Medstra · 3 weeks ago
Senior Compliance Analyst - Healthcare Regulatory Compliance
Medstra is building the infrastructure that enables non-physician operators to legally own telehealth brands. They are seeking a Senior Compliance Analyst to ensure their legal framework remains bulletproof as they grow, working at the intersection of healthcare law, regulatory compliance, and rapid business growth.
Management Consulting
Responsibilities
Monitor federal and state healthcare regulations affecting MSO structures, Corporate Practice of Medicine (CPOM) doctrine, Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states
Track OIG advisory opinions, CMS guidance, DEA regulations for controlled substances, and state medical board updates
Maintain compliance calendar tracking regulatory deadlines, license renewals, and credentialing requirements
Conduct quarterly compliance audits of Brand Partner agreements, IMG structures, and payment methodologies
Review and validate Fair Market Value (FMV) compensation structures for physician services
Coordinate with independent third-party valuators to establish and document FMV rates
Audit payment flows to ensure outcome-independent compensation (prescribe vs. no-prescribe scenarios)
Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for all MSO arrangements
Maintain compliance matrices for CPOM requirements in strict states (CA, TX, NY, IL, OH, NJ)
Track state-specific telemedicine regulations and physician licensing requirements
Review state medical practice acts and corporate structure requirements
Coordinate with state healthcare attorneys on jurisdiction-specific issues
Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements for compliance
Ensure clinical autonomy provisions are properly documented and maintained
Audit physician employment agreements within IMG structure
Maintain compliance documentation library and audit trail
Oversee 50-state physician licensing and credentialing processes
Track DEA registrations for controlled substance prescribing authority
Monitor medical malpractice insurance coverage and limits
Coordinate with IMG medical director on physician compliance issues
Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activities
Conduct onboarding compliance training for new Brand Partners
Investigate potential compliance violations and recommend corrective actions
Provide guidance on structural separation between business and medical operations
Prepare quarterly compliance reports for executive leadership
Identify compliance risks and develop mitigation strategies
Maintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)
Coordinate with external healthcare law firms on complex compliance questions
Qualification
Required
Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or related field
5+ years of healthcare compliance experience, preferably with MSO structures, physician groups, or telehealth companies
Deep understanding of Corporate Practice of Medicine doctrine, Anti-Kickback Statute, Stark Law, and HIPAA regulations
Experience with state-by-state healthcare regulatory variations and multi-state compliance
Proven track record conducting compliance audits and developing compliance programs
Strong understanding of Fair Market Value methodologies in healthcare arrangements
Preferred
Master's degree in Healthcare Administration (MHA), Public Health (MPH), or related field
Certified in Healthcare Compliance (CHC) or Certified Professional Compliance Officer (CPCO)
Experience with telemedicine regulatory compliance and Ryan Haight Act requirements
Background working with private equity healthcare transactions or MSO structures
Experience with physician credentialing and state medical board regulations
Familiarity with OIG advisory opinions and healthcare fraud enforcement trends
Benefits
Comprehensive health, dental, and vision insurance (company covers 100% of employee premiums)
Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Mental health support and wellness programs
Access to company telehealth services
Fully remote position (work from anywhere in the US)
Flexible working hours with core collaboration times
Unlimited PTO policy with minimum 3 weeks encouraged
Paid parental leave
Annual budget for compliance certifications, conferences, and continuing education
Opportunity to work with top-tier healthcare law firms (Jones Day, K&L Gates, Hall Render)
Exposure to cutting-edge healthcare regulatory issues at intersection of telehealth, MSO structures, and digital health
Direct access to executive leadership and strategic decision-making
Company
Medstra
Funding
Current Stage
Early StageCompany data provided by crunchbase