Oversee healthcare compliance programs covering Medicare billing, HIPAA, FDA regulations, and anti-kickback laws.
Conduct monthly billing audits, regulatory monitoring, and staff training to minimize risk.
Lead breach investigations, manage corrective actions, and collaborate with leadership and legal counsel.
They deliver innovative healthcare technology for remote patient monitoring, emphasizing patient safety and responsible AI use. The culture values compliance, accountability, and cross-functional collaboration among clinical, billing, and operational teams.
Oversee third-party and FDR oversight, including due diligence, monitoring, and attestation.
Lead privacy and security incident response, exclusion screening, and breach risk assessments.
Administer compliance policies, training, auditing, corrective actions, and regulatory reports.
evermore is a technology company that administers Smart Benefits to connect people to products and services they need, so they can live healthier lives. It is a Series B stage company backed by leading investors, with a remote-first, distributed workforce.
Own the PC-MSO compliance structure, including management services agreements and state corporate practice of medicine rules.
Manage HIPAA privacy and security, including policies, risk assessments, BAAs, training, and breach response.
Audit Medicare coding and billing, review revenue cycle practices, and track regulatory changes from CMS, OIG, and payers.
Mira Mace is a venture-backed company helping Medicare patients navigate a complicated healthcare system with clarity and confidence. Its team has built products and care at places like Google, Meta, Amazon, and health companies like Landmark Health and Parsley Health.
Build and lead Chamber's first compliance function, spanning regulatory, clinical, government programs, IT/security, and internal audit.
Partner with legal, clinical, security, and business teams to embed compliance into workflows, technology, and market expansion.
Serve as the strategic compliance expert for Medicare/Medicaid, HIPAA, CPOM, and risk-based program development.
Chamber is rebuilding the system for cardiology by partnering with independent cardiologists and equipping them with technology, data, and operational tools. The company is an early-stage, mission-driven team focused on transforming heart health through AI-enabled clinical workflows and human-centered care.
Develops, manages, and monitors corporate compliance programs that promote ethical behavior and mitigate risk.
Leads risk assessments, audits, and regulatory interactions, including preparing reports and responding to inquiries.
Builds relationships with internal and external stakeholders to drive compliant outcomes and manages operational compliance activities.
Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing, assisted living, and other institutional care settings. The organization fosters a culture of care, innovation, and accountability, with a focus on quality and safety in everything it does.
Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.
Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.
Perform in-depth compliance audits to ensure adherence to local, state, and federal regulatory guidelines.
Identify potential compliance concerns and opportunities for documentation improvement.
Prepare and share detailed audit reports with physicians, advanced practice providers, and clinical leadership.
Baptist Health is a faith-based, not-for-profit health system in Northeast Florida, providing preventive and specialty care through 200+ locations and six hospitals. As the largest healthcare provider in the region, it fosters a welcoming workplace where every team member's voice is heard.
Lead advanced compliance activities for healthcare administrative products including HSAs, FSAs, HRAs, and COBRA.
Apply expert regulatory judgment to risk assessments, compliance monitoring, investigations, and corrective actions.
Collaborate with stakeholders to integrate compliance requirements into strategic initiatives and leverage AI-powered tools.
HealthEquity empowers healthcare consumers by providing administrative solutions like HSAs, HRAs, FSAs, and COBRA. The company is a large, mission-driven organization that values inclusion and connects health and wealth for American families.
Manage daily project activities, work plans, and timelines for EQR contracts.
Conduct on-site or virtual compliance reviews of Medicaid managed care health plans.
Support audit reports, technical documents, and communication with stakeholders.
Health Services Advisory Group (HSAG) improves healthcare quality through Medicaid compliance and external quality reviews for state agencies. It is a growing, mission-driven team that values community impact, collaboration, and remote work.
Provide compliance documentation and knowledge management support to the Contracts Management and Compliance Division.
Maintain the organization-wide risk register, track mitigation actions, and support sub-recipient due diligence workflows.
Coordinate compliance training, monitor U.S. government regulatory updates, and prepare compliance reports for leadership.
Jhpiego is a global health nonprofit affiliated with Johns Hopkins University, dedicated to improving the health of women and families in developing countries. The organization values diversity, equity, and inclusion, and offers a supportive, mission-driven work culture.
Serve as the primary compliance point of contact for strategic partnerships and clients.
Lead the compliance workstream for major brand migrations and become an expert on the Regulated Compliance product.
Monitor compliance processes, ensure accurate documentation, and deliver presentations on compliance matters.
impact.com is the world's leading commerce partnership marketing platform, helping brands manage partnerships with affiliates, influencers, and creators. With over 5,000 global brands relying on the platform, the company fosters a flexible, performance-driven culture.
Develop and oversee quality programs to ensure HIPAA compliance and implement training based on audit trends.
Tune AWS Auto-QA prompts to flag quality and compliance risks while reducing AI hallucination.
Analyze interaction logs via SQL, manage HITL QA workflows, and lead process improvements using Lean/Six Sigma.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies, major national payers and large providers to enable employees to live their healthiest lives.
Manage and maintain Virta's privacy compliance program, including policies, procedures, PIAs, and records of processing activities.
Act as primary point of contact for privacy inquiries from customers, prospects, and partners, supporting DPAs, BAAs, RFPs, and due diligence.
Drive cross-functional privacy initiatives, training, metrics, and incident response workflows to strengthen Virta's privacy posture.
Virta Health is on a mission to reverse metabolic disease in one billion people through virtual care, personalized nutrition, and technology. Backed by over $350 million from top-tier investors, the remote-first company partners with health plans and employers to help members restore their health.
Lead HEDIS compliance audits and healthcare performance measure validation activities.
Evaluate data systems, source code, measure calculations, and medical record review processes.
Communicate complex audit findings and provide technical guidance to clients and staff.
Health Services Advisory Group (HSAG) is a healthcare consulting organization dedicated to improving the quality of healthcare through performance measurement, auditing, and data validation. It offers a growing, collaborative team culture focused on community impact, professional development, and making healthcare better for everyone.
Conducts audits of chapter compliance with Make-A-Wish policies and procedures, summarizing findings and recommending corrective actions.
Partners with chapters as a trusted compliance advisor, providing feedback, education, and follow-up on audit findings.
Supports enterprise risk management efforts and performs additional compliance projects and reports as needed.
Make-A-Wish is the world's largest wish-granting organization, uniting communities to grant life-changing wishes for eligible children. The organization fosters a supportive, mission-driven culture that embraces wish families, volunteers, and colleagues.
Own and mature security, privacy, and compliance programs across HIPAA, SOC 2, and HITRUST.
Lead HITRUST certification end to end, including scoping, evidence collection, and assessor coordination.
Partner with Engineering, Product, SRE, and IT to integrate security into architecture, SDLC, and cloud infrastructure.
IntusCare is an end-to-end ecosystem built specifically to help PACE programs deliver exceptional care, strengthen financial performance, and stay compliant. It is a growing healthcare SaaS organization that empowers teams to improve outcomes for dual-eligible seniors.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Set the strategic direction and long-term roadmap for Extend's regulatory compliance program, spanning licensing, service contracts, and insurance.
Serve as the executive-level owner for regulatory and licensing matters, representing compliance in front of regulators and auditors.
Partner with cross-functional teams to embed compliance requirements into merchant onboarding, customer experience, and product workflows.
Extend provides AI-driven solutions for retailers to enhance post-purchase customer satisfaction and drive revenue growth. The company works with more than 1,000 merchant partners, is backed by prominent technology investors, and is headquartered in downtown San Francisco.
Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Conduct detailed medical record audits to assess coding accuracy, documentation quality, and regulatory compliance.
Interpret CMS and payer guidance to identify compliance gaps and provide actionable recommendations.
Prepare audit reports and deliver provider education to improve billing accuracy and reduce risk.
This role is with a partner company specializing in healthcare compliance and coding audits for diverse healthcare settings. The collaborative, client-focused environment values analytical thinking, professional integrity, and continuous learning.