with the coaching, resources and opportunities to help you learn and grow with us. 
• Kyruunauts in the Compliance Director role can move in a more linear career path to a Senior Compliance Director role. From there, you could move into a more senior position within the Legal team, such as the role of Vice President of Compliance or a Chief Compliance Officer. 
• Kyruus Health also loves to see an internal transfer. If a linear career path is not what you’re looking for, you can work with your manager to explore lateral moves to other parts of the organization as you continue to grow with us.

What you will bring:

• Ten (10) years minimum of relevant regulatory, compliance, or analogous experience, preferably in the healthcare industry. 
• Prior experience working for or with health plans is strongly preferred. 
• Excellent verbal and written communication skills with both technical and non-technical partners, with focus on informing, influencing, and relationship building. 
• In-depth understanding of the healthcare industry, including the regulatory landscape impacting health systems and health plans (such as CMS regulations), anti-kickback and referral laws, and HIPAA / privacy laws. 
• Demonstrated leadership ability and keen attention to detail. 
• Excellent project management and coordination skills with proven ability to meet deadlines, prioritize assignments, and run multiple projects. 
• The ability to collect, analyze and summarize data from a variety of sources is essential to this position. Demonstrated partnering skills, with experience coordinating initiatives with partners in a fast-paced organization with multiple business lines. 
• Proficiency with Microsoft Office products including Word, Excel and PowerPoint. 




What Could Set You Apart: 

• Direct experience with NCQA accreditation
• Familiarity with SOC2, HITRUST, and FedRAMP 
• Privacy training and accreditation 
• Demonstrated written and oral presentation and communication skills (e.g. leading webinars/seminars, speaking engagements at conferences) 
• Curiosity, integrity, passion 
• Juris Doctorate would be a plus, but not required. 

Equal Opportunity Employer

Kyruus Health is dedicated to providing equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender, national origin, citizenship, age, disability, sexual orientation, genetic information. We will not discriminate, in any employment decision, against any individual or group on the basis of race, color, religion, sex, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, or veterans/national guard/military reserve status. This shall be done in compliance with all applicable federal, state, and local laws in every location in which Kyruus Health has facilities.