Vice President, Compliance - BetterHelp

Teladoc
277d$200,000 - $240,000

About The Position

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you're empowered to show up every day as your most authentic self and be a part of something bigger - thriving both personally and professionally. Together, let's empower people everywhere to live their healthiest lives. BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world's largest online therapy service - providing affordable and convenient therapy in 210 countries and over 60 languages across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we're not stopping there - as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution. As Head of Compliance at BetterHelp, you'll join a diverse team of credentialed clinicians, engineers, product pros, creatives, marketers, and business leaders who share a passion for expanding access to therapy. And as a mental health company, we take employee mental health just as seriously as we do our mission. We deeply invest in our team's well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, you'll carve your own path, make an immediate impact, and be challenged every day - with a supportive community behind you the whole way.

Requirements

  • 10+ years of compliance experience in healthcare, preferably in telehealth, digital health, health insurance, or value-based care models required.
  • Deep expertise in Medicare and Medicaid regulations, including experience with provider enrollment, reimbursement policies, and fraud prevention required.
  • Strong knowledge of Stark Law, Anti-Kickback Statute (AKS), False Claims Act, Ryan Haight Act, DEA regulations, state prescribing laws and other relevant healthcare laws required.
  • Experience developing a compliance program from scratch in a scaling organization is highly preferred.
  • Strong analytical and problem-solving skills with the ability to interpret complex regulations and translate them into actionable business practices required.
  • Experience engaging with regulators, auditors, payers, and internal leadership on compliance matters required.
  • Excellent communication skills, with the ability to educate and influence cross-functional teams required.
  • Bachelor's degree required; JD, MBA, or CHC (Certified in Healthcare Compliance) certification preferred.

Responsibilities

  • Develop and implement a comprehensive compliance program that ensures adherence to Medicare, Medicaid, HIPAA, Anti-Kickback Statute (AKS), Stark Law, and other federal and state healthcare regulations.
  • Develop and lead the company's Medicare and Medicaid, Department of Health and Human Services (HHS), compliance efforts including provider enrollment, claims compliance, billing integrity, and fraud/waste/abuse (FWA) prevention.
  • Oversee compliance with payer contracts, ensuring adherence to regulatory and reporting requirements set by commercial insurers, Medicare Advantage, and Medicaid Managed Care Organizations (MCOs).
  • Monitor state-by-state telehealth laws and reimbursement policies, ensuring operational compliance across all markets.
  • Serve as the primary point of contact with government agencies, auditors, and payers on compliance matters.
  • Monitor and ensure compliance with federal and state laws related to e-prescribing and telemedicine, including the Ryan Haight Act, DEA regulations, and state prescribing laws.
  • Develop policies and procedures for telehealth-based prescribing workflows, including controlled substances, ensuring alignment with state-by-state requirements.
  • Track DEA registration and licensing for telehealth providers, ensuring renewals and requirements are met.
  • Support the implementation of EPCS (Electronic Prescriptions for Controlled Substances) systems and compliance safeguards.
  • Design and implement compliance policies, procedures, and training programs for employees and providers.
  • Establish compliance auditing and monitoring processes to proactively identify and mitigate risks.
  • Build a culture of compliance by integrating compliance awareness into company operations and decision-making.
  • Work with the Legal and Finance teams to ensure accurate coding, billing, and claims submission for Medicare and Medicaid patients.
  • Partner with Product and Engineering teams to ensure that telehealth platform features comply with federal and state regulations.
  • Collaborate with Clinical Leadership to ensure provider licensing, credentialing, and telehealth practice guidelines are met.

Benefits

  • Base salary range of $200,000 - $240,000.
  • Eligible for a performance bonus.
  • Comprehensive benefits package.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Senior

Industry

Ambulatory Health Care Services

Education Level

Bachelor's degree

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service