Chief Compliance Officer

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Nsight

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1910

📡 Telecommunications

💰 Undisclosed on 2019-02

Telecommunications

Nsight is a Wisconsin- and Upper Michigan-focused telecommunications holding company and service provider that owns brands including Cellcom, Nsight Telservices, and Nsight Tower. The company emphasizes customer-focused operations, employee development, community involvement and investor relations, offering telecom services, network infrastructure and related support across its operating sites.

📋 Description

• Own compliance for all remote care programs (RPM, CCM, PCM, CoCM, BHI), tracking CMS rulemaking (Physician Fee Schedule) to build compliance directly into operational workflows rather than bolting it on. • Oversee multi-state clinical licensure infrastructure. • Lead the end-to-end payor audit lifecycle (MAC, RAC, UPIC, TPE, and commercial/MA plan audits). • Defend recoupments, manage the Medicare appeals process, protect earned revenue, and track exposure as a core financial metric. • Own formal payor compliance intakes and medical device assessments (e.g., Optum/UHG-style submissions) that gate major enterprise relationships. • Maintain regulatory compliance for patient outreach workflows under TCPA. • Continuously mature the corporate compliance program against the OIG seven-element standard. • Direct internal proactive claim sampling and documentation QA with a rigid operational cadence. • Act as the compliance voice in enterprise sales, client diligence, and payor negotiations. • Deliver decision-ready compliance analysis (exposure quantified, options framed, recommendations made) to the executive team. • Partner closely with the CISO on HIPAA privacy postures.

🎯 Requirements

• Proven Payor-Side Fluency: Proven experience working inside a payor (MA plan, commercial, or a MAC/program-integrity contractor) or spent years successfully defending providers against them. • Quantifiable Recoupment Defense: Demonstrated history of personally leading recoupment defense and Medicare appeals, and can walk through specific dollars at risk, dollars protected, and your structural wins/losses. • Battle-Tested Audit Leadership: Experience taking an organization through intensive CMS or payor audits (TPE, RAC, UPIC, etc.) as the primary responsible leader. • Care-Management Billing Depth: Working command of CPT-level requirements for remote care or adjacent programs (time thresholds, supervision rules, device requirements, documentation substantiation). • Built or Matured a Program: Demonstrated experience formalizing a compliance function from scratch or a low baseline against the OIG seven elements. • Multi-State Telehealth Competence: Proven ownership of compliance across a multi-state clinical workforce, including licensure and state-level billing variations. • Agile Operational Style: Proven ability to operate cleanly in high-growth environments where regulatory and business roadmaps reprioritize rapidly. • Demonstrated AI Practice: Active usage of LLMs and generative AI in your compliance workflows today (e.g., document review, audit prep, regulatory monitoring).

🏖️ Benefits

• Unlimited PTO • Medical, Dental, Vision, and supplemental insurance options • 401(k) Plan with 3.5% Company Match • Company-provided equipment