Senior Compliance Analyst – Healthcare Regulatory Compliance

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee federal and state healthcare regulations that impact MSO structures, the Corporate Practice of Medicine doctrine, the Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states.

• Monitor OIG advisory opinions, CMS guidance, DEA regulations regarding controlled substances, and updates from state medical boards.

• Keep a compliance calendar to track regulatory deadlines, license renewals, and credentialing requirements.

• Perform quarterly compliance audits of Brand Partner agreements, IMG structures, and payment methodologies.

• Evaluate and confirm Fair Market Value compensation structures for physician services.

• Collaborate with independent third-party valuators to establish and document FMV rates.

• Review payment flows to ensure compensation remains independent of outcomes.

• Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for MSO arrangements.

• Maintain compliance matrices for CPOM requirements in strict states.

• Monitor state-specific telemedicine regulations and physician licensing requirements.

• Analyze state medical practice acts and corporate structure requirements.

• Work with state healthcare attorneys on jurisdiction-specific matters.

• Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements for compliance purposes.

• Ensure clinical autonomy provisions are accurately documented and upheld.

• Audit physician employment agreements within the IMG structure.

• Maintain a compliance documentation library and audit trail.

• Supervise the physician licensing and credentialing processes across all 50 states.

• Track DEA registrations for controlled substance prescribing authority.

• Monitor medical malpractice insurance coverage and limits.

• Collaborate with the IMG medical director regarding physician compliance issues.

• Create compliance guidance materials for Brand Partners related to marketing claims, HIPAA requirements, and prohibited activities.

• Conduct onboarding compliance training for new Brand Partners.

• Investigate potential compliance breaches and recommend corrective measures.

• Provide guidance on maintaining structural separation between business and medical operations.

• Prepare quarterly compliance reports for executive leadership.

• Identify compliance risks and formulate mitigation strategies.

• Maintain a compliance metrics dashboard.

• Collaborate with external healthcare law firms on complex compliance inquiries.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or a related field.

• 5+ years of experience in healthcare compliance.

• Extensive knowledge of the Corporate Practice of Medicine doctrine, the Anti-Kickback Statute, Stark Law, and HIPAA regulations.

• Experience with healthcare regulatory variations on a state-by-state basis and multi-state compliance.

• Proven experience in conducting compliance audits and developing compliance programs.

• Strong understanding of Fair Market Value methodologies in healthcare arrangements.

• Exceptional attention to detail with the ability to identify compliance risks.

• Strong analytical skills to interpret complex healthcare regulations and apply them to business operations.

• Excellent written communication skills for policy formulation and compliance documentation.

• Ability to collaborate cross-functionally with legal, medical, and business operations teams.

• Comfort with ambiguity and the capacity to develop pragmatic compliance solutions.

• Project management skills to coordinate multi-state compliance initiatives.

• Proficiency in compliance management software, document management systems, and Excel.

• Master's degree in Healthcare Administration, Public Health, or a related field (preferred).

• Certification in Healthcare Compliance (CHC) or as a Certified Professional Compliance Officer (CPCO) (preferred).

• Experience with telemedicine regulatory compliance and Ryan Haight Act requirements (preferred).

• Background in private equity healthcare transactions or MSO structures (preferred).

• Experience with physician credentialing and state medical board regulations (preferred).

• Familiarity with OIG advisory opinions and trends in healthcare fraud enforcement (preferred).

• Successfully managed compliance programs through regulatory audits or investigations.

• Developed and implemented compliance policies balancing legal requirements with business objectives.

• Built relationships with healthcare attorneys, external auditors, and regulatory consultants.

• Navigated state-specific healthcare regulations across multiple jurisdictions simultaneously.

🏝️ Benefits

• Performance-based bonus structure.

• Equity participation in a high-growth healthcare infrastructure company.

• Comprehensive health, dental, and vision insurance (the 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.

• Fully remote position (work from anywhere in the US).

• Flexible working hours with core collaboration times.

• Unlimited PTO policy with a minimum of 3 weeks encouraged.

• Paid parental leave.

• Annual budget for compliance certifications, conferences, and continuing education.

• Opportunity to collaborate with top-tier healthcare law firms (Jones Day, K&L Gates, Hall Render).

• Exposure to cutting-edge healthcare regulatory issues.

• Direct access to executive leadership and involvement in strategic decision-making.