Lead Medicaid operations and serve as the subject matter expert shaping service delivery and regulatory compliance.
Own client relationships, drive operational excellence, and implement process improvements across the team.
Develop and coach a high-performing remote team, fostering accountability, collaboration, and continuous growth.
Model N is the leader in revenue optimization and compliance for pharmaceutical, medtech, and high-tech innovators. With over 150 customers in more than 120 countries and 25+ years of experience, the company fosters a culture of innovation and customer success.
Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
Partner with internal teams to ensure compliance with regulations and contract obligations.
Maintain regulatory tracking documentation and support development of training materials.
HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.
Provide strategic leadership for a comprehensive compliance and ethics program, ensuring adherence to healthcare regulations including HIPAA, Stark Law, and Anti-Kickback Statute.
Develop and implement policies promoting ethical conduct; lead risk assessments, audits, and investigations to strengthen compliance controls.
Advise executive leadership and the Board on compliance trends and regulatory developments; direct compliance education programs.
PT Solutions is a rehabilitation provider expanding access to quality care through physical therapy, occupational therapy, speech-language pathology, and athletic training. They offer industry-leading professional development and are a tight-knit community united in their mission.
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.
Support implementation and operation of the Compliance Program, including conflict of interest, compliance hotline, and regulatory reviews.
Serve as liaison for compliance questions and incidents, and recommend corrective actions and education opportunities.
Work with all levels to ensure internal controls provide accurate, complete, and compliant processes.
Cooper University Health Care is a healthcare organization dedicated to providing extraordinary health care and fostering clinical innovation. It offers competitive compensation, comprehensive benefits, and opportunities for professional growth.
Partner with product and marketing teams to ensure compliance with consumer protection regulations in developing, launching, and enhancing deposit, payment, and lending products.
Lead evaluation and interpretation of compliance requirements for new and existing products, ensuring alignment with regulatory expectations.
Monitor and analyze evolving regulatory requirements, assessing their impact on products and driving updates to policies and controls.
EarnIn is a pioneer in earned wage access, building products that deliver real-time financial flexibility for those living paycheck to paycheck. The company has a healthy core business, world-class funding partners, and an experienced leadership team.
Architect and execute the strategic roadmap for provider data management, credentialing, and network adequacy, acting as the enterprise authority on data integrity.
Lead a high-performing remote team, establishing rigorous metrics for third-party vendors and integrating AI/LLMs to automate and optimize provider data processes.
Oversee the accuracy and compliance of the Provider Directory, partner with the Chief Medical Officer on credentialing, and drive cross-functional collaboration across Clinical, Claims, and Product teams.
Clover Health is redefining health insurance by leveraging data and technology to deliver personalized, high-quality care for Medicare Advantage members, aiming to make healthcare easier and more accessible. As a mission-driven company with a remote-first culture, they prioritize diversity and inclusion, fostering a team of passionate individuals focused on improving lives through innovation.
Develop and evolve a clinical governance framework adaptable across markets, including policies, standards, and oversight structures.
Design quality monitoring programs and track key clinical quality metrics to ensure consistent, safe telehealth services.
Partner with regional teams on regulatory compliance, risk mitigation, and continuous improvement initiatives.
HeliosX is a healthcare platform that makes healthcare faster and more accessible, operating proprietary brands like MedExpress and Dermatica with vertical integration. With over 1.7 million patients treated in 2025 and £781m in revenue, we are a fast-growing, profitable company with a culture of discipline and clinical excellence.
Leads global regulatory strategy and compliance for Merge Healthcare’s medical imaging portfolio.
Oversees global product registrations, device licensing, and market authorization activities.
Provides leadership and expert guidance on emerging regulations and standards.
Merative provides data, analytics, and software for health and social care. It is a medium-to-large company with a remote-first culture and values focus, speed, trust, and inspire.
Lead the Prior Authorization and Financial Assistance team in a remote setting.
Oversee large-scale healthcare operations and drive operational excellence.
Develop and mentor high-performing teams to enhance patient support outcomes.
Shields Health Solutions provides specialty pharmacy management services to health systems, focusing on prior authorization and financial assistance. They are a rapidly growing organization committed to operational excellence and patient-centered care.
Manage a team of compliance professionals or third-party providers to ensure proper Compliance program execution and performance management.
Provide compliance advisory services and guidance for regulatory change, product change, and business-as-usual operations across multiple domains.
Recruit, hire, and develop employees while ensuring adherence to consistent standards for communication, documentation, and reporting.
Fulton Bank is a financial institution committed to making a positive impact in local communities and championing a culture of continuous learning and inclusion. The company promotes a digitally enabled work environment and values employee well-being.
Lead and mentor the Service Delivery team in all Tier 1 and 2 consulting initiatives, providing product education and subject matter expertise on healthcare payment methodologies and operations.
Manage escalated client issues by acting as a liaison between clients and internal support teams to ensure accurate problem resolution.
Develop and maintain capabilities and tools, conduct scoping sessions, and collaborate with cross-functional teams to enhance client outcomes.
HealthEdge is a healthcare technology company specializing in payment integrity and claims adjudication software. The company prides itself on a collaborative, user-driven culture with a focus on impact over ego.
Lead business development activities including capture teams, proposals, and partnering discussions for federal health agencies.
Serve in project leadership roles for large, complex implementation, monitoring, technical assistance, or evaluation initiatives.
Supervise multidisciplinary teams, foster collaboration, and represent AIR in federal stakeholder meetings and conferences.
AIR is a nonpartisan, not-for-profit organization conducting behavioral and social science research and delivering technical assistance. Founded in 1946 and headquartered in Arlington, Virginia, the organization has hundreds of staff and promotes a collaborative culture that values diverse perspectives.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.
Advise Servicing, Collections, and Repayments teams on FCRA, FDCPA, and other regulatory compliance requirements.
Develop and update compliance policies, manage issues, and implement corrective action plans.
Monitor compliance metrics, prepare reports for senior management, and deliver training programs.
Affirm is reinventing credit to make it more honest and friendly, offering buy now, pay later products without hidden fees. We are a remote-first company with a collaborative culture, committed to providing inclusive benefits and competitive compensation.
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.
Review assigned TEFCA directory entries against authoritative corroboration sources and apply the approved review methodology.
Research, validate, and reconcile healthcare directory data across multiple reference sources, documenting findings in Jira.
Classify entries using a four-tier disposition taxonomy and escalate exception-path entries to the Lead Analyst.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that provides expert program management, technology, and consulting solutions to government and private sector clients. As a small business, they emphasize integrity, collaboration, and excellence in their tailored solutions.
Leads execution and ongoing management of NERC reliability and CIP compliance program across all registered sites.
Directly manages the NERC Technical Compliance Manager and partners closely with the VP of Asset Operations on program strategy and resource planning.
Oversees GADS data collection and reporting, ensures timely quarterly submissions, and maintains the feedback loop from compliance activities into the project pipeline.
Silicon Ranch is a fully integrated provider of customized renewable energy, carbon, and battery storage solutions for partners across North America. The company is known for putting community partnerships first, owning and operating all its solar ranches with a 100% track record for successful delivery, and fostering a diverse and inclusive workplace.
Provide support on regulatory compliance requirements and conduct gap assessments of business unit procedures against global policies.
Collaborate with Legal, Information Security, and business teams to manage compliance risks and support regulatory exams.
Maintain an understanding of business processes, products, and services while participating in exams as a subject matter expert.
Experian is a global data and technology company operating across financial services, healthcare, automotive, and more. With 25,200 employees across 32 countries, they have an award-winning, inclusive, and purpose-driven culture.
Lead and develop a team of 10–12 operations professionals in a fully remote environment.
Oversee operational execution, process optimization, and implementation of new programs.
Drive talent management, compliance, and cross-functional project coordination.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, fair recruitment processes and support a diverse range of job opportunities.