Fractional Compliance Officer
Healthcare
United States (Remote)
About the company:
Growth-mode healthcare services company with operations covering 20 states.
Why Join Us:
- Shape the compliance function at a rapidly growing, mission-driven company, with real influence on how the business scales
- Direct partnership with senior leadership and exposure to physicians, practice administrators and the full business
- Flexible fractional engagement, working remotely
Responsibilities:
- Serving as the company’s compliance lead and reporting to the CEO, you will own the compliance program and risk framework for its patient services working closely with senior leadership
- Advising on federal fraud and abuse laws, including the Anti-Kickback Statute, beneficiary inducement and Stark, as they apply to the business model and partner relationships
- Monitoring Medicare, Medicare Advantage, Medicaid and commercial payer rules that affect how services are structured and offered
- Overseeing HIPAA privacy and security compliance, including business associate arrangements with practice partners
- Reviewing marketing, enrollment agreements and patient-facing materials, including price transparency and truthful-advertising requirements
- Tracking and interpreting state-level requirements across the company’s footprint, including corporate practice of medicine, fee-splitting and licensure rules, and supporting expansion into new states
- Developing and maintaining policies, procedures, training and monitoring for staff and surgeon partners
- Supporting compliance readiness for new practice partners and conducting an annual review of the program as the law changes
- Acting as the point of contact for regulatory inquiries, payer questions and partner due diligence
Requirements:
- Bachelor’s degree required; JD or healthcare compliance certification (such as CHC) preferred
- Senior-level healthcare compliance experience with deep working knowledge of the Anti-Kickback Statute, Stark, Medicare rules (including assignment and non-covered services) and HIPAA
- Experience with physician practices, healthcare services, digital health or other patient-facing programs; solid grasp of state corporate practice of medicine and fee-splitting rules
- Preferred: orthopedic or surgical, concierge or direct-pay healthcare experience; multi-state compliance experience; familiarity with FTC and state consumer-protection rules
- Comfortable working as an independent, hands-on advisor in a fast-moving company, with the judgment to prioritize and the ability to explain regulatory positions clearly to executives and physicians
Fractional position details:
Client anticipates roughly 2.5 days total per week initially which will likely increase over time and has potential to become a full-time role. There is flexibility on the mixture of days / times that the work can be spread across.
Application process for Fractional Compliance Officer:
Qualified applicants to send a resume to Steve Harrison at steve@conselium.com
Published by Conselium Executive Search, the global leader in compliance search.
