Director of Compliance and Delegation Oversight

The Director of Compliance and Delegation Oversight leads COPE Health Solutions’ (CHS) enterprise compliance and delegation oversight activities across CHS corporate operations, affiliated and risk-bearing entities, and client engagements. The role ensures that CHS and the organizations it oversees operate in accordance with applicable federal and state requirements, contractual obligations, accreditation standards, program requirements, and internal policies.  This position is accountable for compliance oversight in multiple operating models, including when CHS delegates functions to another party, when CHS serves as the delegated or subcontracted entity, and when CHS provides consulting, advisory, administrative, or operational services. The Director supports CHS IPA, CHS RKK and other risk-bearing arrangements, CHS LEAD and/or Medicare Shared Savings Program (MSSP) ACO activities, TPA and MSO engagements, ARC clients, and other healthcare consulting clients whose operating models may not fit within a traditional health plan, TPA, or MSO structure.

The Director also serves as CHS’s subject-matter expert for Business Associate Agreements (BAAs), leading the review, redlining, negotiation, implementation, and lifecycle management of BAAs and related healthcare privacy and data-sharing provisions in partnership with the Chief Information Security Officer, business leaders, and legal counsel as appropriate.