Compliance Counsel
Compliance Counsel providing legal and regulatory guidance on HIPAA, Medicare, Medicaid and state healthcare laws. Advise cross-functional teams on compliance for products and operations, conduct audits, develop policies, and support the compliance program in a fast-growing healthcare startup.
About the job
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.
Skills
HIPAA, Medicare, Medicaid, Cms, Healthcare Compliance, Regulatory Analysis, Compliance Audits, Risk Assessment, Policy Development, Vendor Agreements
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