Fractional Compliance & Risk Leadership

Executive-level compliance oversight for healthcare organizations — on your terms.

Alemitra delivers senior CCO and risk leadership to facilities that need strategic compliance support without the cost, commitment, or complexity of a full-time executive hire.

Behavioral Health PHF Joint Commission CMS Ready

What we deliver

Every engagement includes:

Survey
Survey Readiness Support

Mock surveys, deficiency tracking, and CMS/Joint Commission preparation strategy.

Risk
Risk Reduction Strategies

Incident review, RCA investigations, sentinel event follow-up, and risk trending.

Oversight
Compliance Oversight

Ongoing committee support, policy review, corrective action planning, and leadership reporting.

Quality
PI/QAPI Leadership

Quality dashboards, committee reporting, performance improvement tracking, and analytics.

Credential
Credentialing Support

Credential file audits, expiration tracking, OPPE/FPPE oversight, and medical staff readiness.

Behavioral
Behavioral Health Expertise

Regulatory specialization for PHFs, psychiatric hospitals, RCFEs, and substance use programs.

Advisory
Executive Advisory Services

Leadership advising, board reporting, multi-department action plans, and strategic guidance.

Regulatory
Regulatory Readiness

Behavioral health compliance strategy, operational readiness, and survey response support.

Why Alemitra

Compliance leadership built for how healthcare actually works.

We bring the same expertise as a full-time Chief Compliance Officer — at a fraction of the cost. Our model is designed for facilities that need oversight, accountability, and strategic guidance without the overhead of a senior hire.

Explore our services

Executive-level healthcare compliance leadership

Experienced CCO oversight at a fraction of the cost of a full-time hire.

Real-world healthcare operations experience

Deep familiarity with lab, clinical, and facility-level healthcare operations.

Behavioral health regulatory specialization

PHFs, psychiatric hospitals, RCFEs, and substance use programs — we know this space.

Practical corrective action support

We don't just identify problems — we help you fix them and document the fix.

Survey-ready documentation guidance

Get your records, policies, and evidence of compliance survey-ready.

Flexible fractional support

Scale up or down based on your current needs — no long-term commitment required.

Multi-department oversight

Compliance doesn't live in one department — we work across your entire organization.

Leadership advisory support

Direct access to senior compliance expertise for executive decisions and board reporting.

Common Problems We Solve

When compliance gaps go unaddressed, the consequences are real.

Survey deficiencies

Unresolved citations, insufficient corrective actions, and incomplete evidence of compliance.

Weak PI/QAPI structures

Performance improvement programs that look good on paper but lack measurable outcomes.

Incomplete credentialing files

Missing documentation, expired privileging, and gaps in OPPE/FPPE tracking.

Poor incident tracking

Inconsistent event reporting, late RCA completion, and incomplete trend analysis.

Regulatory readiness gaps

Operational changes without updated policies, incomplete documentation, and untested procedures.

Outdated policies and procedures

Documents that don't reflect current operations, regulations, or best practices.

Missing compliance committee structure

No clear accountability, inconsistent meeting cadence, and incomplete reporting lines.

Lack of executive compliance leadership

No designated senior leader to drive compliance strategy, manage risk, and communicate to leadership.

Services

What we do

Core Offering

Fractional Chief Compliance & Risk Officer

Part-time executive compliance and risk leadership for facilities that need senior-level oversight without a full-time executive hire. Includes strategic guidance, leadership reporting, and cross-department compliance coordination.

Survey Readiness & Mock Audits

Mock surveys, tracer audits, deficiency tracking, and readiness planning for CMS, CDPH, Joint Commission, and CARF preparation. We identify what will be cited before the surveyor does.

Risk Management & RCA Support

Incident review, RCA investigations, sentinel event follow-up, risk trending, and mitigation planning. We support your team through the entire event lifecycle — from identification to resolution and documentation.

PI/QAPI Program Oversight

Quality dashboards, committee reporting, performance improvement tracking, and executive-level analytics. We help you build a QAPI program that produces measurable outcomes — not just documentation.

Credentialing & OPPE Support

Credential file audits, expiration tracking, OPPE/FPPE oversight, and medical staff readiness support. Keep your credentialing program audit-ready year-round — not just before a site visit.

Policy Review & Corrective Action Plans

Policy review, compliance evidence support, corrective action plan development, and survey response assistance. We help you close the loop on deficiencies — from identification through sustainable resolution.

Regulatory Readiness Consulting

Behavioral health and healthcare compliance support for surveys, inspections, and operational readiness. We help you understand what's coming, what you're not ready for, and what to do about it.

Compliance Committee Support

Meeting structure development, committee oversight, compliance reporting, and leadership guidance. We help you build a compliance committee that actually functions — not one that exists on paper.

Industries We Serve

Built for healthcare organizations that can't afford compliance failures.

Behavioral Health Hospitals

Annual Joint Commission/CMS readiness, PI/QAPI program development, and corrective action support for inpatient psychiatric facilities.

Psychiatric Health Facilities (PHFs)

CDPH compliance, annual licensing readiness, policy development, and survey response for PHF programs.

Acute Psychiatric Hospitals

Regulatory compliance, credentialing, and executive-level oversight for acute care psychiatric units.

RCFEs

California RCFE compliance, policy review, and licensing readiness support for residential care facilities for the elderly.

Medical Groups

Credentialing oversight, compliance committee support, and risk management for independent and multi-specialty medical groups.

FQHCs

HRSA compliance, federal grant requirements, and operational readiness for Federally Qualified Health Centers.

Substance Use Programs

42 CFR Part 2 compliance, state licensing requirements, and payer audit readiness for substance use treatment programs.

Small Healthcare Systems

Multi-facility compliance oversight, centralized risk management, and executive reporting across small health system operations.

Start-Up Healthcare Organizations

Compliance program development from the ground up — build it right the first time with experienced guidance.

The cost of non-compliance isn't just financial — it affects the people you serve.

Behavioral health facilities, PHFs, and small healthcare organizations face the same regulatory demands as large health systems — but without the same resources. Alemitra was built to close that gap.

We provide the senior compliance leadership you need at a price that makes sense for your organization. No overhead. No long-term commitment. Just experienced guidance when you need it.

$2.6B+
In DOJ healthcare fraud recoveries (2024)
120K+
Fractional executives now operating (up from 60K in 2022)
40-60%
Of credentialing processes still managed manually at most facilities