Medstra

Compliance

• Monitor federal and state healthcare regulations affecting MSO structures, Corporate Practice of Medicine (CPOM) doctrine, Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states
• Track OIG advisory opinions, CMS guidance, DEA regulations for controlled substances, and state medical board updates
• Maintain compliance calendar tracking 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 (prescribe vs. no-prescribe scenarios)
• Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for all MSO arrangements
• Maintain compliance matrices for CPOM requirements in strict states (CA, TX, NY, IL, OH, NJ)
• Track state-specific telemedicine regulations and physician licensing requirements
• 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 IMG structure
• Maintain compliance documentation library and audit trail
• Oversee 50-state physician licensing and credentialing processes
• Track DEA registrations for controlled substance prescribing authority
• Monitor medical malpractice insurance coverage and limits
• Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activities
• Prepare quarterly compliance reports for executive leadership
• Identify compliance risks and develop mitigation strategies
• Maintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)

Senior Compliance Analyst – Healthcare Regulatory Compliance