Director, Compliance & Quality Assurance

Brightside Health

1d•Remote

About The Position

We are looking for an experienced Director, Compliance & Quality Assurance to own Brightside's enterprise-wide compliance and quality assurance program, reporting directly to the COO. This leader will ensure the organization meets all state and federal regulatory requirements, client contractual obligations, and industry standards for telehealth while enabling consistent execution of clinical quality and patient safety standards. Partnering closely with clinical, operations, technology, and legal teams, they will translate regulatory requirements into scalable processes, drive audit readiness, and lead performance improvement initiatives that support organizational growth.

Requirements

10+ years of experience in compliance, privacy, or regulatory oversight within healthcare, ideally including digital health or telehealth.
Deep knowledge of HIPAA, state privacy laws, CMS and payer requirements, URAC standards, and telehealth regulatory frameworks.
Demonstrated experience leading compliance programs and managing audits, investigations, and regulatory reviews.
Experience developing effective policies and governance structures.
Strong project management, communication, and cross-functional leadership skills.
Ability to translate regulatory requirements into practical operational processes.
Bachelor's Degree or Master's degree in healthcare or related field, Juris Doctor preferred.
Privacy certification (CIPP, CIPM, CHPS or similar).
Eastern time zone preferred.

Responsibilities

Own and evolve Brightside's enterprise-wide compliance and quality assurance program, including policies, procedures, governance structures, and training.
Serve as the company's subject matter expert on telehealth compliance and oversee our TJC-compliant telehealth program end to end.
Design and lead a comprehensive QA program covering audits, monitoring, and performance tracking across clinical and non-clinical member experience.
Partner with Clinical Leadership to translate quality strategy into scalable workflows, measurable KPIs, and continuous improvement initiatives.
Own audit strategy and readiness across internal reviews, regulatory inquiries, payer audits, client requests and lead responses when they arise.
Drive corrective action plans from root cause through resolution and proactively monitor regulatory changes to keep policies and controls current.
Chair the Quality and Compliance Committee, ensuring effective governance, visibility into key risks, and clear escalation pathways.
Partner with Clinical, Operations, Finance, Product, Legal, and Technology teams to embed compliance and quality standards into workflows and systems.
Lead organization-wide compliance and quality training to build a culture of safety and accountability.
Oversee identification, investigation, and resolution of patient safety events, ensuring appropriate documentation, escalation, and follow-through.
Provide compliance and quality guidance on new programs, products, and market expansion as the business grows.
Maintain visibility into quality performance and trends for leadership and governance bodies.