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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in legal and regulatory analysis related to HIPAA, Medicare, and Medicaid, with a strong focus on healthcare compliance. Capable of translating complex regulations into actionable guidance for cross-functional teams while supporting compliance program development and risk assessments.
Highest-signal resume keywords
J.D. And Active Bar AdmissionHealthcare Compliance ExperienceRegulatory AnalysisCompliance Program DevelopmentAudit And Investigation Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Regulatory AnalysisCompliance AuditsRisk AssessmentsPolicy DraftingDocumentation ReviewEvidence CollectionRemediation PlanningMonitoring ActivitiesVendor Agreement ReviewHealthcare Documentation Standards
Soft Skills
Strong JudgmentDetail OrientationComfort Operating In Ambiguity
Certifications & Qualifications
Active Bar Admission
Industry Keywords
HIPAAMedicareMedicaidCMS ProgramsHealthcare Privacy LawRegulatory CompliancePayer ProgramsOperational ProcessesBusiness Associate AgreementsCompliance Strategies
About the role
Key responsibilities & impact- Provide legal and regulatory analysis on HIPAA, Medicare, Medicaid, and state healthcare requirements, translating complex requirements into clear, practical guidance for business and operational teams.
- Partner with the Director of Compliance to assess regulatory risks, develop compliance strategies, and advise on emerging issues across the company's products, services, and operating model.
- Advise cross-functional teams, including Product, Engineering, Clinical Operations, Revenue Cycle, and Provider Operations, on compliance requirements for new products, features, workflows, and business initiatives before launch.
- Execute compliance reviews, audits, and monitoring activities related to Medicare, payer programs, HIPAA, and other healthcare regulatory requirements, including evidence collection, documentation review, issue identification, and remediation planning.
- Draft and maintain compliance policies, procedures, playbooks, and training materials that reflect regulatory requirements and evolving business practices.
- Help embed compliance requirements directly into operational processes, product workflows, and system controls by partnering closely with business and technical stakeholders.
- Review vendor agreements, business associate agreements, and other commercial arrangements for healthcare regulatory and compliance considerations.
- Support investigations, risk assessments, and remediation efforts involving potential compliance concerns, including billing, documentation, privacy, and operational issues.
- Monitor and research regulatory developments, CMS guidance, state healthcare regulations, and enforcement trends, and translate their impact into actionable recommendations for the Director of Compliance and business teams.
- Support the development and continuous improvement of the company’s compliance program, including risk assessments, monitoring plans, reporting, and governance activities.
Requirements
What you’ll need- J.D. and active bar admission in at least one U.S. state.
- 3–6 years of experience in compliance or regulatory legal practice, with a strong preference for healthcare compliance.
- Comfort operating in ambiguity, especially in environments where regulation and business models are evolving.
- Experience supporting audits, investigations, monitoring activities, and compliance program operations.
- Strong judgment - you know how to balance legal risk, regulatory integrity, and business velocity.
- Detail orientation without losing sight of the practical goal.
- Nice to have: familiarity with CMS programs, Medicare billing requirements, healthcare documentation standards, or healthcare privacy law.
- Applicants must be based in the United States.
Benefits
Comp & perks- Health insurance
- Flexible work arrangements