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 frameworks, the Corporate Practice of Medicine doctrine, the Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states.

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

• Manage a compliance calendar that tracks regulatory deadlines, license renewals, and credentialing obligations.

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

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

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

• Audit payment processes to ensure compensation is independent of outcomes.

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

• Maintain compliance matrices for CPOM requirements in stringent states.

• Keep track of state-specific telemedicine regulations and physician licensing requirements.

• Analyze state medical practice acts and corporate structure regulations.

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

• Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements to ensure compliance.

• Ensure that clinical autonomy provisions are adequately 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.

• Monitor DEA registrations related to controlled substance prescribing authority.

• Keep an eye on medical malpractice insurance coverage and limits.

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

• Develop compliance guidance materials for Brand Partners regarding marketing claims, HIPAA standards, and prohibited activities.

• Conduct onboarding compliance training for new Brand Partners.

• Investigate potential compliance breaches and suggest corrective measures.

• Offer guidance on structural separation between business and medical functions.

• Prepare quarterly compliance reports for executive leadership.

• Identify compliance risks and formulate strategies to mitigate them.

• 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.

• At least 5 years of healthcare compliance experience, ideally with MSO frameworks, physician groups, or telehealth companies.

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

• Experience with state-specific healthcare regulatory variations and multi-state compliance.

• Demonstrated success in conducting compliance audits and developing compliance programs.

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

• Experience with telemedicine regulatory compliance and the Ryan Haight Act requirements.

• Background in private equity healthcare transactions or MSO structures.

• Familiarity with physician credentialing and state medical board regulations.

• Knowledge of OIG advisory opinions and trends in healthcare fraud enforcement.

• Exceptional attention to detail and the ability to identify compliance risks proactively.

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

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

• Ability to collaborate across legal, medical, and business operations teams.

• Comfortable with ambiguity and capable of developing practical compliance solutions in a changing regulatory environment.

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

• Proficient in compliance management software, document management systems, and Excel for tracking and reporting purposes.

🏝️ Benefits

• Performance-based bonus structure.

• Equity participation in a rapidly growing healthcare infrastructure company.

• Comprehensive health, dental, and vision insurance (the company covers 100% of employee premiums).

• Options for Flexible Spending Account (FSA) and Health Savings Account (HSA).

• Support for mental health and wellness programs.

• Access to company telehealth services.

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

• Flexible working hours with designated core collaboration times.

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

• Paid parental leave.

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

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

• Exposure to innovative healthcare regulatory challenges at the intersection of telehealth, MSO frameworks, and digital health.

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