Senior Compliance Analyst - Healthcare Regulatory Compliance

Medstra builds compliant infrastructure that enables non-physician operators to legally own and scale telehealth brands using a three-entity MSO framework. The Senior Compliance Analyst will partner with legal counsel, physician leadership, and Brand Partner operations to keep the organization compliant across all 50 states as the platform grows.

• Monitor federal and state healthcare regulations impacting MSO structures, CPOM, Anti-Kickback Statute, Stark Law, HIPAA, and telemedicine requirements across all 50 states.
• Track OIG advisory opinions, CMS guidance, DEA regulations (including controlled substances), and state medical board updates.
• Maintain a compliance calendar for 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 (e.g., prescribe vs. no-prescribe scenarios).
• Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for MSO arrangements.
• Maintain state-by-state compliance matrices for CPOM and related requirements (including strict states such as CA, TX, NY, IL, OH, NJ).
• Track state-specific telemedicine regulations and physician licensing requirements; review 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 the IMG structure.
• Maintain a compliance documentation library and audit trail.
• Oversee 50-state physician licensing and credentialing processes.
• Track DEA registrations; monitor medical malpractice insurance coverage and limits.
• Coordinate with IMG medical director on physician compliance issues.
• Develop compliance guidance materials for Brand Partners (marketing claims, HIPAA, prohibited activities) and conduct onboarding compliance training.
• Investigate potential compliance violations and recommend corrective actions; advise on structural separation between business and medical operations.
• Prepare quarterly compliance reports for executive leadership.
• Identify compliance risks, develop mitigation strategies, and maintain a compliance metrics dashboard (audit findings, license expirations, agreement renewals).
• Coordinate with external healthcare law firms on complex compliance questions.

• Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or a related field.
• 5+ years of healthcare compliance experience (preferred: MSO structures, physician groups, or telehealth companies).
• Deep understanding of CPOM doctrine, Anti-Kickback Statute, Stark Law, and HIPAA.
• Experience managing multi-state, state-by-state healthcare regulatory variations.
• Proven experience conducting compliance audits and developing compliance programs.
• Strong understanding of Fair Market Value (FMV) methodologies in healthcare arrangements.
• Preferred: Master's degree (MHA/MPH or related).
• Preferred: CHC or CPCO certification.
• Preferred: Telemedicine regulatory compliance experience, including Ryan Haight Act requirements.
• Preferred: Background with private equity healthcare transactions and/or MSO structures.
• Preferred: Experience with physician credentialing and state medical board regulations.
• Preferred: Familiarity with OIG advisory opinions and healthcare fraud enforcement trends.
• Strong attention to detail; strong analytical and written communication skills.
• Ability to work cross-functionally with legal, medical, and business operations teams; comfort with ambiguity and pragmatic decision-making.
• Project management skills for coordinating multi-state compliance initiatives.
• Proficiency with compliance management software, document management systems, and Excel for tracking and reporting.

• Fully remote role; work from anywhere in the United States.
• Flexible working hours with core collaboration times.
• Compensation: competitive base salary (not specified), performance-based bonus, and equity participation.
• Benefits: health/dental/vision insurance with 100% of employee premiums covered; FSA/HSA options; mental health support and wellness programs; access to company telehealth services.
• Time off: unlimited PTO with a minimum of 3 weeks encouraged; paid parental leave.
• Professional development: annual budget for certifications, conferences, and continuing education; opportunity to work with top-tier healthcare law firms; exposure to complex telehealth/MSO regulatory issues; direct access to executive leadership.