Lead and maintain enterprise compliance and privacy programs (HIPAA, HITECH, CMS, NCQA, URAC); conduct risk assessments; manage audits, program integrity and fraud/waste/abuse investigations; partner with leadership and Board to embed compliance through training, controls, KPIs, and cross-functional collaboration.

Investigate, document, and resolve clinical quality-of-care complaints, grievances, and incidents. Review medical records, collect and analyze data, prepare reports, support accreditation readiness, and lead performance improvement projects to monitor and improve compliance and care quality.