Senior Compliance Analyst – Healthcare Regulatory Compliance
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Job Description
Senior Compliance Analyst ensuring compliance and regulatory integrity for healthcare telehealth. Collaborating with legal counsel, physician leadership, and Brand Partners across states.
Responsibilities:
- Monitor federal and state healthcare regulations affecting MSO structures, Corporate Practice of Medicine (CPOM) doctrine, Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states
- Track OIG advisory opinions, CMS guidance, DEA regulations for controlled substances, and state medical board updates
- Maintain compliance calendar tracking regulatory deadlines, license renewals, and credentialing requirements
- Conduct quarterly compliance audits of Brand Partner agreements, IMG structures, and payment methodologies
- Review and validate Fair Market Value (FMV) compensation structures for physician services
- Coordinate with independent third-party valuators to establish and document FMV rates
- Audit payment flows to ensure outcome-independent compensation (prescribe vs. no-prescribe scenarios)
- Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for all MSO arrangements
- Maintain compliance matrices for CPOM requirements in strict states (CA, TX, NY, IL, OH, NJ)
- Track state-specific telemedicine regulations and physician licensing requirements
- Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements for compliance
- Ensure clinical autonomy provisions are properly documented and maintained
- Audit physician employment agreements within IMG structure
- Maintain compliance documentation library and audit trail
- Oversee 50-state physician licensing and credentialing processes
- Track DEA registrations for controlled substance prescribing authority
- Monitor medical malpractice insurance coverage and limits
- Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activities
- Prepare quarterly compliance reports for executive leadership
- Identify compliance risks and develop mitigation strategies
- Maintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)
Requirements:
- Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or related field
- 5+ years of healthcare compliance experience, preferably with MSO structures, physician groups, or telehealth companies
- Deep understanding of Corporate Practice of Medicine doctrine, Anti-Kickback Statute, Stark Law, and HIPAA regulations
- Experience with state-by-state healthcare regulatory variations and multi-state compliance
- Proven track record conducting compliance audits and developing compliance programs
- Strong understanding of Fair Market Value methodologies in healthcare arrangements
- Master's degree in Healthcare Administration (MHA), Public Health (MPH), or related field (Preferred)
- Certified in Healthcare Compliance (CHC) or Certified Professional Compliance Officer (CPCO) (Preferred)
- Experience with telemedicine regulatory compliance and Ryan Haight Act requirements (Preferred)
- Background working with private equity healthcare transactions or MSO structures (Preferred)
- Experience with physician credentialing and state medical board regulations (Preferred)
Benefits:
- Comprehensive health, dental, and vision insurance (company covers 100% of employee premiums)
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Mental health support and wellness programs
- Access to company telehealth services
- Flexible working hours with core collaboration times
- Unlimited PTO policy with minimum 3 weeks encouraged
- Paid parental leave
- Annual budget for compliance certifications, conferences, and continuing education
- Opportunity to work with top-tier healthcare law firms (Jones Day, K&L Gates, Hall Render)
- Exposure to cutting-edge healthcare regulatory issues at intersection of telehealth, MSO structures, and digital health
- Direct access to executive leadership and strategic decision-making
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