Director, Compliance and Licensing

Hello Heart

2d • $180,000 - $205,000

About The Position

Hello Heart is looking for an experienced Director, Compliance & Licensing to join our Compliance team. In this hands-on, high-ownership role, you will manage a broad portfolio of licensing, enrollment, compliance operations, contract compliance, and training work streams across Hello Heart entities. Reporting into our Vice President, Compliance, you will work closely with internal teams and regulatory agencies to keep compliance processes accurate, organized, and audit-ready. This role is ideal for someone with deep healthcare compliance and licensing experience who thrives on process ownership, moves quickly and independently, and maintains precision across complex regulatory workstreams.

Requirements

• Experience using AI tools to improve productivity, streamline research, support documentation, and improve repeatable compliance workflows
• 10+ 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

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

Benefits

• Salary ranges are determined by role and level. Compensation is determined by additional factors, including job-related skills, experience, and relevant education or training. Please note that the compensation details listed in US role postings reflect the annual salary and bonus only, and do not include equity or benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Ph.D. or professional degree