Interim Head of Compliance Remote (anywhere in United States)

The Company is seeking a part-time Head of Compliance to take ownership of its regulatory posture as it scales. The successful candidate will be responsible for ensuring that all aspects of the business, including its structure, documentation, coding, billing, and collection practices, comply with the standards set by CMS, OIG, and various state and payer regulations. This hands-on, senior role involves setting and enforcing compliance policies, training the team, and being the go-to person for any regulatory changes or complex inquiries. Key responsibilities include maintaining a compliant PC-MSO structure, overseeing HIPAA privacy and security programs, auditing coding and billing practices, and managing the revenue cycle in accordance with regulatory requirements. Applicants for the Head of Compliance position at the company should have a minimum of 7 years' experience in healthcare compliance, with a strong focus on Medicare Part B billing and coding. Hands-on experience with a PC-MSO or similar physician-practice management structure is essential, as is a deep understanding of HIPAA, the Anti-Kickback Statute, Stark, and the False Claims Act. The role requires a practical approach to compliance, the ability to work in a fast-paced startup environment, and a willingness to collaborate with engineers to integrate compliance into the company's software. Preferred qualifications include relevant certifications and experience in care management, remote monitoring, or telehealth services, as well as a background in Medicare Advantage and Medicaid managed care plans across multiple states.

Hiring Company

Mira Mace