Associate Director Compliance and Licensing

Hello Heart is an AI company focused on heart health, building a platform that predicts and prevents cardiac events. They are seeking an Associate Director, Compliance & Licensing to manage licensing, compliance operations, and contract compliance across their entities.

Location: United States

Salary: $140,000 to $160,000/year

Responsibilities

• Maintain Medicare provider enrollments across multiple entities, including applications, revalidations, and updates through CMS PECOS and HPMS
• Attain and maintain Medicaid enrollment in applicable states, managing the full lifecycle of applications, renewals, and state agency correspondence
• Complete reporting obligations associated with active licenses and enrollments across multiple entities
• Maintain CMS ACCESS participation, ensuring quarterly reports are accurate, complete, and compliant before submission
• Monitor enrollment and licensing deadlines across states and entities to ensure no lapses
• Maintain a centralized database of client and partner contract compliance requirements, including AI restrictions, record retention obligations, offshore data restrictions, and other contractual compliance terms
• Partner with Implementation to ensure systems and workflows are configured in accordance with contract requirements
• Flag and escalate contract compliance risks to the Vice President, Compliance as they arise
• Respond to external audit requests from partners and clients across multiple entities
• Maintain compliance policies and procedures, including drafting initial policy updates and routing final drafts for review and signature
• Maintain privacy incident logs and complete required privacy incident reports accurately and on time
• Field compliance inquiries and review requests from internal stakeholders across Product, Engineering, Business Development, and Client Success
• Develop and administer compliance training programs for employees and board members
• Create new training materials as regulations change or new compliance requirements arise
• Coordinate annual compliance training cycles and ensure timely completion across the organization
• Support the Vice President, Compliance with regulatory research, compliance oversight on company initiatives, Compliance Committee presentations, and other compliance needs as they arise.

Requirements

• 7+ years of experience in healthcare compliance, regulatory affairs, licensing, or a related field
• Demonstrated hands-on experience with Medicare and Medicaid enrollment and state licensing, with multi-state and multi-entity experience strongly preferred
• Familiarity with CMS and Medicaid systems, including PECOS and HPMS
• Experience maintaining compliance policies and procedures and drafting compliance documentation
• Background developing and delivering compliance training programs
• Strong organizational skills, with the ability to maintain systems, track deadlines, and follow through without being reminded
• Comfortable working independently across multiple workstreams in a fast-moving environment
• Experience working across multiple corporate entities preferred
• American Bar Association-approved legal education strongly preferred, including a Juris Doctor, paralegal certificate, or equivalent formal legal or compliance training.