Pair Team - Compliance Manager
Requirements
• 3+ years of healthcare compliance experience with direct exposure to federal programs (Medicare, Medicaid, or both) and the regulatory frameworks governing them (CMS, OIG, HIPAA, FWA). • Demonstrated ability to operate in an ambiguous, fast-moving environment — startup or high-growth company experience strongly preferred. • Deep working knowledge of HIPAA Privacy and Security rules and their practical application to technology products and digital health services. • Experience building or materially improving compliance programs, not just operating within established ones. • Strong communication skills — able to explain complex regulatory requirements in plain language and make crisp risk/benefit recommendations to business leaders. • Ability to multitask, prioritize, and manage projects and tasks. • Experience supporting building processes, procedures, and workflows that enable sustainable business scaling. • Strong collaboration skills with thought partners from clinical, operations, finance, and leadership • Proven ability to prioritize competing demands and make risk-proportionate decisions. • Mission-driven and passionate about improving outcomes for underserved communities • Strongly Preferred • Strongly Preferred • Experience at a digital health company, health plan, or managed care organization operating in Medicaid and/or Medicare programs. • Familiarity with value-based care contracts, capitation arrangements, or risk-bearing entities and their compliance implications. • CHC, CHPC, or other relevant compliance certification is a plus. • Our Values • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection. • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness. • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo. • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent. • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others. • Because We Value You • Competitive salary: $100,000- $115,000 • Equity compensation package • Flexible vacation policy – take the time you need to recharge • Comprehensive medical, dental, and vision coverage • 100% company-sponsored short and long-term disability and life insurance • Subsidized backup childcare and caregiver supports through Wellthy • Work entirely from the comfort of your own home • Monthly $100 work from home expense stipend • We provide the equipment needed for the role • Opportunity for rapid career progression with plenty of room for personal growth!
Responsibilities
• Program & Regulatory Compliance • Manage day-to-day compliance with Medicare and Medicaid program requirements, including federal CMS rules, state-specific Medicaid regulations, and value-based care contract obligations. • Monitor regulatory developments and translate their impact into clear, actionable guidance for product, clinical, and operations teams. • Lead responses to audits, compliance reviews, and requests from federal and state regulators, health plans, and contracting partners. • Maintain and continuously improve the compliance program framework, including policies, procedures, risk assessments, and training programs. • Lead for HIPAA Privacy and Security compliance, including BAA management, minimum necessary standards, and workforce training. • Partner with engineering and product teams to evaluate data practices, new product features, and vendor integrations for privacy and security risk. • Evolve the company’s privacy and data security with cross-functional teams. • Risk Identification & Business Enablement • Act as a trusted advisor to business, product, and clinical teams — flagging compliance risks early and helping design compliant solutions rather than blocking progress. • Build and maintain a compliance risk register; triage issues by severity and likelihood and prioritize remediation proportionate to actual risk. • Create scalable, lightweight compliance processes that work in a fast-moving environment and do not create unnecessary organizational drag. • Cross-Functional Collaboration • Work closely with the legal team on regulatory strategy and escalation of high-stakes issues. • Partner with clinical operations on care delivery compliance, including documentation standards, authorization requirements, and billing compliance. • Collaborate with the People team on compliance training, onboarding, and workforce policy development. • Represent Pair Team professionally and compliantly in partner, health plan, and regulatory conversations.
Benefits
• Flexible vacation policy – take the time you need to recharge • Comprehensive medical, dental, and vision coverage • 100% company-sponsored short and long-term disability and life insurance • Subsidized backup childcare and caregiver supports through Wellthy • Work entirely from the comfort of your own home • Monthly $100 work from home expense stipend • We provide the equipment needed for the role • Opportunity for rapid career progression with plenty of room for personal growth!
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