Senior Compliance Analyst - Healthcare Regulatory Compliance

Medstra is building the infrastructure that enables non-physician operators to legally own telehealth brands. We've developed a compliant three-entity MSO framework that solves Corporate Practice of Medicine and Anti-Kickback challenges—the same legal structure used in $150+ billion of private equity healthcare transactions. As we scale our platform to support Brand Partners across all 50 states, we're seeking a Senior Compliance Analyst to ensure our legal framework remains bulletproof as we grow.This role sits at the intersection of healthcare law, regulatory compliance, and rapid business growth. You'll work directly with our legal counsel, physician leadership, and Brand Partner operations to maintain the structural separation and Fair Market Value principles that keep our entire ecosystem compliant.TasksRegulatory Compliance & Monitoring: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 statesTrack OIG advisory opinions, CMS guidance, DEA regulations for controlled substances, and state medical board updatesMaintain compliance calendar tracking regulatory deadlines, license renewals, and credentialing requirementsConduct quarterly compliance audits of Brand Partner agreements, IMG structures, and payment methodologiesFair Market Value & Anti-Kickback Compliance:Review and validate Fair Market Value (FMV) compensation structures for physician servicesCoordinate with independent third-party valuators to establish and document FMV ratesAudit 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 arrangementsState-by-State Compliance:Maintain compliance matrices for CPOM requirements in strict states (CA, TX, NY, IL, OH, NJ)Track state-specific telemedicine regulations and physician licensing requirementsReview state medical practice acts and corporate structure requirementsCoordinate with state healthcare attorneys on jurisdiction-specific issuesDocumentation & Agreement Review:Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements for complianceEnsure clinical autonomy provisions are properly documented and maintainedAudit physician employment agreements within IMG structureMaintain compliance documentation library and audit trailPhysician Credentialing & Licensing:Oversee 50-state physician licensing and credentialing processesTrack DEA registrations for controlled substance prescribing authorityMonitor medical malpractice insurance coverage and limitsCoordinate with IMG medical director on physician compliance issuesBrand Partner Compliance Support:Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activitiesConduct onboarding compliance training for new Brand PartnersInvestigate potential compliance violations and recommend corrective actionsProvide guidance on structural separation between business and medical operationsReporting & Risk Management:Prepare quarterly compliance reports for executive leadershipIdentify compliance risks and develop mitigation strategiesMaintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)Coordinate with external healthcare law firms on complex compliance questionsRequirementsRequired Qualifications:Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or related field5+ years of healthcare compliance experience, preferably with MSO structures, physician groups, or telehealth companiesDeep understanding of Corporate Practice of Medicine doctrine, Anti-Kickback Statute, Stark Law, and HIPAA regulationsExperience with state-by-state healthcare regulatory variations and multi-state complianceProven track record conducting compliance audits and developing compliance programsStrong understanding of Fair Market Value methodologies in healthcare arrangementsPreferred Qualifications:Master's degree in Healthcare Administration (MHA), Public Health (MPH), or related fieldCertified in Healthcare Compliance (CHC) or Certified Professional Compliance Officer (CPCO)Experience with telemedicine regulatory compliance and Ryan Haight Act requirementsBackground working with private equity healthcare transactions or MSO structuresExperience with physician credentialing and state medical board regulationsFamiliarity with OIG advisory opinions and healthcare fraud enforcement trendsSkills & Competencies:Exceptional attention to detail and ability to identify compliance risks before they materializeStrong analytical skills to interpret complex healthcare regulations and apply to business operationsExcellent written communication skills for policy development and compliance documentationAbility to work cross-functionally with legal, medical, and business operations teamsComfort with ambiguity and ability to develop pragmatic compliance solutions in evolving regulatory landscapeProject management skills to coordinate multi-state compliance initiativesProficiency with compliance management software, document management systems, and Excel for tracking/reportingExperience Indicators:Successfully managed compliance programs through regulatory audits or investigationsDeveloped and implemented compliance policies that balanced legal requirements with business objectivesBuilt relationships with healthcare attorneys, external auditors, and regulatory consultantsNavigated state-specific healthcare regulations in multiple jurisdictions simultaneouslyBenefitsCompensation & Equity:Competitive base salary commensurate with experiencePerformance-based bonus structureEquity participation in high-growth healthcare infrastructure companyHealth & Wellness:Comprehensive health, dental, and vision insurance (company covers 100% of employee premiums)Flexible Spending Account (FSA) and Health Savings Account (HSA) optionsMental health support and wellness programsAccess to company telehealth servicesWork-Life Balance:Fully remote position (work from anywhere in the US)Flexible working hours with core collaboration timesUnlimited PTO policy with minimum 3 weeks encouragedPaid parental leaveProfessional Development:Annual budget for compliance certifications, conferences, and continuing educationOpportunity 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 healthDirect access to executive leadership and strategic decision-makingWhy Medstra:Join a company building critical infrastructure for the future of telehealthWork on compliance challenges that Fortune 500 companies pay millions to solveHelp operators legally enter healthcare and build sustainable telehealth brandsBe part of the team ensuring compliance for a framework that's processed $XXM+ in patient careCollaborate with passionate team members who value both aggressive growth and rigorous complianceIf you're a compliance professional who thrives in fast-growing environments and wants to work on complex, meaningful regulatory challenges—this role is for you. You'll be joining at a pivotal moment as we scale our compliant infrastructure to support hundreds of Brand Partners nationwide.We're looking for someone who views compliance not as a blocker, but as the foundation that enables sustainable growth. Someone who can translate complex healthcare regulations into practical operational guidance. Someone who gets energized by building compliance programs from the ground up.To apply, please submit:Resume highlighting healthcare compliance experienceCover letter explaining your interest in MSO/telehealth compliance (1-2 paragraphs)Brief writing sample: Summarize a complex healthcare regulation and its practical implications (500 words max)J-18808-Ljbffr