Director, Compliance
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Job Description
Director of Compliance overseeing compliance for a telehealth startup. Ensuring regulatory adherence and integrity in mental health care services.
Responsibilities:
- Overseeing all aspects of the company's compliance program
- Ensuring regulatory requirements are met and standards of integrity maintained
- Developing, implementing, and maintaining compliance policies and procedures
- Leading the process for investigating and documenting HIPAA violations
- Overseeing and managing payor audits and exclusion reporting for external vendors
- Leading the internal Compliance Committee and collaborating with various teams
Requirements:
- 5-7 years of experience in a compliance function
- Strong regulatory expertise across CMS programs, HIPAA/privacy rules, state managed care requirements, and healthcare fraud/waste/abuse regulations
- Experience scaling compliance functions in a startup or fast-growth healthcare environment
- Operational fluency in clinical, care management, and data exchange processes common in value-based care organizations
- High analytical capability with proficiency in interpreting regulatory text, designing controls, and reviewing data sets for compliance anomalies
- Proficiency in Governance, Risk, and Compliance (GRC) systems and tools
Benefits:
- Health insurance
- Flexible working hours
- Professional development opportunities
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