Onboarding Compliance Specialist
MaxHome, LLC
VP, Privacy and Healthcare Regulatory
Omada Health
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Colorado, New York, Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $264,000 - $330,000 per year
Job Level
Lead
About the role
- Report directly to the General Counsel and join Omada’s Legal team as VP, Privacy & Healthcare Regulatory
- Serve as a subject-matter expert for Omada’s HIPAA privacy program and advance other privacy matters including compliance with consumer privacy laws across states
- Research, plan, and support compliance across healthcare regulatory areas including fraud and abuse, anti-kickback, billing and payment, scope of practice and licensure, telemedicine, corporate practice of medicine, FDA regulation, interoperability and information blocking, prior authorization and utilization management, and clinical research support
- Collaborate with stakeholders across product, engineering, data science, care delivery, clinical operations, and billing to align expectations and manage initiatives to closure
- Promote compliance-by-design principles and maintain industry-leading regulatory and privacy practices
- Expand and apply knowledge of AI regulation and implications for product development
- Lead, manage, and prioritize competing projects from inception to completion; convey complex legal concepts to non-legal audiences
Requirements
- 12+ years of relevant legal experience, including work at one or more top U.S. law firms and as in-house counsel
- Significant prior experience in matters relevant to the healthcare industry and digital care delivery
- Extensive experience with federal and state healthcare regulations and regulatory research, including fraud and abuse rules, anti-kickback statutes, scope of practice and licensure matters, telemedicine practice, corporate practice of medicine, FDA regulation, interoperability and information blocking regulation, clinical and human subjects research, federal rule-making processes and procedures, and more
- Experience with healthcare billing and payment processes, reimbursement rules for digital healthcare services (including for Medicare and Medicaid), and prior authorization and utilization management requirements
- In-depth knowledge of federal and state privacy laws related to personal information, and in particular of HIPAA, including experience with impact analyses and investigations
- Reliable understanding of the key principles of artificial intelligence, including machine learning models, fine-tuning and RAG, prompt engineering, and AI compliance best practices to support product development
- Experience working with and counseling clients in day-to-day business operations (e.g., product development, engineering, data science, care delivery and clinical operations, billing)
- Outstanding written and verbal communication and strong collaboration skills, with the ability to convey complex legal concepts to non-legal audiences
- Proven ability to lead, manage, and prioritize competing transactions and projects from inception to completion in a collaborative, fast-paced environment
- Exceptional organization, time management, and attention to detail
- A creative, roll-up-your-sleeves approach to problem solving with superb interpersonal skills
- Excellent academic credentials with a J.D. from an accredited law school and active membership in good standing with a state bar
- Bonus Points: First-hand experience managing the privacy program of a HIPAA covered entity
- Bonus Points: Experience navigating healthcare interoperability frameworks, including TEFCA
- Bonus Points: Experience interpreting and applying international privacy and data protection laws (e.g., GDPR, PIPEDA)
- Bonus Points: Experience working directly with health insurance companies, pharmacy benefit managers, and risk-bearing health systems
- Bonus Points: Familiarity with regulatory concepts concerning prescription medications and related processes, relevant to Omada’s companion programs for patients taking GLP-1 medications
- Bonus Points: Technical understanding of digital technologies relevant to privacy practices, such as cookies, web beacons, and similar tracking and analytic tools
- Bonus Points: Detailed understanding of ERISA plan regulation and compliance
Benefits
- Competitive salary with generous annual cash bonus
- Equity grants
- Remote first work from home culture
- Flexible Time Off to help you rest, recharge, and connect with loved ones
- Generous parental leave
- Health, dental, and vision insurance (and above market employer contributions)
- 401k retirement savings plan
- Lifestyle Spending Account (LSA)
- Mental Health Support Solutions
- ...and more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
HIPAAhealthcare regulationsregulatory researchfraud and abuse rulesanti-kickback statutestelemedicineFDA regulationclinical researchAI complianceprivacy impact analyses
Soft skills
written communicationverbal communicationcollaborationproject managementorganizationtime managementattention to detailproblem solvinginterpersonal skillsability to convey complex concepts
Certifications
J.D.active state bar membership
