Senior Compliance Analyst – Healthcare Regulatory Compliance

🕒 il y a 3 mois

🏄 California, Illinois, +4 états de plus – Distant

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

💵 $120 000 - $150 000 / an

⏰ Temps Plein

🟠 Senior

🚔 Conformité

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Medstra

Site WebLinkedInTous les Emplois

11 - 50 employés

☁️ SaaS

🤝 B2B

SaaS • B2B

Medstra est un fournisseur d'infrastructure de télésanté en marque blanche qui permet aux entrepreneurs et aux organisations de lancer et développer des marques de télésanté sans détenir de licences médicales. La plateforme offre une technologie conforme à la norme HIPAA et certifiée SOC 2 pour l'inscription des patients, la vérification d'identité, les questionnaires médicaux, l'accès au réseau de prestataires dans les 50 états américains, et la gestion intégrée des pharmacies, en plus d'un support d'intégration et opérationnel sous un modèle de Management Services Organization (MSO). Medstra se concentre sur des solutions B2B clés en main, évolutives pour les opérateurs de télésanté, gérant la conformité, l'accréditation, la planification et la gestion des prescriptions.

Description

• 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)

🎯 Exigences

• 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)

🏖️ Avantages

• 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