Medicaid Program Integrity Jobs in Kentucky (NOW HIRING)

Job Description

Job Title: Vice President of Compliance Support

Location: Remote

Department: Compliance

Employment Type: Full-Time

Reports To: Chief Compliance Officer

Position Summary

The Vice President of Compliance Support serves as the enterprise-wide authority and subject matter expert on healthcare privacy, billing, coding, and documentation integrity. This role provides strategic leadership, expert consultation, and authoritative guidance on integrity matters impacting the organization at both the enterprise and market levels. The System Integrity Officer partners with executive leadership to proactively identify, assess, and mitigate regulatory and financial risk, while ensuring the organization maintains the highest standards of compliance and integrity across all operations. The Vice President of Compliance Support reports to the Chief Compliance Officer and provides direct supervision of the Market Privacy Managers, Market Integrity Managers, Director of Provider Support. This role provides strategic oversight and direction for privacy and integrity functions across all Markets and collaborates closely with Revenue Cycle, Finance, Operations, and Clinical leadership.

Essential Duties and Responsibilities

Serve as the enterprise subject matter expert on federal and state healthcare privacy, billing, coding, and documentation requirements.

Speak with authority on integrity matters, providing expert consultation on enterprise-wide and market-level initiatives, risks, and complex issues.

Monitor, interpret, and assess the evolving regulatory landscape impacting healthcare program participation, including Medicare and Medicaid.

Lead the identification, evaluation, and mitigation of enterprise-level integrity and regulatory risks.

Provide strategic guidance to executive leadership, Market leaders, and Compliance Committees regarding integrity trends, risks, and mitigation strategies.

Oversee the development and execution of enterprise integrity strategies, frameworks, and priorities.

Supervise and mentor the Deputy Integrity Officer and HIM Directors ensuring alignment of operational integrity efforts with enterprise strategy.

Provide executive oversight of audit, monitoring, and investigative activities related to billing, coding, and documentation integrity.

Guide the development and maintenance of audit tools, monitoring methodologies, and integrity standards.

Consult on complex billing, coding, documentation, and integrity and HIM-related issues, including high‑risk findings and investigations.

Support enterprise compliance risk assessments and integrity-related reporting to leadership and governing bodies.

Champion a culture of integrity, accountability, and continuous improvement across the organization.

Assist with market or subsidiary external audit negotiations and prepare responses to external audits as necessary.

Oversee development, implementation and effectiveness of integrity-related training for leadership and providers.

Make board presentations as necessary.

Perform other duties as assigned.

Supervisory Responsibilities

This position has supervisory responsibilities, which may include providing direction, training, coaching, and performance feedback in accordance with system policies.

Knowledge, Skills, and Abilities

Expert-level knowledge of federal and state healthcare program regulations, including Medicare and Medicaid.

Advanced expertise in healthcare billing, coding, documentation, auditing, and integrity monitoring.

Ability to synthesize complex regulatory requirements and translate them into enterprise strategy and actionable guidance.

Exceptional executive-level communication and presentation skills.

Strong strategic and systems-level thinking.

High level of professional credibility, judgment, and discretion.

Proven ability to influence and advise senior leaders.

Thorough understanding of HIPAA and confidentiality requirements.

Minimum Qualifications

Education Bachelor’s degree in Health Information Management, Healthcare Compliance, or a related field required; Master’s degree strongly preferred.

Experience Eight or more years of progressive experience in healthcare compliance, integrity, billing, coding, auditing, or regulatory leadership, including enterprise or system-level responsibility.

Licenses and Certifications

One or more of the following credentials required: RHIA, RHIT, CHC.

Physical and Work Environment Requirements

Work is performed in an office, clinical, residential, and/or community-based environment depending on role and assignment. The position may involve routine use of office, clinical, or electronic systems and equipment. Duties may require prolonged periods of sitting, standing, walking, and working at a computer. Work hours may include evenings, weekends, holidays, or extended shifts based on program needs. This position is classified as sedentary work. Sedentary work involves exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Program and State-Specific Requirements (When Applicable)

Additional requirements may apply based on program assignment, work location, or state-specific regulatory or contractual obligations.

Disclaimer

The statements herein are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required. Duties and responsibilities may change at any time with or without notice.

Position Perks & Benefits

• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission

Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission.

About Brightli

Brightli is on a mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. We are doing this by forming a new behavioral health organization under new model. Under one parent company, multiple organizations are able to collaborate, share resources and system supports, increase recruiting and retention efforts, increase access to specialized care, and meet the growing demand for behavioral and addiction recovery care. Brightli’s top‑line subsidiaries include Burrell Behavioral Health (Burrell), Preferred Family Healthcare (PFH), Southeast Missouri Behavioral Health (SEMO), Firefly, Adult and Child Health, and Places for People. While these organizations operate independently and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations may be able to navigate the current tumultuous healthcare environment, but we believe that together we can do so much more than survive. Our communities need us now more than ever, and by working together we are ready to answer their call for years to come.

Brightli Snapshot

200 locations 4 states 19 subsidiaries and/or affiliates 5k+ employees

We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.