Compliance Manager

Herself Health

. Lead day-to-day execution of Herself Health's healthcare compliance program supporting its value-based primary care model and Medicare Advantage arrangements .

Posted 10/30/2026full-timeNew York City • New York • United StatesMid-LevelSenior💰 $90,000 - $105,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare compliance, particularly with Medicare Advantage and federal fraud and abuse regulations. Capable of managing compliance programs, conducting investigations, and ensuring adherence to HIPAA requirements while collaborating with various stakeholders.

Highest-signal resume keywords

Healthcare Compliance ExperienceMedicare Advantage KnowledgeFederal Fraud And Abuse RegulationsHIPAA Privacy And Security RequirementsCompliance Training Delivery

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Compliance Policy ManagementRisk AssessmentAudit ExecutionCompliance InvestigationsExclusion And Sanction ScreeningData Request CoordinationCommittee ReportingPatient Outreach MonitoringCollaboration Agreement CoordinationMedTrainer Administration

Soft Skills

Ability To Handle Sensitive InformationStrong Communication SkillsOrganizational SkillsAttention To DetailAbility To Work Under Pressure

Tools & Technologies

MedTrainer Compliance Hotline

Industry Keywords

Value-Based CareMedicare Managed CareAnti-Kickback StatuteFalse Claims ActCivil Monetary Penalties LawPhysician Self-Referral LawState Medicaid ArrangementsCompliance Program ManagementBoard ReportingPayer Audits

About the role

Key responsibilities & impact

Lead day-to-day execution of Herself Health's healthcare compliance program supporting its value-based primary care model and Medicare Advantage arrangements
Maintain the compliance policy library, including annual reviews, version control, approvals and workforce publication
Coordinate state-specific scope-of-practice and collaboration-agreement requirements
Maintain the Code of Conduct and track annual attestations
Serve as the operational compliance point of contact
Maintain the annual work plan, risk assessment, committee dashboards, agendas, minutes and Board/Committee reporting materials
Deliver and document compliance and fraud, waste and abuse training at hire and annually
Administer the MedTrainer compliance hotline and other reporting channels
Conduct exclusion and sanction screening, including OIG, SAM and applicable state lists
Coordinate Medicare Advantage downstream-entity attestations, payer audits and data requests
Monitor patient outreach and materials for applicable CMS marketing and communications requirements
Execute audit and monitoring plans, report findings and coordinate corrective actions
Conduct and document compliance investigations
Support collaborative physician agreements and other regulatory requirements
Partner with the fractional Compliance Officer, fractional General Counsel, clinical leadership, People leaders and outside counsel as needed

Requirements

What you’ll need

Bachelor's degree or an equivalent combination of education and directly relevant experience
Hands-on healthcare compliance experience involving Medicare, Medicare managed care, Medicare Advantage or other complex government payor requirements
Working knowledge of federal fraud and abuse requirements, including the Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law and physician self-referral law
Working knowledge of HIPAA privacy and security requirements
Preferred: Experience with value-based or risk-bearing Medicare Advantage or state Medicaid arrangements
Ability to work full-time with occasional work outside standard hours for time-sensitive investigations, breach assessments or regulatory deadlines
Ability to travel periodically to clinic locations, payer meetings and audits
Ability to handle sensitive information, including protected health information and personnel matters

Benefits

Comp & perks

Periodic in-person collaboration at Herself Health clinics and external meetings
Training upon hire and annually
Inclusive workplace and equal employment opportunity commitment