Senior Compliance Analyst – Healthcare Regulatory Compliance

Role Overview

• 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)

Requirements

• 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)

Benefits

• 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