Compliance Counsel

Overview

A healthcare-focused organization is seeking a strategic and operationally focused Compliance Counsel to support the growth and maturation of its enterprise compliance program. Reporting to the Director of Compliance, this role will serve as a key advisor on healthcare regulatory matters and help build scalable compliance infrastructure supporting Medicaid and Medicare Advantage operations nationwide.

This position is suited for an attorney interested in healthcare law, compliance operations, and business strategy within a fast-paced, mission-driven environment. The Compliance Counsel will collaborate cross-functionally with Operations, Product, Security, HR, and Client Success teams to strengthen regulatory compliance, manage audits and corrective actions, mitigate risk, and support ethical business operations that improve healthcare access for underserved populations.

Responsibilities

Compliance Program Development & Oversight

• Support development, implementation, and continuous improvement of enterprise compliance programs and infrastructure
• Draft, review, and maintain compliance policies, procedures, and operational controls
• Assist in building scalable compliance and risk management processes
• Support compliance committee activities, reporting, and follow-up actions

Audit & Regulatory Oversight

• Lead and support client, government, and internal audit activities, including Medicaid and Medicare Advantage audits
• Coordinate audit responses, documentation collection, issue tracking, and remediation efforts
• Manage external and internal corrective action plans (CAPs) from intake through resolution
• Conduct internal audits, monitoring activities, and compliance risk assessments
• Support encounter, operational, and delegated entity compliance oversight initiatives

Legal & Regulatory Counsel

• Provide practical legal and regulatory guidance related to healthcare compliance, Medicaid, Medicare Advantage, HIPAA, and related regulations
• Conduct regulatory research and interpret federal and state requirements for operational stakeholders
• Advise internal teams on compliance risks and mitigation strategies
• Support implementation of regulatory and contractual requirements across business operations

Privacy & Investigations

• Support privacy compliance initiatives and advise on HIPAA-related matters
• Assist with investigations, issue resolution, and documentation related to compliance concerns
• Partner with internal stakeholders and outside counsel on litigation support and regulatory matters as needed

Cross-Functional Collaboration

• Collaborate with Operations, Security, Product, HR, and Client Success teams to embed compliance into daily operations
• Foster a proactive culture of compliance, accountability, and ethical decision-making

Required Qualifications

• Juris Doctor (JD) from an accredited law school
• Active bar license in good standing
• Minimum 3 years of experience in healthcare law, healthcare compliance, or a related regulatory role
• Working knowledge of Medicaid, Medicare Advantage, HIPAA, and healthcare regulatory frameworks
• Experience supporting audits, investigations, corrective action plans, and risk assessments
• Strong analytical, organizational, and communication skills
• Ability to interpret complex regulatory requirements and operationalize them effectively
• Ability to thrive in a fast-paced, growth-oriented environment with evolving priorities

Preferred Qualifications

• Experience supporting Medicaid or government program audits
• Experience building or scaling healthcare compliance programs
• Familiarity with delegated oversight, FDR oversight, or vendor compliance programs
• Experience in non-emergency medical transportation (NEMT), managed care, digital health, or healthcare services organizations
• Experience supporting compliance training and policy governance programs

Compensation & Benefits

• Remote-first work environment
• Competitive salary and annual bonus opportunities
• Comprehensive medical, dental, and vision insurance
• 401(k) plan with company match
• Generous paid time off, paid company holidays, and paid parental leave
• Career growth and development opportunities within a mission-driven organization

Location

Remote-first position supporting nationwide operations focused on Medicaid and Medicare Advantage programs.