Head of Compliance

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Vitable Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Vitable Health is a health benefits platform that centers primary care within employer-sponsored and individual benefit solutions. The company offers direct primary care memberships with virtual visits, free prescriptions, labs, mental health support, a GLP-1 weight-loss medication program, and premium lab panels. Vitable also provides ACA-compliant products and administration (MEC plans, ACA Autopilot) plus flexible health reimbursement arrangements such as ICHRA and QSEHRA, and serves employers, brokers, and members seeking more accessible, affordable care.

📋 Description

• Ensure that all self-funded health plans administered by the Company comply with applicable federal and state regulations, including but not limited to ERISA, the Affordable Care Act (ACA), HIPAA, COBRA, and the Mental Health Parity and Addiction Equity Act (MHPAEA) — including maintaining the required NQTL comparative analysis documentation. • Manage and execute regulatory filings on behalf of customers and plan sponsors, including Summary Plan Descriptions (SPDs), Form 5500 filings, PCORI fee filings, plan documents, and other state and federal filings required in connection with TPA operations. • Review and approve all customer-facing marketing, sales, and enrollment materials to ensure regulatory compliance prior to publication or distribution. • Act as the primary compliance liaison with TPA partners, PBMs, stop-loss carriers, fully insured carriers, and other third-party vendors. Ensure that vendor contracts, data handling practices, and operational processes meet applicable compliance standards, including PBM data reporting obligations (e.g., RxDC) and TPA state licensure/registration requirements. • Monitor developments in federal and state health plan regulation, including guidance issued by state Departments of Insurance and the Department of Labor, and translate regulatory changes into operational requirements across the organization. • Serve as the primary point of contact for regulatory inquiries, audits, and customer due-diligence requests. Maintain documentation and internal controls sufficient to withstand regulatory examination and investor or acquirer due diligence. • Develop, implement, and maintain internal compliance policies and procedures. Provide compliance training to personnel involved in plan administration, sales, and customer data handling. Serve as the Company's designated HIPAA Privacy and Security Officer.

🎯 Requirements

• Must have 5+ years of progressive compliance experience within a self-funded health plan, third-party administrator (TPA), managing general agency/underwriter (MGA/MGU), or stop-loss carrier environment. • Demonstrated experience managing compliance relationships with stop-loss carriers, PBMs, and TPA partners — including negotiating compliance-relevant contract terms (audit rights, data handling, indemnification). • Direct, hands-on experience preparing and filing SPDs, Form 5500, and PCORI fees, and responding to DOL/IRS correspondence. • Working knowledge of MHPAEA NQTL comparative analysis requirements and current DOL enforcement priorities for self-funded plans. • Familiarity with state TPA licensing/registration requirements and experience corresponding directly with state Departments of Insurance. • Demonstrated ability to build and operate a compliance function independently — policies, training, documentation, audit readiness — without reliance on an established internal team for day-to-day execution. • Comfortable knowing the boundary between what to handle directly and what to escalate to outside ERISA/benefits counsel, and experience working effectively with outside counsel on complex filings and regulatory questions. • Experience with ICHRA, level-funded, or MEC/MVP plan structures preferred. • CHC, CEBS, or JD with a health benefits/ERISA focus preferred, not required.

🏖️ Benefits

• 100% Silver Plan medical coverage — plus dental and vision • Vitable Primary Care membership — the same care we give our members, yours too • 401(k) and life insurance • Unlimited PTO — and we actually mean it • Remote-first — work from wherever you do your best thinking • MacBook and home office setup stipend — the gear you need to do great work • Competitive equity — you're building something real, you should own a piece of it