Serve as the primary compliance advisor for transparency customers, providing guidance on regulatory interpretation and risk mitigation.
Ensure successful achievement of all reporting metrics and deadlines, establishing KPIs and utilizing project management tools.
Actively engage in sales and marketing efforts to support customer growth through industry conferences and networking.
MediSpend provides transparency reporting solutions for the life sciences industry. The company fosters a diverse and inclusive culture with employees working remotely across the US, offering competitive compensation and benefits.
Supervise day-to-day operations of clinical compliance auditors and specialists, serving as a liaison to senior management.
Coordinate orientation, training, and performance monitoring for clinical compliance auditors to promote professional growth.
Oversee development of UM and PHM agenda, audit guidelines, and ensure adherence to denial processes and compliance requirements.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, aiming to make healthcare affordable and improve patient health. It is a physician-led, remote-first organization that leverages AI and predictive analytics to empower partners in delivering high-quality, value-based care.
Conducts baseline, routine, and focused audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes.
Researches, interprets, and communicates federal and state laws and guidelines pertaining to CMS and Medicare.
Acts as an internal expert on coding issues to ensure compliance with state and federal regulations.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs.
Serve as key legal partner and SME to commercial and medical teams, providing practical legal advice on pre-launch and launch activities.
Oversee outside counsel and conduct diligence for financings and business development activities.
Partner with Compliance to evolve the U.S. compliance program and support training and policy development.
Orca Bio is a late-stage biotechnology company redefining the transplant process by developing next-generation cell therapies to provide better survival rates with fewer risks. The company maintains a start-up culture of camaraderie and leadership by example, with a focus on passion, courage, and integrity.
Coordinates and administers privacy and compliance programs to ensure adherence to regulatory requirements.
Partners with internal teams to interpret requirements, implement compliant solutions, and monitor activities.
Develops policies, tracks corrective actions, and supports audits to maintain program effectiveness.
Capital Blue Cross is a health insurance company that improves the health and well-being of members and communities. It is an independent licensee of the Blue Cross Blue Shield Association and has been voted a 'Best Place to Work in PA' by employees.
Build and mature a best-in-class compliance program aligned with OIG guidance and industry standards.
Draft, implement, and refresh compliance policies, training, and monitoring initiatives.
Manage HCP engagement programs, including FMV assessment and regulatory compliance.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. It is headquartered in Radnor, Pennsylvania, and operates as a fully remote company.
Collaborate on risk assessments and develop internal surveillance systems to ensure compliance with securities laws.
Conduct regular audits, identify control deficiencies, and prepare action plan remediation.
Prepare and conduct virtual and physical branch office exams while staying current on regulatory trends.
Mercer Advisors helps families amplify and simplify their financial lives by integrating financial planning, investment management, tax, estate, and more. Serving over 31,300 families across 90+ U.S. cities, they've been ranked #1 RIA firm by Barron's and have a diverse, flexible workforce.
Collaborate with business stakeholders to perform root cause analysis.
Develop job aids, playbook, and other program documentation.
SmithRx is a Health-Tech company disrupting the Pharmacy Benefit Management industry with a technology-driven platform. The venture-backed company has hundreds of thousands of members and fosters a collaborative, mission-driven culture.
Lead the end-to-end drafting, revision, execution, and management of Administrative Services Agreements (ASAs) and related contract documents, ensuring compliance with legal and regulatory standards.
Collaborate cross-functionally with internal teams and external stakeholders to resolve contract-related issues, support audits, and drive process improvement initiatives.
Mentor junior team members, uphold contract governance standards, and contribute to operational efficiency across the contract management function.
Jobgether is a job matching platform that uses AI-powered technology to connect candidates with hiring companies. The company fosters a supportive and inclusive remote work environment, offering opportunities for professional growth and development.
Interpret Medicaid regulatory, Program Integrity, and Third-Party Liability (TPL) requirements to support compliance assessments and audit readiness.
Develop recommendations and corrective action approaches to address compliance findings and support responses to CMS and state agencies.
Collaborate with cross-functional teams to align findings, prioritize follow-up activities, and coordinate recommendations for process improvements.
BerryDunn is a client-centered, people-first professional services firm that has helped businesses, nonprofits, and government agencies since 1974. With a focus on creating a diverse and inclusive workplace, the firm is recognized for its commitment to learning, development, and well-being.
Lead a team of regulatory professionals to monitor and operationalize federal and state healthcare regulations for HealthEdge Source™.
Oversee workload distribution, delivery, and escalation management to ensure compliance with complex regulatory landscapes.
Partner cross-functionally with Product, Engineering, and Client Success to integrate regulatory requirements into product development.
HealthEdge is a healthcare technology company that provides reference data and pricing transparency platforms. The company is a full-time, permanent employer with a remote workforce, committed to diversity and offering a collaborative culture.
Conduct outbound calls to pharmacies to support patient care initiatives and address medication-related cases.
Communicate professionally with pharmacy staff and clinical teams to resolve issues and gather information.
Maintain accurate documentation and records within internal software platforms to ensure compliance.
The partner company is a fast-growing healthcare technology organization that connects patients, providers, and pharmacies to improve healthcare outcomes. It has a mission-driven and supportive team culture, focusing on improving patient care through innovative technology.
Provide local oversight of the 340B program and ensure compliance with federal regulations.
Manage split-billing software maintenance and conduct self-audits to maintain audit readiness.
Serve as the primary liaison for all 340B-related matters and coordinate external audits.
Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. It employs more than 24,000 people across Kentucky and surrounding states, with 10 hospitals and numerous points of care.
Manage provider and clinic compliance relationships, including onboarding and edge case resolution for approximately 3,500 clinics.
Lead investigations into prescribing pattern anomalies and credential lapses, producing written summaries and communicating outcomes.
Build and deliver compliance training for the sales team and develop provider-facing educational materials.
Strive Pharmacy is a personalized compounding pharmacy focused on individualized care and genuine partnership with patients and providers. The company is growing and seeks people who share their conviction for a more human approach to healthcare.
Support GCP/GCLP/GVP audits for investigational sites, internal systems, and clinical service providers, including planning, coordination, and reporting.
Assist with commercial inspections, inspection readiness activities, and GCP compliance tasks such as investigations and change controls.
Maintain a continuous improvement mindset and represent the Clinical Quality Assurance Team in cross-functional projects.
Iovance Biotherapeutics is a biotechnology company pioneering tumor infiltrating lymphocyte (TIL) therapy for cancer patients. The company is a clinical-stage organization with a strong focus on innovation and collaboration in a fast-paced environment.
Manage day-to-day legal affairs for Life Sciences/Pharma companies, advising on regulatory risks and negotiating commercial contracts.
Draft, review, and negotiate various agreements including customer, distributor, vendor, and quality agreements.
Champion process improvements, provide training on legal topics, and support corporate and litigation matters.
FUJIFILM Holdings America Corporation redefines innovation across healthcare, photography, semiconductors, and data storage, leading 23 diverse affiliate businesses in the Americas. With over 70,000 employees globally across four key business segments, the company offers a flexible work environment and a culture where innovation thrives.
Lead advanced data analysis and trend analysis to proactively assess compliance risks and enhance monitoring mechanisms.
Develop comprehensive compliance dashboards and automated reporting systems for real-time insights into compliance performance.
Drive predictive modeling initiatives and cross-departmental collaboration to optimize compliance operations and resource allocation.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. As the largest network of independent primary care in the country, Aledade offers a collaborative, inclusive, and remote-first culture.
Advise on healthcare regulatory, privacy, and employment matters across clinical, operational, and commercial functions.
Build scalable compliance, privacy, and clinical governance infrastructure to support rapid company growth.
Partner with People, Clinical, and Product teams to translate legal requirements into actionable guidance and templates.
Midi Health is a virtual care clinic redefining healthcare for women in midlife, providing specialized menopause and midlife care through a remote-first model. As a high-growth digital health company, we build scalable processes and foster a dynamic, inclusive culture to support clinicians, employees, and patients nationwide.
Provide strategic and operational compliance expertise to alternative investment organizations through project-based advisory engagements.
Design, implement, and enhance compliance programs for hedge funds, private equity firms, and family offices.
Conduct compliance assessments, risk reviews, and support regulatory examinations and audits.
The company is a network that connects senior compliance professionals with alternative investment firms needing advisory services. It provides client sourcing, engagement management, and administrative support, allowing advisors to work flexibly.
Shape and govern multi-state licensure and regulatory compliance for non-clinical home care operations.
Define strategy, operating model, and governance framework for compliant state expansion and ongoing readiness.
Translate complex state regulations into actionable operational requirements supporting scalable service delivery.
This partner company is a high-impact healthcare organization focused on improving care delivery and outcomes. It operates in a fast-scaling, mission-driven environment with a remote-first work culture.