Senior Compliance Analyst – Healthcare Regulatory Compliance

🕒 Março 21

🏄 California, Illinois, +4 estados a mais – Remoto

🏄 California – Remote 🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🤠 Texas – Remote

💵 $120.000 - $150.000 / ano

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

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Medstra

SiteLinkedInTodas as Vagas

11 - 50 funcionários

☁️ SaaS

🤝 B2B

SaaS • B2B

A Medstra é um fornecedor de infraestrutura de telemedicina white-label que permite a empreendedores e organizações lançar e escalar marcas de telemedicina sem possuir licenças médicas. A plataforma oferece tecnologia compatível com HIPAA e certificada SOC 2 para recebimento de pacientes, verificação de identidade, questionários médicos, acesso a uma rede de prestadores em todos os 50 estados, e cumprimento de receitas integradas à farmácia, além de suporte para integração e operação sob um modelo de Organização de Serviços de Gestão (MSO). A Medstra foca em soluções B2B chave na mão e escaláveis para operadores de telemedicina, lidando com conformidade, credenciamento, agendamento e cumprimento de prescrições.

Descrição

• 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)

🎯 Requisitos

• 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)

🏖️ Benefícios

• 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