Senior Compliance Analyst - Healthcare Regulatory Compliance

Regulatory Compliance & Monitoring

• 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

Fair Market Value & Anti-Kickback Compliance

• Review and validate Fair Market Value (FMV) compensation structures for physician services
• Cook 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

State-by-State Compliance

• 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 state medical practice acts and corporate structure requirements
• Coordinate with state healthcare attorneys on jurisdiction-specific issues

Documentation & Agreement Review

• 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

Physician Credentialing & Licensing

• Oversee 50-state physician licensing and credentialing processes
• Track DEA registrations for controlled substance prescribing authority
• Monitor medical malpractice insurance coverage and limits
• Coordinate with IMG medical director on physician compliance issues

Brand Partner Compliance Support

• Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activities
• Conduct onboarding compliance training for new Brand Partners
• Investigate potential compliance violations and recommend corrective actions
• Provide guidance on structural separation between business and medical operations

Reporting & Risk Management

• Prepare quarterly compliance reports for executive leadership
• Identify compliance risks and develop mitigation strategies
• Maintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)
• Coordinate with external healthcare law firms on complex compliance questions

Required Qualifications

• 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

Preferred Qualifications

• Master's degree in Healthcare Administration (MHA), Public Health (MPH), or related field
• Certified in Healthcare Compliance (CHC) or Certified Professional Compliance Officer (CPCO)
• Experience with telemedicine regulatory compliance and Ryan Haight Act requirements
• Background working with private equity healthcare transactions or MSO structures
• Experience with physician credentialing and state medical board regulations
• Familiarity with OIG advisory opinions and healthcare fraud enforcement trends

Skills & Competencies

• Exceptional attention to detail and ability to identify compliance risks before they materialize
• Strong analytical skills to interpret complex healthcare regulations and apply to business operations
• Excellent written communication skills for policy development and compliance documentation
• Ability to work cross-functionally with legal, medical, and business operations teams
• Comfort with ambiguity and ability to develop pragmatic compliance solutions in evolving regulatory landscape
• Project management skills to coordinate multi-state compliance initiatives
• Proficiency with compliance management software, document management systems, and Excel for tracking/reporting

Experience Indicators

• Successfully managed compliance programs through regulatory audits or investigations
• Developed and implemented compliance policies that balanced legal requirements with business objectives
• Built relationships with healthcare attorneys, external auditors, and regulatory consultants
• Navigated state-specific healthcare regulations in multiple jurisdictions simultaneously

Compensation & Equity

• Competitive base salary commensurate with experience
• Performance-based bonus structure
• Equity participation in high-growth healthcare infrastructure company

Health & Wellness

• 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

Work-Life Balance

• Full-time remote position (work from anywhere in the US)
• Flexible working hours with core collaboration times
• Unlimited PTO policy with minimum 3 weeks encouraged
• Paid parental leave

Professional Development

• 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