wheel - Chief Compliance Officer (Fractional)
Requirements
• 10+ years in healthcare compliance, with at least 5 years in a leadership role within a Virtual Care/Telehealth environment. • JD, Master’s in Healthcare Administration (MHA), or equivalent advanced degree preferred. • Certification with CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) ideal. • An expert in compliance in healthcare organizations, including experience in 50-state telehealth regulations, HIPAA, Stark Law, Anti-Kickback Statute (AKS), and the Ryan Haight Act. You are keeping a pulse on the evolution of AI regulations. • An effective communicator who can educate cross-functional teams about compliance requirements and ensure the development of systems and processes to address compliance. • Wheel is committed to equal employment opportunities for all team members. Every decision we make regarding employment is solely based on merit, competence, and performance. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. • Research shows that underrepresented groups typically apply only if they meet 100% of the criteria listed. At Wheel, we encourage women, people of color, and LGBTQ+ job seekers to apply for positions even if they don’t check every box for the role.
Responsibilities
• 1. Compliance Discovery & Program Architecture • Regulatory Audit: Lead an exhaustive "baseline" audit of clinical and business operations to identify and remediate regulatory vulnerabilities. • OIG Alignment: Design and maintain a Corporate Compliance Program rooted in the OIG’s Seven Elements of an Effective Compliance Program. • Strategic Roadmap: Develop and execute a multi-year compliance strategy that anticipates the regulatory hurdles of new service lines and geographic expansion. • 2. Regulatory Oversight & Signatory Authority • Official Signatory: Act as the authorized signatory for all legal compliance documents, including state licensing applications, Medicare/Medicaid enrollments, regulatory filings, and Attestations of Compliance (AoC). • 50-State Telehealth Governance: Ensure absolute adherence to varying state laws regarding synchronous/asynchronous care, provider licensure, and "good faith exam" requirements. • Prescribing Compliance: Manage key risks associated with remote prescribing including DEA compliance if necessary. • Privacy & Security: Serve as the final authority on HIPAA/HITRUST compliance, overseeing data integrity across our platform and third-party integrations. • 3. Operational Integration & "Compliance by Design" • SOP Governance: Author and enforce a comprehensive library of Standard Operating Procedures (SOPs) and the Corporate Code of Conduct. • Product Collaboration: Partner with Product and Engineering to embed "Compliance by Design" into the patient platform, ensuring automated safeguards for clinical workflows. • Reporting Infrastructure: Manage the anonymous reporting hotline and lead all formal internal investigations and disclosures. • 4. Monitoring, Auditing & Corporate Reporting • FWA Prevention: Implement a continuous monitoring system for billing and coding to mitigate Fraud, Waste, and Abuse (FWA) risks. • Corporate Governance: Provide quarterly briefings to the leadership on the enterprise risk profile, mitigation progress, and the impact of legislative shifts.
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