Chief Compliance Officer – Fractional
Job Description:
• Compliance Discovery & Program Architecture
• Regulatory Audit: Lead an exhaustive "baseline" audit of clinical and business operations to identify and remediate regulatory vulnerabilities.
• OIG Alignment: Design and maintain a Corporate Compliance Program rooted in the OIG’s Seven Elements of an Effective Compliance Program.
• Strategic Roadmap: Develop and execute a multi-year compliance strategy that anticipates the regulatory hurdles of new service lines and geographic expansion.
• Regulatory Oversight & Signatory Authority
• Official Signatory: Act as the authorized signatory for all legal compliance documents, including state licensing applications, Medicare/Medicaid enrollments, regulatory filings, and Attestations of Compliance (AoC).
• 50-State Telehealth Governance: Ensure absolute adherence to varying state laws regarding synchronous/asynchronous care, provider licensure, and "good faith exam" requirements.
• Prescribing Compliance: Manage key risks associated with remote prescribing including DEA compliance if necessary.
• Privacy & Security: Serve as the final authority on HIPAA/HITRUST compliance, overseeing data integrity across our platform and third-party integrations.
• Operational Integration & "Compliance by Design"
• SOP Governance: Author and enforce a comprehensive library of Standard Operating Procedures (SOPs) and the Corporate Code of Conduct.
• Product Collaboration: Partner with Product and Engineering to embed "Compliance by Design" into the patient platform, ensuring automated safeguards for clinical workflows.
• Reporting Infrastructure: Manage the anonymous reporting hotline and lead all formal internal investigations and disclosures.
• Monitoring, Auditing & Corporate Reporting
• FWA Prevention: Implement a continuous monitoring system for billing and coding to mitigate **Fraud, Waste, and Abuse (FWA)** risks.
• Corporate Governance: Provide quarterly briefings to the leadership on the enterprise risk profile, mitigation progress, and the impact of legislative shifts.
Requirements:
• 10+ years in healthcare compliance, with at least 5 years in a leadership role within a Virtual Care/Telehealth environment.
• JD, Master’s in Healthcare Administration (MHA), or equivalent advanced degree preferred.
• Certification with CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) ideal.
• An expert in compliance in healthcare organizations, including experience in 50-state telehealth regulations, HIPAA, Stark Law, Anti-Kickback Statute (AKS), and the Ryan Haight Act. You are keeping a pulse on the evolution of AI regulations.
• An effective communicator who can educate cross-functional teams about compliance requirements and ensure the development of systems and processes to address compliance
Benefits:
• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Professional development opportunities
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• Compliance Discovery & Program Architecture
• Regulatory Audit: Lead an exhaustive "baseline" audit of clinical and business operations to identify and remediate regulatory vulnerabilities.
• OIG Alignment: Design and maintain a Corporate Compliance Program rooted in the OIG’s Seven Elements of an Effective Compliance Program.
• Strategic Roadmap: Develop and execute a multi-year compliance strategy that anticipates the regulatory hurdles of new service lines and geographic expansion.
• Regulatory Oversight & Signatory Authority
• Official Signatory: Act as the authorized signatory for all legal compliance documents, including state licensing applications, Medicare/Medicaid enrollments, regulatory filings, and Attestations of Compliance (AoC).
• 50-State Telehealth Governance: Ensure absolute adherence to varying state laws regarding synchronous/asynchronous care, provider licensure, and "good faith exam" requirements.
• Prescribing Compliance: Manage key risks associated with remote prescribing including DEA compliance if necessary.
• Privacy & Security: Serve as the final authority on HIPAA/HITRUST compliance, overseeing data integrity across our platform and third-party integrations.
• Operational Integration & "Compliance by Design"
• SOP Governance: Author and enforce a comprehensive library of Standard Operating Procedures (SOPs) and the Corporate Code of Conduct.
• Product Collaboration: Partner with Product and Engineering to embed "Compliance by Design" into the patient platform, ensuring automated safeguards for clinical workflows.
• Reporting Infrastructure: Manage the anonymous reporting hotline and lead all formal internal investigations and disclosures.
• Monitoring, Auditing & Corporate Reporting
• FWA Prevention: Implement a continuous monitoring system for billing and coding to mitigate **Fraud, Waste, and Abuse (FWA)** risks.
• Corporate Governance: Provide quarterly briefings to the leadership on the enterprise risk profile, mitigation progress, and the impact of legislative shifts.
Requirements:
• 10+ years in healthcare compliance, with at least 5 years in a leadership role within a Virtual Care/Telehealth environment.
• JD, Master’s in Healthcare Administration (MHA), or equivalent advanced degree preferred.
• Certification with CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) ideal.
• An expert in compliance in healthcare organizations, including experience in 50-state telehealth regulations, HIPAA, Stark Law, Anti-Kickback Statute (AKS), and the Ryan Haight Act. You are keeping a pulse on the evolution of AI regulations.
• An effective communicator who can educate cross-functional teams about compliance requirements and ensure the development of systems and processes to address compliance
Benefits:
• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Professional development opportunities
Apply tot his job
Apply To this Job