Wheel

The virtual care platform for delivering consumer-centric care

Chief Compliance Officer – Fractional

ComplianceComplianceContractRemoteTeam 201-500Since 2018H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

5 days ago

Salary

Not specified

Postgraduate Degree10 yrs expEnglish

Job Description

• Compliance Discovery & Program Architecture • Regulatory Audit: Lead an exhaustive "baseline" audit of clinical and business operations to identify and remediate regulatory vulnerabilities. • OIG Alignment: Design and maintain a Corporate Compliance Program rooted in the OIG’s Seven Elements of an Effective Compliance Program. • Strategic Roadmap: Develop and execute a multi-year compliance strategy that anticipates the regulatory hurdles of new service lines and geographic expansion. • Regulatory Oversight & Signatory Authority • Official Signatory: Act as the authorized signatory for all legal compliance documents, including state licensing applications, Medicare/Medicaid enrollments, regulatory filings, and Attestations of Compliance (AoC). • 50-State Telehealth Governance: Ensure absolute adherence to varying state laws regarding synchronous/asynchronous care, provider licensure, and "good faith exam" requirements. • Prescribing Compliance: Manage key risks associated with remote prescribing including DEA compliance if necessary. • Privacy & Security: Serve as the final authority on HIPAA/HITRUST compliance, overseeing data integrity across our platform and third-party integrations. • Operational Integration & "Compliance by Design" • SOP Governance: Author and enforce a comprehensive library of Standard Operating Procedures (SOPs) and the Corporate Code of Conduct. • Product Collaboration: Partner with Product and Engineering to embed "Compliance by Design" into the patient platform, ensuring automated safeguards for clinical workflows. • Reporting Infrastructure: Manage the anonymous reporting hotline and lead all formal internal investigations and disclosures. • Monitoring, Auditing & Corporate Reporting • FWA Prevention: Implement a continuous monitoring system for billing and coding to mitigate **Fraud, Waste, and Abuse (FWA)** risks. • Corporate Governance: Provide quarterly briefings to the leadership on the enterprise risk profile, mitigation progress, and the impact of legislative shifts.

Job Requirements

  • 10+ years in healthcare compliance, with at least 5 years in a leadership role within a Virtual Care/Telehealth environment.
  • JD, Master’s in Healthcare Administration (MHA), or equivalent advanced degree preferred.
  • Certification with CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) ideal.
  • An expert in compliance in healthcare organizations, including experience in 50-state telehealth regulations, HIPAA, Stark Law, Anti-Kickback Statute (AKS), and the Ryan Haight Act. You are keeping a pulse on the evolution of AI regulations.
  • An effective communicator who can educate cross-functional teams about compliance requirements and ensure the development of systems and processes to address compliance

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities

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