Sprout Therapy PDX
Director of Compliance Job Description

Updated: 04/17/2026

Position Overview

Sprout Therapy PDX is hiring a Director of Compliance. This Director-level role owns Sprout’s compliance function — HIPAA privacy and security, regulatory compliance (Oregon Administrative Rules, OHA rules, legal oversight, consent documents), and Feedback Informed Treatment (FIT) program operations — while partnering with Clinical Operations and Leadership on COA compliance. A modified clinical caseload and a small supervision group keep this role grounded in the clinical work it governs.

This role replaces the previously named Clinical Operations Specialist position. The Director of Compliance sits on Sprout’s Clinical Operations team at the Director level, peer to the Clinical Director and (once hired) the Supplemental Services Supervisor, and reports to the Chief Clinical Officer (CCO).

Reports to: Chief Clinical Officer (CCO)

Peer of: Clinical Director, Supplemental Services Supervisor (once hired)

What You’ll Do

HIPAA Privacy & Security Officer

Serve as Sprout’s designated HIPAA Privacy & Security Officer. Own HIPAA privacy and security policy across privacy, security, breach notification, remote access, BYOD, device transport, disposal, acceptable use, and business associate management. Conduct annual HIPAA risk analyses, investigate privacy complaints and potential breaches (including four-factor risk analyses and required breach notifications), deliver HIPAA training at onboarding and at least annually, and maintain the Business Associate Agreement inventory. Serve as first responder for suspected HIPAA security incidents.

Regulatory Compliance

Monitor Oregon Administrative Rules and OHA guidance relevant to outpatient behavioral health, associate clinicians, and COA-accredited practices. Conduct annual review of all client-facing consent documents and coordinate updates to consents, intake packets, and policy documents as rule changes require. Interpret incoming regulatory and legal documents administratively and flag items requiring legal counsel. (This role supports administrative interpretation; it does not replace outside legal counsel for legal opinions.) Receive monthly credentialing status report from the administrative team to maintain situational awareness for audit, COA, and payor compliance purposes. (Credentialing execution is owned by the administrative team; this role does not own credentialing operations.)

COA Accreditation Partnership

Partner with the Leadership and Clinical Operations teams on development and maintenance of COA policies and practices. Support internal audits for COA compliance, assist with site review preparation, identify compliance vulnerabilities, and recommend corrective action. Own the policies specifically assigned for COA first site review readiness, including Advanced Directives for Mental Health Treatment, Policy on Registering to Vote, and Quality Assurance Review.

Feedback Informed Treatment (FIT) Program Ownership

Own the FIT program end to end: system administration through SimplePractice scored measures, ORS/SRS compliance tracking, monthly aggregate reporting to Leadership and Clinical Operations, CareOregon FIT meeting attendance as Sprout’s designated specialist, and FIT training delivery for new and ongoing clinical staff. Set and track clinic-wide FIT completion targets. Coach clinicians on using their FIT data clinically — to pivot treatment approach, identify stagnation, and inform case conceptualization.

Audit Authority and Response

Hold practice-wide authority over audit scope, methodology, and findings integration. Conduct monthly policy-to-practice audits (one policy per month across a sample of records or workflows) and support quarterly fraud, waste, and abuse monitoring. Support the CEO and CCO in Sprout’s response to external audits from payors, OHA, CCOs, and COA: strategize and draft responses, assemble documentation, and manage audit timelines. Translate audit findings into actionable corrective actions for supervisors and clinicians, and coach supervisors on integrating audit feedback with their supervisees in a non-punitive, growth-oriented way. Track corrective action plans through completion. 

Routine chart audits continue to be conducted by Clinical Supervisors on their own supervisees; this role oversees audit structure and response rather than conducting routine chart audits directly. Structural safeguards apply when audit scope would include the Director of Compliance’s own supervisees (detailed in the operating manual).

Clinical Operations Team Collaboration

Serve as an active member of Sprout’s Clinical Operations team alongside the Clinical Director and Supplemental Services Supervisor. Collaborate on clinic-wide work that spans multiple domains:

• Supervisor-tier support — support the Clinical Director in supervisor-tier hiring and onboarding, develop supervisor-specific training materials, provide L10 meeting coverage for Clinical Supervisors when absent, and provide emergency coverage for Clinical Supervisors’ supervisees and clients when urgent needs arise.
• Program development — partner with the Clinical Director and Supplemental Services Supervisor on the development, implementation, and iteration of clinical programs and service lines, including group therapy programs, specialty clinical offerings, and cross-functional service design.
• Clinical operations projects — co-lead clinic-wide initiatives assigned by the CCO, such as documentation standard revisions, workflow redesign, EHR configuration changes, and quality improvement projects.
• Cross-team communication — ensure compliance, training, and operational information flows consistently across the three Clinical Operations Director-level roles and out to the supervisor and clinician tiers.

Therapist-tier hiring, interviewing, and onboarding are owned by Clinical Supervisors; this role does not lead therapist-tier hiring.

Practice-Wide Training Program Development

Partner with the Clinical Director and Leadership Team on practice-wide training program design and materials development. Develop and deliver Sprout trainings on HIPAA, compliance, OAR changes, FIT, supervisor-tier development, and other topics as assigned. Identify gaps in staff knowledge through audit findings and close them with targeted programming.

Supplemental Services Leadership (Transitional)

Directly supervise Sprout’s Supplemental Services team — Intake Coordinator, Peer Support and Case Management, and Medication Management — until a Supplemental Services Supervisor is hired. During this transitional period, oversight includes the waitlist, the Seeking New Clients (SNC) tab, and intake processes. Once a Supplemental Services Supervisor is hired, direct supervision of Supplemental Services staff transitions to that role, and this role collaborates with the Supplemental Services Supervisor as a Clinical Operations team peer.

Clinical Supervision

Provide group supervision to 5 supervisees. Serve as an OBLPCT or OBLSW Approved Supervisor or Supervisor Candidate. Meet documentation and response-time standards consistent with all Sprout supervisors.

Direct Clinical Care

Maintain 8 paid clinical sessions per week. Follow all Sprout documentation, timeliness, and response-time standards.

Qualifications and Skills

• Master’s or Doctoral degree in counseling, social work, psychology, or related field
• Active, unrestricted license to practice in Oregon (LPC, LMFT, LCSW, PsyD, or PhD)
• Active Approved Supervisor or Supervisor Candidate designation with OBLPCT or OBLSW
• 5+ years post-Master’s experience in mental health
• Demonstrated working knowledge of HIPAA Privacy and Security Rules
• Experience with Oregon OARs and OHA-regulated outpatient behavioral health
• Experience developing and delivering staff trainings
• Strong written and verbal communication; able to translate regulation into plain-language guidance

Preferred Qualifications

• Prior compliance, quality, or accreditation role in a behavioral health setting
• Experience working under COA, CARF, or Joint Commission standards
• Familiarity with Medicaid/OHP, CCO contracts, and CareOregon audit processes
• Experience with FIT or other routine outcome measurement programs
• Experience supervising intake, case management, peer support, or similar supplemental service lines
• Experience supervising supervisors or managing a supervisor tier
• Experience developing or growing therapy programming, specialty service lines, or new clinical offerings (such as group therapy)

Non-Negotiables

• Alignment with Sprout’s mission, values, and approach to client care
• Comfort giving and receiving direct, non-punitive feedback
• Ability to hold compliance authority while maintaining collaborative relationships
• Tech-savvy and systems-thinking orientation; comfortable building repeatable processes

This Role Is Right for You If…

You see compliance as client care — a way to protect both clients and clinicians — rather than as paperwork or punishment. You like building systems, training people to use them, and keeping them alive through ongoing iteration. You can sit in the tension of holding audit authority over work done by people you also support, and you know how to make that feel collaborative rather than adversarial. You are excited by the idea of helping Sprout sustain COA accreditation, stay ahead of Oregon regulatory change, grow its clinical programs (including group therapy), and build a supervisor bench and Supplemental Services function that operate as teams rather than as collections of individuals.

Physical Requirements

• Prolonged periods of sitting at a desk/chair and/or working on a computer.
• Must be able to lift up to 10 pounds at times.

Equal Opportunity and At-Will Employment

Sprout Therapy PDX is an equal opportunity employer and is committed to providing accommodations to individuals with disabilities. If you require accommodations, please contact Leadership to discuss your needs.

Sprout Therapy PDX is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information, or any other characteristic protected by applicable law. In addition, Sprout Therapy PDX complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has employees. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

This job description is not intended to be a contract, implied or otherwise, and may be revised or updated at any time at the discretion of Sprout Therapy PDX. Employment with Sprout Therapy PDX is at-will, meaning that both the employee and Sprout Therapy PDX have the right to terminate the employment relationship at any time, with or without cause or notice.