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.
Support compliance monitoring, investigations, and audits to ensure adherence to TEFCA, HIPAA, and information blocking regulations.
Utilize Databricks, SQL, and AI tools to analyze data exchange activity and prepare compliance reports and dashboards.
Collaborate with Legal, Security, and Engineering teams to develop policies, maintain compliance documentation, and foster regulatory excellence.
Health Gorilla is a national interoperability and health information exchange company dedicated to improving healthcare through secure, standards-based data sharing. As a designated Qualified Health Information Network (QHIN) under TEFCA, it connects healthcare organizations nationwide and operates as a growth-stage company with a collaborative, compliance-focused culture.
Coordinates data collection from multiple sources to audit and monitor compliance with regulations.
Investigates and resolves compliance matters and monitors corrective action plans.
Develops training materials and publications to educate organization stakeholders.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and support for its team members.
Manage Omada’s HIPAA privacy program, including policy development, incident investigations, and breach response.
Drive privacy-by-design across digital products, embedding privacy into development and clinical operations.
Provide expert guidance on consumer privacy compliance, AI governance, and interoperability frameworks.
Omada Health is reverse engineering the way healthcare is delivered in America, putting the space between doctor visits at the center of care. They have served more than two million members since launch across 2,000+ employers, health plans, and health systems, and have been certified as a Great Place to Work.
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.
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.
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 all medical records and release of information operations, ensuring compliance with HIPAA and state regulations.
Design and implement scalable HIM workflows, policies, and tracking systems to improve efficiency and accuracy.
Partner with Compliance, Legal, Clinical Operations, Technology, and Quality teams to support organizational growth.
Backpack Healthcare transforms access to behavioral healthcare for children, adolescents, and families. As a fast-growing company expanding across multiple states, we focus on building scalable systems and fostering a collaborative, mission-driven culture.
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.
Lead advanced Product Compliance activities to ensure administrative solutions align with laws and regulations.
Apply expert regulatory judgment to complex compliance inquiries and escalations using AI-enabled tools.
Partner with stakeholders to incorporate compliance requirements into strategic initiatives and operational changes.
HealthEquity is dedicated to saving and improving lives by empowering healthcare consumers through health savings accounts and related solutions. The company is a mid-to-large size organization that fosters a culture of inclusion, innovation, and continuous learning.
Support oversight of the existing Privacy compliance program across jurisdictions, with primary focus on U.S. requirements and alignment to global privacy obligations.
Translate Legal guidance and regulatory requirements into policies, standards, and control expectations for first-line teams.
Provide independent oversight and effective challenge of first-line privacy control environments, including review of control design and identification of gaps.
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest. They are a remote-first company with competitive benefits including health care coverage, flexible spending wallets, and stock purchase plans.
Serve as an IS&T Program Expert and Accreditor, evaluating security and technology systems across the federation and conducting PCI DSS compliance activities.
Conduct risk assessments and technical analyses to identify non-compliance with NIST CSF and HIPAA Security, and manage corrective actions.
Communicate professionally with technical and non-technical stakeholders to ensure timely project management and education on compliance requirements.
Planned Parenthood is the nation's leading provider and advocate of high-quality, affordable sexual and reproductive health care, and the largest provider of sex education. PPFA is a 501(c)(3) supporting independently incorporated affiliates that operate non-profit health centers across the U.S., with a culture of fostering belonging and learning.
Build the QA framework to measure agent compliance and service excellence within a high-growth healthcare environment.
Ensure 100% adherence to clinical protocols, insurance verification accuracy, and HIPAA privacy standards during every member touchpoint.
Identify trends in member friction points and collaborate with cross-functional teams to resolve operational issues.
OneImaging is a concierge radiology service that provides a premium-quality network of over 5,000 vetted providers across 48 states, reducing imaging costs by 60-80%. They are a high-growth tech-enabled healthcare company focused on improving patient access and eliminating surprise bills.
Manage the healthcare compliance program and provide advice on regulations governing drug development and commercialization.
Develop and maintain policies, training, and monitoring activities to ensure compliance with FDA, OIG, and CMS rules.
Advise on interactions with healthcare professionals, fair market value, and transparency reporting under the Sunshine Act.
Coherus Oncology is a commercial and clinical stage biotech company. It offers a collaborative, results-driven environment with a focus on healthcare compliance and teamwork.
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.
Conduct clinical audits, risk assessments, and process reviews to identify compliance gaps and improvement opportunities.
Manage multiple client engagements and collaborate with healthcare client teams to ensure successful project execution.
Prepare and present audit results and recommendations to clinical, operational, and executive leadership.
Kodiak Solutions provides technology-driven solutions for healthcare finance, risk management, and revenue cycle management. The company's size and culture are not disclosed in the posting.
Manage regulatory inquiries of PLICO and affiliated insurance companies.
Respond to inquiries from regulatory bodies for insurance and securities activities.
Partner with business and divisional compliance units to coordinate regulatory filings.
Protective helps protect customers against life's uncertainties. The company is a large insurance provider with a strong focus on employee well-being and a collaborative culture.
Conduct compliance reviews, audits, and risk assessments using established frameworks.
Assist with investigations by gathering evidence, conducting interviews, and documenting findings.
Track corrective actions and support institutional audit readiness efforts.
Nightingale Education Group is a nursing school focused on closing health equity gaps by building a skilled nursing workforce. They have graduated nearly 5,000 nurses and emphasize a growth mindset, transparency, and personal accountability.
Manage internal audits and support external compliance assessments across business functions.
Perform gap analyses and track remediation actions for compliance frameworks.
Maintain and improve compliance documentation, policies, and risk registers.
Our partner is a growing SaaS organization serving global industries. It fosters a collaborative and inclusive culture with a focus on employee development and well-being.