---
title: Regulatory Compliance Lead at LIFE Pittsburgh
description: LIFE Pittsburgh is hiring for the Regulatory Compliance Lead role in Pittsburgh,
  PA. Pays $50K–$70K per year. See the full description and apply.
type: job
url: https://www.foundrole.com/jobs/regulatory-compliance-lead-at-life-pittsburgh-01a18324-2ee0-7ccc-a517-71f14188fa35
date: 2026-11-15T01:26:44Z
og_description: Join LIFE Pittsburgh as Regulatory Compliance Lead in Pittsburgh, PA. Pays $50K–$70K
  per year. Full-time role.
og_image: https://www.foundrole.com/og/43yeaq.png
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  - label: Home
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---

| | |
|---|---|
| **Company** | LIFE Pittsburgh |
| **Location** | Pittsburgh, PA |
| **Salary** | $50K/yr - $70K/yr |
| **Type** | Full Time |
| **Posted** | Oct 28, 2026 |

## Is this job real?

**Ghost job check:** A · Low risk. Probably a real opening.

## Visa sponsorship

- **H-1B:** No H-1B sponsorship on record for LIFE Pittsburgh.
- **E-Verify:** No E-Verify enrollment on record for LIFE Pittsburgh.

## Pay for similar jobs

Most similar jobs pay $50,000 – $83,000 a year (median $63,000).

## Description

**About LIFE Pittsburgh**  
Aging is inevitable—but how we age can be phenomenal. LIFE Pittsburgh is a growing nonprofit organization with a mission to help older adults age with dignity, independence, and joy.  
With a team of 350+ purpose-driven professionals, we offer a compassionate alternative to institutional care through the nationally recognized PACE (Program of All-Inclusive Care for the Elderly) model. Our teams—nurses, physicians, therapists, social workers, and others—wrap each Participant in care designed to honor their choices, preserve their independence, and uplift their daily lives.  
**What We Offer**

- Medical, dental, and vision coverage
- Retirement savings (401k) with immediate company match
- Life insurance for you and your family
- Tuition reimbursement—because your growth matters
- Paid time off with generous accruals
- Up to 9 paid holidays to rest and recharge
- Short- and long-term disability plans
- EAP support that includes Mental health and wellness
- A team that sees your value—not just your hours

Compliance protects participants, employees, public resources, and organizational integrity, supporting LIFE Pittsburgh’s purpose of creating opportunities for people to live safely and with purpose in the home and community they choose. The role promotes lawful, ethical, accountable operations through a consistent compliance structure and credible evidence of performance.

**Role relationships and accountability**

The Lead provides compliance guidance, independent review, monitoring, and escalation across the organization. Operational leaders remain responsible for compliant service delivery, controls, documentation, and implementation of corrective actions within their areas. The Lead works with those leaders to clarify ownership and verify that corrections achieve the intended result.

The position collaborates with Quality, clinical and operational leadership, Human Resources, Training and Education, Health Information, Technology, Finance, Health Plan Administration, and contractors. Regulatory communications and external submissions are coordinated through the Director and approved organizational channels. Privacy, information security, policy governance, and organization-wide risk work are performed in partnership with the designated owners.

**Essential functions**

Maintain the Compliance Program structure

- Maintain the compliance framework, including standards of conduct, policies, reporting channels, oversight processes, and an annual work plan. Coordinate annual review and approval through established leadership and Board processes.
- Lead Compliance Committee activities, including agendas, documented decisions, issue tracking, follow-up, and reports to the Director and Committee. Support leadership and Board oversight with clear information about material risks, unresolved issues, and program effectiveness.

Identify and translate applicable requirements

- Track and interpret applicable federal, Pennsylvania, and local requirements, CMS PACE requirements, Medicare and Medicaid obligations, applicable Part D requirements, HIPAA and other privacy and security obligations, applicable workplace safety requirements, program agreements, contractual obligations, and organizational standards.
- Translate requirements into practical expectations with identified owners, evidence needs, and implementation timelines. Distinguish binding requirements from guidance and internal standards, and seek clarification when interpretation is uncertain.

Assess and prioritize compliance vulnerabilities

- Maintain a documented assessment of compliance vulnerabilities using regulatory changes, audit findings, incidents, complaints, grievances, contractor concerns, and operating data. Prioritize risks according to potential harm, likelihood, regulatory exposure, and recurrence.
- Develop a risk-based compliance work plan with defined review activities, responsibilities, and timeframes. Escalate material or emerging risks and contribute compliance information to the organization-wide risk management process.

Monitor and verify compliance

- Conduct and coordinate internal audits and monitoring to test whether requirements and controls are being followed. Define scope, review criteria, sampling methods, evidence sources, and findings; retain supporting records.
- Review policies, procedures, records, service-delivery evidence, and relevant data for consistency with requirements. Evaluate contractor compliance in coordination with contract and operational owners.
- Distinguish internal testing from external regulatory readiness. Identify cross-department patterns, communicate results, and recommend practical improvements based on evidence.

Investigate concerns and verify corrective action

- Receive, triage, and review suspected or confirmed noncompliance, including hotline reports and potential fraud, waste, abuse, privacy concerns, or operational failures. Coordinate investigations with appropriate internal specialists and leadership.
- Gather objective facts, determine scope and impact, preserve evidence, and document conclusions. Identify the earliest meaningful breakdown in requirements, ownership, workflow, capacity, training, information, or controls.
- Coordinate immediate protective action and corrective action plans with the responsible operational owner. Require clear actions, accountable owners, due dates, monitoring tasks, and measures of success.
- Track implementation, test effectiveness, and verify sustained improvement before recommending closure. Escalate overdue actions, persistent risk, or inadequate results through approved channels.

Promote compliance culture and accountability

- Maintain accessible reporting mechanisms for employees and contractors, including confidential and anonymous options consistent with organizational processes. Reinforce good-faith reporting and nonretaliation; protect information within appropriate access limits.
- Partner with Training and Education and subject matter owners to develop compliance education, including standards of conduct, reporting responsibilities, and fraud, waste, and abuse prevention. Monitor completion and evaluate understanding where appropriate.
- Provide clear, timely guidance and communicate lessons from findings so employees and leaders understand both the requirement and how to meet it in daily work.

Support ongoing regulatory readiness and reporting

- Coordinate compliance readiness activities for surveys, audits, and external reviews. Maintain organized evidence, track readiness gaps, and work with departments to demonstrate requirements are understood and fulfilled throughout the year.
- Support accurate, timely regulatory responses and submissions as assigned. Track reporting obligations, deadlines, supporting evidence, and follow-up through approved organizational channels.
- Coordinate Part D fraud, waste, and abuse reviews with Health Plan Administration and relevant vendors. Support evaluation and authorized reporting of potential fraud to CMS or the appropriate program integrity contractor when required or determined appropriate.

Maintain evidence and evaluate program effectiveness

- Maintain accurate compliance records, including requirement tracking, assessments, audits, investigations, Committee records, education evidence, regulatory submissions, and corrective action verification, consistent with retention and confidentiality requirements.
- Report meaningful measures such as work plan completion, unresolved findings, overdue corrective actions, repeat issues, and verified effectiveness. Evaluate whether the Compliance Program detects, prevents, and addresses noncompliance, and recommend improvements.
- Participate in quality assurance and performance improvement activities as assigned, contributing compliance expertise while preserving operational accountability for the underlying work.

**Knowledge skills and abilities** 

- Ability to research and interpret healthcare requirements and translate them into clear policies, controls, practical guidance, and evidence expectations.
- Strong auditing, investigation, root cause analysis, data analysis, and process mapping skills; ability to separate facts from assumptions and assess the reliability of evidence.
- Sound judgment, integrity, discretion, and objective problem solving; ability to maintain confidentiality and handle sensitive concerns fairly.
- Clear written and verbal communication; ability to educate, facilitate meetings, document findings, and give leadership concise information about risk and progress.
- Ability to work independently, manage competing priorities and deadlines, collaborate across departments, and pursue follow-up through verified resolution.
- Proficiency with office applications and electronic tools for records, reporting, audit tracking, and compliance analysis.

**Education and experience** 

- Bachelor’s degree in a related field.
- A minimum of three years of demonstrated experience managing and interpreting regulations, preferably in healthcare.
- A minimum of three years of demonstrated experience leading a corporate compliance program, including Medicare Part D compliance requirements.
- PACE experience and healthcare compliance certification are preferred.

**Travel and working conditions** 

Work includes computer use, document review, meetings, and interviews, with travel to LIFE Pittsburgh sites and vendor locations as needed. A valid driver’s license, automobile insurance, and access to a vehicle are required for work-related travel. Essential work includes sustained review of electronic and written information, keyboard use, effective communication, and movement within and between work locations. Essential functions may be performed with or without reasonable accommodation.
## Skills

- Sampling Techniques
- Language Interpretation
- Triage
- Grievance Handling
- Investigation
- Trust and Safety
- Discretion
- Internal Auditing
- Health Insurance Portability And Accountability Act (Hipaa) Compliance
- Risk Management
- Surveys
- Root Cause Analysis
- Mechanical Systems
- Auto Insurance
- Performance Improvement
- Confidentiality
- Pleadings
- Regulatory Submissions
- Statistics
- Process Mapping
- Service Delivery
- Workplace Safety
- Computer Literacy
- Document Review
- Content Management System (Cms)
- Medicare
- Auditing
- Coordinating
- Corrective And Preventive Action (Capa)
- Leadership
- Ability to Work Independently
- Issue Tracking
- Data Analysis
- Quality Assurance
- Communication
- Healthcare Compliance
- Equities
- Medicaid
- Regulatory Compliance
## Benefits

- Financial Aid/Assistance
- Mental Health
- Health Insurance
- Dental Insurance
- Vision Insurance
- Disability Insurance
- Life Insurance
- Paid Time Off (Pto)
- 401(k) Plans
- Other Retirement and Savings

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