VP, Compliance

Abby Care•San Francisco, CA

About The Position

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis, with millions needing care at home and over 50 million family caregivers lacking the necessary tools, training, or recognition. Abby Care believes families are the largest untapped caregiving workforce and that technology can empower them to deliver better care, leading to stronger outcomes and greater transparency in healthcare. The company's platform combines clinical oversight with AI to train, enable, and support family caregivers. It assists health plans and government partners in understanding, verifying, and improving home-based care, thereby expanding access, reducing reliance on costly settings, and ensuring effective use of public funds. Abby Care partners with leading health plans, providers, and community organizations, backed by top VCs, and aims to make family-led care a core part of the healthcare system.

Requirements

10+ years of progressively senior compliance experience at a healthcare company, including 5+ years at the Director level or above.
A track record of designing and building, or materially rebuilding and scaling, an enterprise compliance program, not solely operating an established one.
Demonstrated end-to-end ownership across all seven OIG compliance program elements, not partial ownership of one or two pillars.
Substantial experience at companies funded by government healthcare programs (Medicaid, Medicaid waivers, Medicare, and managed Medicaid).
Working command of the federal healthcare regulatory stack (AKS, Stark, FCA, HIPAA/HITECH, CMS and OIG guidance) and of state Medicaid program integrity requirements.
Multi-state operating experience and the range to manage a comprehensive, systems-based program across several state Medicaid environments simultaneously.
High judgment on risk tradeoffs, strong written communication, and the credibility to take and defend a position with executives, the Board, and regulators.
Comfort operating in a fast-growth environment with imperfect data, competing priorities, and the need to write the policy yourself before handing it off.

Nice To Haves

Home health and/or personal care services experience.
Direct experience with family caregiver service models.
Experience leading compliance diligence and integration in M&A or new state market entries.
Experience building or operating compliance analytics, continuous monitoring, and GRC, privacy and HIPAA-specific software platforms.
JD, MHA, or MBA background; CHC, CHPC, or CHRC certification.

Responsibilities

Design, build, deploy, and continuously improve a comprehensive enterprise compliance program covering all aspects of Abby Care's healthcare operations, anchored to the OIG seven-element framework and the DOJ's Evaluation of Corporate Compliance Programs guidance.
Set the company's compliance strategy and priorities, including the annual enterprise risk assessment, multi-year work plan, audit and monitoring calendar, and annual program effectiveness review; secure the resourcing and Board endorsement to execute against them.
Establish and operate the program's full operational backbone — policies and procedures, training and culture, reporting and hotline channels, monitoring and auditing, investigations, discipline, and corrective action — and ensure each element is functioning, measurable, and improving.
Lead compliance across the full program lifecycle, clinical operations, documentation, billing and coding, EVV, payor and MCO contract performance, and program integrity; and work to build a culture of compliance by embedding compliance into how the business runs rather than bolting it on.
Lead regulatory change management across the federal stack (AKS, Stark, FCA, HIPAA/HITECH, CMS, OIG, HRSA, and the 21st Century Cures Act) and across each state Medicaid environment in which we operate.
Manage all government inquiries, audits, investigations, self-disclosures, and any settlement or CIA obligations; serve as the company's principal compliance liaison to regulators, MCO program integrity functions, and external counsel.
Partner with Legal, People, Operations, Clinical Leadership, Information Security, and Finance to embed compliance controls across the workforce, software and vendor ecosystem, and care delivery model.
Partner with the General Counsel on compliance initiatives regarding AI governance and the deployment of AI in clinical and operational workflows, including FDA SaMD/CDS analysis, documentation integrity, and patient-facing disclosures.
Lead compliance diligence and integration for new market entry, new Medicaid program design, new service lines, and M&A activity.
Serve as the company's designated Compliance Officer; chair the Compliance Committee; report regularly to the Board on risk posture, incidents and program effectiveness, with independent access as needed.
Build, hire, and develop a high-performing in-house compliance team, investigations, auditing and monitoring, training, and compliance operations and analytics, and the technology infrastructure that supports a modern program.