Regional Compliance Manager

Abby Care•San Francisco, CA
•$80,000 - $105,000

About The Position

The Regional Compliance Manager is the day-to-day compliance owner for a cluster of 2–3 states and an embedded compliance partner to the operations leaders in those markets. The role executes and localizes Abby Care’s enterprise compliance program by adapting policies, training, and monitoring to each state’s regulatory framework, while serving as the compliance leadership team’s in-market representative. This is a high-ownership individual contributor role with autonomy in assigned markets. The position works under the direction and guidance of the Senior Manager, Home Healthcare Compliance, who sets priorities across regions, provides subject-matter expertise and management, and makes decisions on complex or novel compliance questions escalated by the Regional Compliance Manager. The assigned state cluster will come from Abby Care’s current operating footprint and may change as the company expands. The role covers all health care delivery programs operating in the assigned states, including Medicaid home health, HCBS waiver programs, and family caregiver services, and may expand to include new programs.

Requirements

  • At least 5 years of healthcare experience, including at least 3 years in healthcare compliance.
  • Working knowledge of state health care regulatory frameworks, including licensure, survey and audit processes, and Medicaid program requirements.
  • Demonstrated ability to operate independently, manage competing priorities across multiple markets, and partner credibly with operations leadership.
  • Willingness and ability to travel to assigned markets 25–40%.

Nice To Haves

  • Home health, HCBS, and/or Medicaid program compliance experience.
  • Hands-on experience leading or supporting state licensure surveys and plans of correction.
  • CHC certification or a comparable compliance credential.
  • Multi-state compliance experience.
  • Diverse healthcare expertise integrating operational excellence, quality outcomes, regulatory compliance, and strategic leadership.

Responsibilities

  • Lead preparation, on-site execution, and responses for state licensure surveys, audits, and inspections in assigned states, including drafting plans of correction and driving findings to closure.
  • Adapt and maintain operational policies and procedures for assigned states, document state-specific regulatory variations, contribute state-specific components to enterprise policies, and keep materials current as regulations change.
  • Monitor state-level developments, including Medicaid bulletins, agency guidance, licensure rule changes, and payor policy updates; translate them into operational changes and communicate them to compliance leadership for enterprise integration.
  • Deliver compliance training to state operating teams, including onboarding, role-specific training, and refreshers related to regulatory changes, and help develop state-specific training content.
  • Conduct state-level program monitoring, support enterprise audit activities in assigned markets, ensure findings are remediated, and communicate trends that inform policy and training updates.
  • Serve as the standing compliance partner to state operations leadership and the first point of contact when compliance issues arise in assigned states.

Benefits

  • Competitive compensation packages.
  • Annual company performance bonus eligibility for full-time employees.
  • Medical, dental, and vision coverage options, including a $0 deductible PPO and company-funded HSA.
  • Employer-paid life and disability insurance.
  • Paid time off and 10 paid company holidays.
  • HSA contributions, optional FSA, and commuter benefits.
  • Coverage of all 401(k) account fees; employer match is not currently offered.
  • Paid parental leave.
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