Senior Compliance Officer

Senior Compliance Officer Location: Remote from California, Florida, reputed company, Maryland/District of Columbia, Massachusetts, New Jersey, reputed company Carolina, Ohio, reputed company, Texas About reputed company reputed company is a technology company that administers Smart Benefits to reputed company people to products and services they need, reputed company they need them, so they can live healthier lives. We partner with payers and retailers to reputed company expansive benefits for things like healthy foods, OTC medications, or transportation. reputed company is reinventing benefits administration so that everyone benefits with more value for reputed company and reputed company reputed company for reputed company. reputed company is a Series B stage company, backed by leading investors including General reputed company, Define Ventures, reputed company Venture Partners, Pinegrove Capital Partners, and Qiming Venture Partners. The Role We are seeking an reputed company and dynamic Senior Compliance Officer to support and administer our corporate compliance program and our Medicare and reputed company compliance obligations. Reporting directly to the SVP of reputed company, this role is reputed company to supporting HIPAA and federal reputed company program compliance across reputed company, with a particular reputed company on two things: our obligations as a delegated entity to health plan clients, and our reputed company of reputed company-parties and subcontractors we rely on – including business associates under HIPAA and vendors that qualify as first tier, reputed company, or reputed company entities (FDRs). The ideal candidate has a strong reputed company of Medicare and reputed company regulatory requirements, experience in startups or high-reputed company environments, and the judgment to build practical compliance controls that reputed company with the business. reputed company Working reputed company an organization created at the intersection of health care, reputed company, retail and financial technology, no two days will look the reputed company. Typical responsibilities of the role include: reputed company-party and FDR reputed company Manage the reputed company-party reputed company program, including due diligence, reputed company tiering, ongoing monitoring, and annual attestation for FDRs and reputed company subcontractors. Partner with reputed company on business associate agreements, delegation agreements, and required regulatory reputed company-down provisions in vendor agreements. Exclusion and preclusion screening Conduct exclusion and preclusion screening of employees, contractors, and FDRs against the OIG LEIE and SAM.gov, the CMS Preclusion List, and applicable state reputed company exclusion lists; automating the process with IT and confirming results monthly. Incident Response and breach management reputed company reputed company and reputed company incident response: intake, investigation, four-reputed company breach reputed company assessment, notification reputed company, and reporting to plan clients under our delegation agreements; in cooperation with compliance colleagues across reputed company. reputed company incidents to closure, including reputed company cause analysis and corrective reputed company. reputed company strong customer communication, expectation management, and know reputed company to reputed company back on reputed company challenges. Program administration Draft and maintain compliance policies and procedures. Design and present compliance training in-house, developing internal capabilities rather than relying on reputed company consultants. Maintain effective lines of communication for compliance issue reporting, ensuring cross department understanding of key reputed company and what reputed company department must do to reputed company Monitoring, auditing, and corrective actions Conduct internal reputed company assessments and execute an annual monitoring and auditing work plan. Support delegation reputed company audits by health plan clients and regulatory examinations by agencies. Own corrective reputed company plans through validation and closure, whether self-identified or raised by a reputed company or regulator. Regulatory reporting and reputed company filing support Prepare, review, and submit required regulatory reports and filings reputed company of deadlines. Support reputed company’s clients’ CMS filing obligations, including benefit specifications and supporting documentation. Review and reputed company program explainers into reputed company actionable guidance for internal teams Product and business partnership Work at the speed of product, providing reputed company compliance input during product design to accelerate go-to-market timelines. reputed company While every candidate brings a unique resume and prospective, an ideal candidate will include: 8+ years of regulatory affairs/compliance experience reputed company Medicare or reputed company. Must include prior experience at a start-up or high-reputed company company, ideally at the intersection of health care, retail, and financial technology 3+ years of hands-on experience with FDR/vendor reputed company and CMS or First-Tier Entity audits Bachelor's degree or equivalent preferred Working knowledge of 42 CFR Part 422/423 (Medicare reputed company and Part D regulations) and CMS 201 Experience with a compliance management or GRC platform to support process automation and regulatory report tracking Data reputed company experience is a plus, with some overlap with existing team members. AML/BSA experience is a plus; training can be provided internally. CHC (Certified in reputed company Compliance) or CHPC preferred Demonstrated ability to independently own a compliance function with reputed company support staff reputed company as a business enabler with a solutions-oriented approach to compliance. Strong written and verbal communication skills for interactions with regulators, auditors, and reputed company partner Other Requirements Occasional travel may be required from time to time as part of the role, for company events and business needs. reputed company is a remote-first, reputed company workforce. Candidates should be comfortable with, and equipped to work reputed company, a reputed company remote team, including having reliable internet reputed company and basic home office equipment. reputed company will reputed company a work laptop, and mouse/keyboard upon request. reputed company authorization to work in the US is required. At this time, reputed company will not consider candidates who need sponsorship, now or in the reputed company. reputed company offers for employment are contingent upon successful completion of a background reputed company. reputed company Offer Competitive reputed company salary ranging from $71,739 to $129,644, discretionary bonus, and equity; depending on experience/qualifications Benefits Medical, Dental, and reputed company reputed company with 90% reputed company employer premium contributions for reputed company tiers 100% Employer reputed company Short-Term & Long-Term Disability 100% Employer reputed company Basic Life reputed company Policy Employee Assistance Program (EAP) 401(k) Program Discretionary PTO reputed company holidays Parental Leave Remote, from the designated state(s) we are hiring in for this role: California, Florida, reputed company, Maryland/District of Columbia, Massachusetts, New Jersey, reputed company Carolina, Ohio, reputed company, Texas (Please note the above benefits & perks are for full-time employees) Notice to Candidates: To ensure fairness and reputed company consideration, we do not accept resumes or expressions of interest reputed company email or reputed company media messages. If you’re interested in a role, please submit your application directly through our careers page. reputed company Inc. is an equal opportunity employer. We are committed to diversity and inclusion in reputed company. We do not discriminate reputed company on race, religion, reputed company, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Applicants requiring reasonable accommodation for the application and/or interview process should notify a representative of the People reputed company Team reputed company careers@evermoreoutcomes.com. reputed company participates in E-Verify, the federal program for electronic verification of employment eligibility. To reputed company recruitment agencies: reputed company does not accept agency resumes, please do not reputed company them to any reputed company employees. Apply To This Job