Vice President, Compliance- Centerwell Care Delivery

The Vice President, Compliance- Centerwell Care Delivery is a senior compliance executive responsible for leading the design, implementation, operation, and continuous improvement of the compliance program supporting CenterWell's care delivery businesses.

Key Role Responsibilities

• Strategic Compliance Leadership: Lead the compliance program for CenterWell care delivery operations, working with the Chief Compliance Officer to establish vision, strategy, priorities, and measures of effectiveness aligned with enterprise objectives and regulatory expectations.
• Authority, Independence, and Reporting: Exercise independent judgment and authority, with direct and unrestricted access to the Chief Compliance Officer, relevant executive leaders, and applicable compliance and governing committees.
• Compliance Risk Management, Monitoring, and Auditing: Lead enterprise-aligned compliance risk assessments for the CenterWell care delivery portfolio and maintain a current, documented inventory of legal, regulatory, contractual, and operational compliance risks.
• Investigations and Regulatory Response: Oversee the intake, triage, investigation, escalation, and resolution of significant care delivery compliance matters, including allegations involving fraud, waste, and abuse.
• Acquisition and Growth Support: Provide compliance leadership for acquisitions, affiliations, joint ventures, management services arrangements, and new care delivery models.
• Compliance Advising, Education, and Culture: Advise senior and operational leaders on regulatory expectations, risk mitigation, investigations, government inquiries, and practical solutions that support business objectives without assuming operational responsibility.
• Team, Talent, and Resource Leadership: Design and lead an appropriately structured, risk-aligned compliance organization with clear accountability across supported businesses and risk domains.

Regulatory and Risk Portfolio

• Federal healthcare program participation, reimbursement, enrollment, and reporting requirements.
• Federal and state fraud, waste, and abuse laws, including the False Claims Act, Anti-Kickback Statute, Stark Law, Civil Monetary Penalties Law, and beneficiary-inducement requirements.
• Clinical documentation, coding, medical necessity, billing, claims, refunds, overpayments, cost reporting, and payment integrity.

Required Qualifications

• Bachelor's degree in business, healthcare administration, public health, law, accounting, finance, or a related field.
• 12 years plus of progressively responsible experience in healthcare compliance, legal, risk management, audit, or a related discipline, including substantial experience leading provider or care delivery compliance programs.
• Demonstrated knowledge of government healthcare program reimbursement, provider billing and coding, clinical documentation, medical necessity, and federal and state fraud-and-abuse requirements.

Preferred Qualifications

• Advanced degree in law, healthcare administration, public health, business, accounting, finance, or a related field.
• Recognized healthcare compliance certification, such as CHC, CHPC, CHC-F, CCEP, or a comparable credential.