Head of Compliance
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Job Description
Head of Compliance building healthcare, clinical, government-program, and security compliance for Chamber’s cardiology platform. Creating audits, controls, and risk frameworks as the company expands.
Responsibilities:
- Design, operationalize, and lead Chamber’s compliance program across regulatory and corporate compliance, clinical compliance, government programs, and IT/security oversight
- Own compliance strategy and risk assessment, including entity structure, state-by-state licensure, and corporate practice of medicine requirements
- Build government programs compliance capability, including Medicare marketing and member communication requirements
- Lead compliance governance, including Compliance Committee preparation, leadership reporting, risk themes, action tracking, and escalation
- Own privacy and HIPAA compliance operations, including policies, incident response, investigations, training, and partnership with Legal and Security
- Standardize compliance for care management and clinical program designs, including SOPs and documentation
- Embed compliance into workflows, programs, technology, AI-enabled tools, and market expansion plans
- Support credentialing oversight with Clinical leadership
- Provide compliance oversight for training programs, SOC2, HITRUST, and related certifications in partnership with Security
- Build and run an internal audit function, including policy review, SOP verification, and ongoing risk monitoring
- Establish intake, investigation, root-cause analysis, remediation tracking, and resolution processes
- Serve as the designated compliance lead for the direct CMS contract
- Create a centralized GDMT compliance framework
- Deliver a leadership-ready risk assessment across regulatory, clinical, and government programs compliance
- Report to the General Counsel
Requirements:
- 10+ years of healthcare compliance leadership experience
- Experience in value-based care, managed care, population health, or another payer-facing care model
- Deep knowledge of HIPAA/privacy, corporate practice of medicine, fee splitting, licensing, credentialing, AKS/FWA, False Claims Act, and Medicare/Medicaid requirements
- Hands-on experience with Medicare, Medicaid, ACOs, and related CMS requirements
- Proven ability to build practical compliance programs, including policies, training, monitoring, audits, and risk-based controls
- Ability to operate in early-stage, multi-state environments where priorities evolve and processes must be built from scratch
- Strong judgment and cross-functional leadership across legal, clinical, security, and business teams
- Remote, US-based
- Preference for Eastern Time zone or ability to work ET hours
- Periodic travel to practice sites or Chamber offices may be required
Benefits:
- Remote work arrangement
- Preference for Eastern Time zone or ability to work ET hours
- Opportunity and authority to scale the compliance function as the business grows
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