VP, Compliance

About Abby Care

Aby Care is building the leading AI-native platform for family-led care. America faces a growing care crisis, with millions needing care at home. Family caregivers support loved ones without adequate tools, training, or recognition. Abby Care believes families are the largest untapped caregiving workforce and that technology can enhance care quality and system efficiency.

The Opportunity

This is a build role. Abby Care has a foundational compliance structure and an experienced legal team, but the next phase of growth—state expansions, new home-based health care programs, AI-enabled tools, and M&A activity—requires a senior compliance leader. You will design, build, deploy, and lead Abby Care's enterprise-wide compliance program, aligning with federal standards and state regulations. You will report to the General Counsel, oversee the Compliance Committee, and serve as the designated Compliance Officer. You will also partner with Legal, People, Operations, Clinical Leadership, Information Security, and Finance to embed compliance across the organization.

What You'll Do

• Design, build, deploy, and continuously improve a comprehensive enterprise compliance program covering all aspects of Abby Care's healthcare operations, anchored to the OIG seven-element framework and DOJ's Evaluation of Corporate Compliance Programs guidance.
• Set the company's compliance strategy and priorities, including the annual enterprise risk assessment, multi-year work plan, audit and monitoring calendar, and annual program effectiveness review; secure the resourcing and Board endorsement to execute against them.
• Establish and operate the program's full operational backbone—policies and procedures, training and culture, reporting and hotline channels, monitoring and auditing, investigations, discipline, and corrective action—and ensure each element is functioning, measurable, and improving.
• Lead compliance across the full program lifecycle, clinical operations, documentation, billing and coding, EVV, payor and MCO contract performance, and program integrity; and work to build a culture of compliance by embedding compliance into how the business runs.
• Manage all government inquiries, audits, investigations, self-disclosures, and any settlement or CIA obligations; serve as the company's principal compliance liaison to regulators, MCO program integrity functions, and external counsel.
• Partner with Legal, People, Operations, Clinical Leadership, Information Security, and Finance to embed compliance controls across the workforce, software and vendor ecosystem, and care delivery model.
• Lead regulatory change management across the federal stack (AKS, Stark, FCA, HIPAA/HITECH, CMS, OIG, HRSA, and the 21st Century Cures Act) and across each state Medicaid environment in which we operate.
• Lead compliance diligence and integration for new market entry, new Medicaid program design, new service lines, and M&A activity.
• Build, hire, and develop a high-performing in-house compliance team, investigations, auditing and monitoring, training, and compliance operations and analytics, and the technology infrastructure that supports a modern program.
• Lead compliance diligence and integration for new market entry, new Medicaid program design, new service lines, and M&A activity.

What You Bring

• 10+ years of progressively senior compliance experience at a healthcare company, including 5+ years at the Director level or above.
• Demonstrated end-to-end ownership across all seven OIG compliance program elements, not partial ownership of one or two pillars.
• Substantial experience at companies funded by government healthcare programs (Medicaid, Medicaid waivers, Medicare, and managed Medicaid).
• Working command of the federal healthcare regulatory stack (AKS, Stark, FCA, HIPAA/HITECH, CMS and OIG guidance) and of state Medicaid program integrity requirements.
• Multi-state operating experience and the range to manage a comprehensive, systems-based program across several state Medicaid environments simultaneously.
• High judgment on risk tradeoffs, strong written communication, and the credibility to take and defend a position with executives, the Board, and regulators.
• Comfort operating in a fast-growth environment with imperfect data, competing priorities, and the need to write the policy yourself before handing it off.

Nice To Have

• Home health and/or personal care services experience.
• Direct experience with family caregiver service models.
• Experience leading compliance diligence and integration in M&A or new state market entries.
• Experience building or operating compliance analytics, continuous monitoring, and GRC, privacy and HIPAA-specific software platforms.
• JD, MHA, or MBA background; CHC, CHPC, or CHRC certification.