Compliance Counsel

Responsibilities

• Provide legal and regulatory analysis on HIPAA, Medicare, Medicaid, and state healthcare requirements, translating complex requirements into clear, practical guidance for business and operational teams.
• Partner with the Director of Compliance to assess regulatory risks, develop compliance strategies, and advise on emerging issues across the company’s products, services, and operating model.
• Advise cross-functional teams, including Product, Engineering, Clinical Operations, Revenue Cycle, and Provider Operations, on compliance requirements for new products, features, workflows, and business initiatives before launch.
• Execute compliance reviews, audits, and monitoring activities related to Medicare, payer programs, HIPAA, and other healthcare regulatory requirements, including evidence collection, documentation review, issue identification, and remediation planning.
• Draft and maintain compliance policies, procedures, playbooks, and training materials that reflect regulatory requirements and evolving business practices.
• Help embed compliance requirements directly into operational processes, product workflows, and system controls by partnering closely with business and technical stakeholders.
• Review vendor agreements, business associate agreements, and other commercial arrangements for healthcare regulatory and compliance considerations.
• Support investigations, risk assessments, and remediation efforts involving potential compliance concerns, including billing, documentation, privacy, and operational issues.
• Monitor and research regulatory developments, CMS guidance, state healthcare regulations, and enforcement trends, and translate their impact into actionable recommendations for the Director of Compliance and business teams.
• Support the development and continuous improvement of the company’s compliance program, including risk assessments, monitoring plans, reporting, and governance activities.

Requirements

• J.D. and active bar admission in at least one U.S. state.
• 3–6 years of experience in compliance or regulatory legal practice, with a strong preference for healthcare compliance.
• Comfort operating in ambiguity, especially in environments where regulation and business models are evolving.
• Experience supporting audits, investigations, monitoring activities, and compliance program operations.
• Strong judgment - you know how to balance legal risk, regulatory integrity, and business velocity.
• Detail orientation without losing sight of the practical goal.

Nice-to-Haves

• Familiarity with CMS programs, Medicare billing requirements, healthcare documentation standards, or healthcare privacy law.