Director of Compliance

Founded in 1866, Brooklyn Community Services (BCS) empowers children and families to reach their full

potential, strengthen families, and foster self-sufficiency in adults. With programs in multiple locations

throughout Brooklyn, BCS serves thousands of individuals and families each year.

The Director of Compliance is a hands-on leadership position responsible for creating, implementing, and

maintaining BCS’s compliance program, including a comprehensive Medicaid Compliance Program to

prevent, detect, and address fraud, waste, and abuse. Working directly with program and administrative

leaders, the Director builds compliance systems where they may not exist and strengthens existing

processes. The Director develops policies, procedures, forms, tracking tools, and training; reviews records;

conducts site visits, audits, and investigations; and works with staff to identify root causes and implement

corrective action. The Director clarifies departmental accountability, verifies adherence, and reports

significant concerns to the CEO and, at least quarterly, to the Board Audit Committee and Finance

Committee. Program and administrative leaders remain responsible for executing requirements within

their functions. Compliance develops the central framework, monitors and verifies adherence, and tracks

corrective action. The role supports BCS’s mission and protects its people, resources, reputation, tax-exempt

status, and public trust.

• Conduct an initial assessment of BCS’s existing compliance structure, policies, contracts, monitoring practices, open findings, reporting processes, and department-level responsibilities.
• Create and maintain an organization-wide compliance obligations register identifying the requirement, source, owner, deadline, evidence required, status, and escalation path.
• Establish a centralized compliance calendar for licenses, certifications, contracts, registrations, reports, training, audits, monitoring visits, policy reviews, and annual filings.
• Develop and maintain a policy and procedure inventory, identifying missing, outdated, or inconsistent policies.
• Develop practical compliance tools, including checklists, tracking logs, templates, audit instruments, corrective-action plans, and manager guidance.
• Develop an annual compliance work plan and risk-based monitoring plan, subject to CEO and Board review.
• Recommend the staffing, systems, external expertise, and resources needed to sustain the compliance function.

• Work directly with program leaders to establish compliance systems, files, monitoring schedules, and corrective-action processes for programs that do not have consistent structures.
• Maintain a working inventory of major regulatory, contractual, licensing, accreditation, and reporting obligations applicable to BCS programs and sites.
• Coordinate compliance monitoring related to applicable OMH, OPWDD, NYC DHS, DYCD, DOE, housing, Medicaid, and other funder or regulatory requirements.
• Monitor compliance with Justice Center incident reporting and Staff Exclusion List checks, Statewide Central Register (SCR) clearances, and mandated reporter obligations, in coordination with program leaders and Human Resources.
• Support programs in preparing for audits, licensing reviews, funder monitoring, corrective-action follow-up, and external inspections.
• Monitor completion of contract certifications, required reports, procurement disclosures, city monitoring requirements, and NYC system-related obligations, including PASSPort prequalification and the Charities Bureau CHAR500 annual filing, in coordination with responsible departments.
• Monitor compliance with federal Uniform Guidance (2 CFR 200) and single audit requirements in coordination with Finance.
• Maintain a tracker for audit findings, monitoring findings, corrective actions, responsible owners, deadlines, evidence of correction, and closure status.
• Identify repeat findings and systemic concerns and recommend changes to staffing, training, policies, systems, or controls.

• Develop, implement, and maintain a comprehensive Medicaid compliance program to prevent, detect, and address fraud, waste, and abuse in accordance with applicable requirements under New York State Social Services Law §363-d and 18 NYCRR Subpart 521-1.
• Serve as BCS’s designated Medicaid compliance officer and lead the compliance committee required under 18 NYCRR Subpart 521-1.
• Ensure and strengthen compliance with and understanding of confidentiality and privacy requirements, including HIPAA, 42 CFR Part 2, NYS Shield Law, OMH requirements, and NYC privacy laws.
• Develop written policies, standards of conduct, and procedures addressing compliance expectations, reporting, investigations, disciplinary standards, and non-retaliation.
• Design and conduct risk-based reviews of service documentation, billing support, eligibility, authorization, and other applicable Medicaid risk areas.
• Establish and verify exclusion-screening procedures, including OIG, OMIG, and SAM checks at least every 30 days for staff, Board members, vendors, contractors, and other applicable affected individuals.
• Coordinate required provider compliance attestations and maintain supporting evidence.
• Complete and document the annual compliance-program effectiveness review.
• Coordinate identified overpayment review, reporting, repayment, and corrective action with Finance and counsel.

• Establish and publicize confidential reporting channels, including an anonymous hotline or equivalent reporting method.
• Maintain an intake and investigation log and written procedures for triage, investigation, referral, corrective action, and closure.
• Personally investigate compliance concerns within the role’s authority and coordinate specialized or sensitive investigations with counsel.
• Refer employee-relations matters to HR while remaining involved where they overlap with compliance.
• Communicate and monitor non-intimidation and non-retaliation protections.
• Escalate material concerns promptly and route allegations involving leadership through an appropriate independent channel.

• Develop and deliver orientation, refresher training, and targeted coaching using examples relevant to staff responsibilities.
• Track completion and assess whether staff understand and apply the requirements.
• Provide the CEO with concise reports on findings, overdue actions, recurring issues, and resource needs.
• Support broader risk assessments, continuity planning, and insurance reviews with the responsible leaders.

• First 90 days: Complete the initial compliance assessment. Launch the confidential reporting channel.
  • Confirm monthly exclusion screening is running. Start the compliance obligations register.
• By 6 months: Stand up the compliance committee. Publish the compliance calendar and policy inventory.
  • Present the annual compliance work plan to the CEO and the Board.
• By 12 months: Complete the first annual compliance-program effectiveness review.
  • Deliver and track staff compliance training. Have the corrective-action tracker in use across programs.

• Bachelor’s degree in public administration, healthcare administration, human services, social work, business, finance, law, compliance, or a related field; equivalent combinations of education and substantial directly relevant experience may be considered.
• At least seven years of progressive, hands-on experience in compliance, auditing, regulatory affairs,
• quality assurance, risk management, public contracting, or related work; seven to ten years preferred.
• Direct experience with New York Medicaid compliance and human-services requirements.
• Demonstrated experience building compliance systems where processes were incomplete, inconsistent or absent.
• Hands-on experience writing policies and procedures, creating compliance tools, reviewing records, conducting file audits or site visits, delivering staff training, and verifying corrective actions.
• Experience assessing service documentation, billing support, program eligibility, or claims-related records and collaborating with Finance and program teams to resolve issues.
• Experience handling compliance concerns, documenting investigations, and maintaining confidential records.
• Strong working knowledge of Microsoft Office, spreadsheets, tracking tools, document management, data analysis, and reporting.
• Excellent written communication, facilitation, project-management, analytical, and relationship management skills.
• Sound judgment, discretion, independence, and ability to work productively with staff at all levels.
• Ability and willingness to travel regularly among BCS program and administrative sites.

• Certified in Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP).
• Experience with NYS OMIG compliance program requirements, including annual certification.