Top 47950 Director Networks Jobs

Director of Compliance
PROVIDER RESOURCES INC —Remote
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Quick Apply
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Director of Nursing | DON | RN
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Director of Compliance

PROVIDER RESOURCES INC -
Remote

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Job Details

Full-time
$165,000 - $190,000 a year

Qualifications

Compliance risk assessment
Risk management compliance audits
Team leadership
CMS
Team development
CMS regulatory compliance
Medicare regulations
NCQA standards
Regulatory readiness in healthcare
Healthcare quality audits
Overseeing audit functions
Senior level
Leadership
10 years

Full Job Description

About the company

Provider Resources Inc. (PRI) is looking for an experienced Director of Compliance to own our enterprise compliance program. This is a leadership role for a compliance professional ready to build the infrastructure, lead the audits, and develop the team that allows PRI to scale responsibly under CMS and URAC regulation.

What you will do

Own PRI's compliance program across IDRE, IRO, and CMSgoverned programs
Lead regulatory and URAC audit relationships as primary compliance owner
Build and maintain the compliance risk register and compliance calendar
Develop and lead the compliance team
Serve as the internal expert on No Surprises Act and CMS IDR regulations

What we are looking for

10+ years compliance experience including 3+ years in a leadership role
CMS and No Surprises Act / IDR regulatory knowledge preferred
URAC or NCQA audit experience
Track record of building compliance infrastructure, not just maintaining it
Healthcare or regulated services industry required

Why PRI

Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
Lean and direct — decisions get made, work is visible, and contributions matter

PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.

About PROVIDER RESOURCES INC

Join Provider Resources (PRI) and Make an Impact in Healthcare! At PRI, we’re passionate about driving integrity and advancing quality across the healthcare system. As a trusted leader in the industry, we’re tackling some of healthcare’s biggest challenges—improving compliance, advancing health equity, and enhancing quality and clinical outcomes while helping organizations improve care delivery and create meaningful change. We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers, and regulators. We strive to enhance experiences, improve outcomes, and foster a healthier future for all. If you’re looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!

Quick Apply

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Director Networks jobs

Director of Compliance

Sr. Director, LPS Fulfillment

Director, Utilization Management Operations

Director, Engineering Controls (SSI)

Director, Multilingual Learners

Director of Nursing (DON)

Medical Director Psychiatrist

Director of Nursing - RN - Long Term Care - Neilson Place

Supervisor, Clinical RN - Behavioral Sciences Unit - Full Time

Director, M&A Integration

Assistant Director of Nursing (RN)

Medical Director

Travel Director of Nursing | DON | RN

Director of Patient Care Services (RN)- Hospice

Director, Epilepsy Research

CT Technologist I + Sign On Bonus

Director of Nursing | DON | RN

Licensed Alcohol & Drug Counselor (LADC)

Palliative Nurse Practitioner

Registered Nurse (RN)

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