Senior Director Compliance

About the Role

This role will serve as the senior leader responsible for developing implementing and overseeing the companys enterprise-wide compliance and ethics program. This individual will evaluate the current state of compliance identify gaps and rebuild the program from the ground up to meet the unique needs of a value-based healthcare organization.

The ideal candidate is a strategic thinker a hands-on builder and a collaborative partner who can drive cultural adoption of compliance across all levels of the organization.

You must be located in or willing to relocate to the Las Vegas Nevada area.

Why join us

This is a unique opportunity to shape and lead the compliance function of a forward-thinking value-based healthcare company. As the senior compliance leader you will play a critical role in ensuring Medicare Advantage and value-based program compliance while working alongside a passionate leadership team committed to transforming healthcare delivery. We offer competitive compensation comprehensive benefits and ongoing professional development support in an environment where your expertise will have a direct impact on organizational success and patient outcomes.

Key Responsibilities

Program Development & Oversight

• Conduct a full assessment of the current compliance program policies and processes; rebuild the compliance framework to align with federal/state requirements and value-based care models.
• Develop and execute a flexible risk-based Medicare Audit Plan focusing on high-priority areas ensuring audits deliver high-quality reports and actionable conclusions.
• Oversee implementation of new Medicare regulations and coordinate compliant solutions to meet regulatory deadlines.
• Establish ongoing monitoring processes for core business activities ensuring compliance metrics are tracked daily and risks are addressed proactively.

Leadership & Governance

• Serve as primary liaison with regulatory agencies payers and external auditors; manage external audits and regulatory reviews.
• Provide advice direction and solutions on compliance-related decisions to health plan leadership and cross-functional teams.
• Partner with stakeholders and business leaders to define solutions strategy and ensure operational readiness for compliance deliverables.
• Track audit plan milestones and ensure timely communication of progress and results to executive leadership and the Board.

Education & Culture

• Develop and deliver education and training on actual proposed or pending Medicare regulations that impact operations.
• Summarize and interpret regulatory requirements consulting with stakeholders to design compliant practical solutions.
• Identify opportunities for compliance curriculum redesign enhancing training and oversight initiatives.
• Foster a culture of accountability integrity and transparency throughout the organization.

Risk & Investigations

• Manage compliance issues and internal investigations ensuring appropriate corrective actions are implemented and effective.
• Evaluate the effectiveness of corrective action plans to prevent recurrence of compliance issues.
• Maintain up-to-date knowledge of current and proposed laws regulations and industry guidelines.
• Contribute to the overall effectiveness of the corporate compliance program by identifying risks early and implementing preventive strategies.

Qualifications

• Minimum 8 years of progressive compliance leadership experience in healthcare with at least 5 years in a senior compliance role.
• Deep knowledge of healthcare regulatory frameworks (CMS OIG HIPAA Stark Anti-Kickback Statute Medicare Advantage Medicaid and value-based care programs).
• Demonstrated success building or rebuilding compliance programs from the ground up.
• Strong leadership presence with ability to influence executive clinical and operational teams.
• Exceptional communication strategic thinking and problem-solving skills.
• Certified in Healthcare Compliance (CHC) or similar credential strongly preferred.

Education

• Bachelors degree required
• JD MBA or Masters in Healthcare Administration or related field preferred.

Location & Travel

• Our office is located in Henderson Nevada
• Travel is not required for this position

About P3

People. Passion. Purpose.

At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care transforming it from sickness care into wellness guidance. If you are passionate about your work eager to have fun and motivated to be part of a fast-growing organization then you should consider joining our team.

Required Experience:

Exec