Head of Compliance

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

🚔 Compliance

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Chamber

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Chamber is a company focused on improving cardiovascular health by empowering cardiology teams to thrive in a value-based care environment. It partners with cardiologists to offer technology solutions and support services that enable comprehensive care and unlock new revenue opportunities, at no cost to the practice. Chamber aids in navigating value-based care through real-time insights, administrative support, and expertise in payer negotiations. With a strong network of high-performing cardiologists and partnerships with hospital systems, Chamber is transforming the cardiology care ecosystem to ensure providers are compensated for delivering the right care at the right time.

📋 Description

• Design, operationalize, and lead Chamber’s compliance program across regulatory and corporate compliance, clinical compliance, government programs, and IT/security oversight • Own compliance strategy and risk assessment, including entity structure, state-by-state licensure, and corporate practice of medicine requirements • Build government programs compliance capability, including Medicare marketing and member communication requirements • Lead compliance governance, including Compliance Committee preparation, leadership reporting, risk themes, action tracking, and escalation • Own privacy and HIPAA compliance operations, including policies, incident response, investigations, training, and partnership with Legal and Security • Standardize compliance for care management and clinical program designs, including SOPs and documentation • Embed compliance into workflows, programs, technology, AI-enabled tools, and market expansion plans • Support credentialing oversight with Clinical leadership • Provide compliance oversight for training programs, SOC2, HITRUST, and related certifications in partnership with Security • Build and run an internal audit function, including policy review, SOP verification, and ongoing risk monitoring • Establish intake, investigation, root-cause analysis, remediation tracking, and resolution processes • Serve as the designated compliance lead for the direct CMS contract • Create a centralized GDMT compliance framework • Deliver a leadership-ready risk assessment across regulatory, clinical, and government programs compliance • Report to the General Counsel

🎯 Requirements

• 10+ years of healthcare compliance leadership experience • Experience in value-based care, managed care, population health, or another payer-facing care model • Deep knowledge of HIPAA/privacy, corporate practice of medicine, fee splitting, licensing, credentialing, AKS/FWA, False Claims Act, and Medicare/Medicaid requirements • Hands-on experience with Medicare, Medicaid, ACOs, and related CMS requirements • Proven ability to build practical compliance programs, including policies, training, monitoring, audits, and risk-based controls • Ability to operate in early-stage, multi-state environments where priorities evolve and processes must be built from scratch • Strong judgment and cross-functional leadership across legal, clinical, security, and business teams • Remote, US-based • Preference for Eastern Time zone or ability to work ET hours • Periodic travel to practice sites or Chamber offices may be required

🏖️ Benefits

• Remote work arrangement • Preference for Eastern Time zone or ability to work ET hours • Opportunity and authority to scale the compliance function as the business grows