Director of Clinical Compliance

Director of Clinical Compliance

Location: Decatur, Alabama (On-Site)

Reports To: COO

About Sunbridge

Sunbridge Home Health Care is a leading provider of Pediatric Private Duty Nursing (PDN),

Intellectual and Developmental Disability (I/DD) support, and Elderly & Disabled (E&D) services

across Alabama. Backed by 3 Rivers Capital, we are poised for accelerated growth and regional

expansion, delivering high-quality, in-home care to vulnerable populations. With strong

relationships with Alabama Medicaid and a mission rooted in compassionate, community-based

care, Sunbridge is committed to clinical excellence and regulatory integrity.

Position Summary

Sunbridge is seeking a seasoned Director of Clinical Compliance to lead and expand our compliance

program in alignment with state and federal regulations, particularly with a strong focus on Federal

payors such as Medicaid and Medicare. This is a strategic leadership position responsible for

ensuring regulatory adherence, policy development, training implementation, and fostering a

culture of compliance across all service lines.

Key Responsibilities

Regulatory Oversight & Payor Compliance

- Serve as the organizational expert on federal and state healthcare regulations, especially those

related to CMS, Medicaid, Medicare, and Alabama state waiver programs.

- Ensure compliance with all applicable rules related to billing, documentation, coding, and

reimbursement from Federal payors.

- Collaborate with leadership to maintain strong relationships with state regulatory bodies and

auditors.

Policy Development & Oversight

- Lead the development, implementation, and maintenance of a comprehensive Corporate

Compliance and HIPAA Policy Library, including:

- Code of Conduct

- Documentation Standards

- Billing & Coding Standards

- HIPAA Privacy, Security, and Breach Notification

- Document Retention Policies

Training & Education

- Design and implement an organization-wide Compliance Training Program, including:

- OIG 7 Elements of an Effective Compliance Program

- HIPAA compliance

- Fraud, Waste, and Abuse (FWA) prevention

- Sunbridge internal compliance policies and procedures

Audit & Monitoring

- Lead internal audits and risk assessments to identify compliance gaps and initiate corrective

actions.

- Work with department heads to develop mitigation strategies and drive continuous improvement.

Leadership & Culture

- Serve as the chief compliance liaison across PDN, I/DD, and E&D divisions.

- Promote a proactive culture of compliance through education, transparency, and open

communication.

- Participate in executive leadership meetings, contributing compliance insights to strategic

decision-making.

Educational Requirements

- Bachelor's degree in Nursing, Health Administration, Public Health, or a related healthcare field –

required

- CHC Certification (Certified in Healthcare Compliance) – required

- Master's degree in Health Administration (MHA), Public Health (MPH), Nursing (MSN) – preferred

- Clinical RN credential strongly preferred

Required Qualifications

- Minimum of 5 years of experience in a compliance leadership role in a home health, hospice, or

healthcare services organization

- Proven experience working with Federal payors (Medicare, Medicaid) and navigating CMS/state

regulations

- Strong knowledge of HIPAA, OIG guidelines, and state-specific regulatory frameworks

- Demonstrated success in policy development, compliance training, and audit management

- Excellent interpersonal, communication, and leadership skills

Preferred Qualifications

- Experience working with Alabama Medicaid and waiver programs (PDN, I/DD)

- Familiarity with EMR systems and healthcare analytics for compliance monitoring

- Experience during phases of organizational growth or M&A integration in a healthcare setting

Compensation

- Competitive salary with performance-based bonuses.

-Comprehensive benefits package, including health insurance, retirement plans, and paid time off.

-Opportunities for career growth and professional development.

Join a company where your leadership in compliance safeguards the care of thousands across

Alabama—and soon, beyond.

Apply today and help us scale with integrity.