What You Will Do - Essential Functions

We are seeking a strong, hands-on Compliance leader to oversee and build a comprehensive corporate, regulatory, and privacy compliance programs across our behavioral health and in-home primary care service lines. This role ensures enterprise-wide compliance with federal and state laws, accreditation standards, payer requirements, and contractual obligations, while working closely with internal teams and external partners to support a culture of ethical, compliant operations.

Compliance & Privacy Program Oversight
- Lead and maintain organization-wide compliance and privacy programs aligned with CMS, NCQA, URAC, HIPAA, HITECH, and federal/state regulations.
- Conduct risk assessments and develop compliance plans, controls, and KPIs to ensure regulatory adherence.
Risk, Audit & Program Integrity Management
- Manage internal audits, regulatory audits, accreditations, and controls to prevent and detect unethical or improper conduct.
- Oversee Program Integrity investigations to identify, investigate, remediate, and refer cases of fraud, waste, and abuse.
Cross-Functional Collaboration & Compliance Culture
- Partner with internal and external stakeholders, including leadership and the Board, to ensure compliance across products, processes, and initiatives.
- Build a strong culture of compliance through training, education, and support that makes compliance easy and embedded in daily operations.

Who You Are

Required Qualifications

- Bachelor's degree
- Advanced degree preferred (JD, MBA, MPH, MHA, or equivalent)
- 10+ years of progressive leadership experience in compliance, regulatory affairs or risk management within a health care services, delivery or technology organization.
- 5+ years of executive-level leadership in compliance, internal audit, or related oversight functions.
- 5+ years of managed care experience with a health plan working through Medicare and health insurance regulatory requirements.
- 3 years of program integrity, claim integrity or SIU experience relating to fraud, waste, and abuse.
- Demonstrated leadership, including proven ability to establish a vision and drive structural change across the organization.
- This position requires driving. Employee must have an active driver's license and must be insurable. Lucet will request a motor vehicle record from the appropriate authority.
- Ability to translate regulatory and legal requirements into practical, actionable advice and programs.
- Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Living our Values:

- Serving everyone with compassion and leading with empathy.
- Stepping up and creating value by taking charge and acting when there is an opportunity.
- Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
- Nurturing growth and belonging by respecting and celebrating everyone for who they are.

Competencies

- Ability to set a vision, orchestrate processes to execute on that vision, establish an effective governance process with key performance indicators, leverage data to make decisions, and influence and inspire others to deliver results.
- Proven track record of strong people leadership and can hire, develop, and coach a high functioning team. Proven success with building, leading and inspiring passionate/solution-oriented teams and knows what great talent looks like. Has proven practices for developing talent and creating a culture of engagement and trust.
- Must maintain highest integrity and uphold undivided and unbiased process in execution of tasks
- Ability to quickly synthesize information, make decisions, and respond to shifts in priorities.

Working Conditions

- High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
- Frequent use of computer and phone systems
- Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
- Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
- A quiet workspace with minimal background noise for calls.

We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

Lucet

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