Senior Compliance Analyst - Healthcare Regulatory Compliance

Role Overview

Senior Compliance Analyst to ensure Cuvo Health’s healthcare compliance framework remains effective while supporting Brand Partners across all 50 states. You’ll partner closely with legal counsel, physician leadership, and Brand Partner operations to maintain structural separation and Fair Market Value (FMV) principles.

Responsibilities

Regulatory Compliance & Monitoring

• Monitor federal and state healthcare regulations affecting MSO structures, including:
  • Corporate Practice of Medicine (CPOM) doctrine
  • Anti-Kickback Statute
  • Stark Law
  • Telemedicine requirements
• Track key agency guidance and updates:
  • OIG advisory opinions
  • CMS guidance
  • DEA regulations for controlled substances
  • State medical board updates
• Maintain a compliance calendar for:
  • Regulatory deadlines
  • License renewals
  • Credentialing requirements
• Conduct quarterly compliance audits covering:
  • Brand Partner agreements
  • IMG structures
  • Payment methodologies

Fair Market Value & Anti-Kickback Compliance

• Review and validate FMV compensation for physician services
• Coordinate with independent third-party valuators to establish and document FMV rates
• Audit payment flows to ensure compensation is outcome-independent, including prescribe vs. no-prescribe scenarios
• Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for MSO arrangements

State-by-State Compliance

• Maintain compliance matrices for CPOM requirements in strict states (e.g., CA, TX, NY, IL, OH, NJ)
• Track state-specific telemedicine rules and physician licensing/credentialing requirements
• Review state medical practice acts and corporate structure requirements
• Coordinate with state healthcare attorneys on jurisdiction-specific issues

Documentation & Agreement Review

• Review:
  • Brand Partner Agreements
  • Management Services Agreements
  • Business Associate Agreements
• Ensure clinical autonomy provisions are properly documented and maintained
• Audit physician employment agreements within IMG structures
• Maintain a compliance documentation library and audit trail

Physician Credentialing & Licensing

• Oversee 50-state physician licensing and credentialing processes
• Track DEA registrations for controlled substance prescribing authority
• Monitor medical malpractice insurance coverage and limits
• Coordinate with the IMG medical director on physician compliance issues

Brand Partner Compliance Support

• Create compliance guidance for Brand Partners on:
  • Marketing claims
  • HIPAA requirements
  • Prohibited activities
• Deliver onboarding compliance training
• Investigate potential compliance violations and recommend corrective actions
• Provide guidance on structural separation between business and medical operations

Reporting & Risk Management

• Prepare quarterly compliance reports for executive leadership
• Identify compliance risks and develop mitigation strategies
• Maintain a compliance metrics dashboard (e.g., audit findings, license expirations, agreement renewals)
• Coordinate with external healthcare law firms on complex questions

Requirements

Required

• Bachelor’s degree in Healthcare Administration, Public Health, Legal Studies, or related field
• 5+ years of healthcare compliance experience (preferably with MSO structures, physician groups, or telehealth)
• Deep understanding of CPOM, Anti-Kickback Statute, Stark Law, and HIPAA
• Experience managing state-by-state healthcare regulatory variation and multi-state compliance
• Proven track record conducting compliance work (details cut off in provided text)

Nice to have

Not specified in the provided text.