Medstra is building the infrastructure that enables non-physician operators to legally own telehealth brands. We've developed a compliant three-entity MSO framework that solves Corporate Practice of Medicine and Anti-Kickback challenges—the same legal structure used in $150+ billion of private equity healthcare transactions. As we scale our platform to support Brand Partners across all 50 states, we're seeking a Senior Compliance Analyst to ensure our legal framework remains bulletproof as we grow.
This role sits at the intersection of healthcare law, regulatory compliance, and rapid business growth. You'll work directly with our legal counsel, physician leadership, and Brand Partner operations to maintain the structural separation and Fair Market Value principles that keep our entire ecosystem compliant.
Tasks
Regulatory Compliance & Monitoring:
- Monitor federal and state healthcare regulations affecting MSO structures, Corporate Practice of Medicine (CPOM) doctrine, Anti-Kickback Statute, Stark Law, and telemedicine requirements across all 50 states
- Track OIG advisory opinions, CMS guidance, DEA regulations for controlled substances, and state medical board updates
- Maintain compliance calendar tracking regulatory deadlines, license renewals, and credentialing requirements
- Conduct quarterly compliance audits of Brand Partner agreements, IMG structures, and payment methodologies
Fair Market Value & Anti-Kickback Compliance:
- Review and validate Fair Market Value (FMV) compensation structures for physician services
- Coordinate with independent third-party valuators to establish and document FMV rates
- Audit payment flows to ensure outcome-independent compensation (prescribe vs. no-prescribe scenarios)
- Document safe harbor compliance under 42 C.F.R. § 1001.952(d)(1) for all MSO arrangements
State-by-State Compliance:
- Maintain compliance matrices for CPOM requirements in strict states (CA, TX, NY, IL, OH, NJ)
- Track state-specific telemedicine regulations and physician licensing requirements
- Review state medical practice acts and corporate structure requirements
- Coordinate with state healthcare attorneys on jurisdiction-specific issues
Documentation & Agreement Review:
- Review Brand Partner Agreements, Management Services Agreements, and Business Associate Agreements for compliance
- Ensure clinical autonomy provisions are properly documented and maintained
- Audit physician employment agreements within IMG structure
- Maintain compliance documentation library and audit trail
Physician Credentialing & Licensing:
- Oversee 50-state physician licensing and credentialing processes
- Track DEA registrations for controlled substance prescribing authority
- Monitor medical malpractice insurance coverage and limits
- Coordinate with IMG medical director on physician compliance issues
Brand Partner Compliance Support:
- Develop compliance guidance materials for Brand Partners on marketing claims, HIPAA requirements, and prohibited activities
- Conduct onboarding compliance training for new Brand Partners
- Investigate potential compliance violations and recommend corrective actions
- Provide guidance on structural separation between business and medical operations
Reporting & Risk Management:
- Prepare quarterly compliance reports for executive leadership
- Identify compliance risks and develop mitigation strategies
- Maintain compliance metrics dashboard (audit findings, license expirations, agreement renewals)
- Coordinate with external healthcare law firms on complex compliance questions
Requirements
Required Qualifications:
- Bachelor's degree in Healthcare Administration, Public Health, Legal Studies, or related field
- 5+ years of healthcare compliance experience, preferably with MSO structures, physician groups, or telehealth companies
- Deep understanding of Corporate Practice of Medicine doctrine, Anti-Kickback Statute, Stark Law, and HIPAA regulations
- Experience with state-by-state healthcare regulatory variations and multi-state compliance
- Proven track record conducting compliance audits and developing compliance programs
- Strong understanding of Fair Market Value methodologies in healthcare arrangements
Preferred Qualifications:
- Master's degree in Healthcare Administration (MHA), Public Health (MPH), or related field
- Certified in Healthcare Compliance (CHC) or Certified Professional Compliance Officer (CPCO)
- Experience with telemedicine regulatory compliance and Ryan Haight Act requirements
- Background working with private equity healthcare transactions or MSO structures
- Experience with physician credentialing and state medical board regulations
- Familiarity with OIG advisory opinions and healthcare fraud enforcement trends
Skills & Competencies:
- Exceptional attention to detail and ability to identify compliance risks before they materialize
- Strong analytical skills to interpret complex healthcare regulations and apply to business operations
- Excellent written communication skills for policy development and compliance documentation
- Ability to work cross-functionally with legal, medical, and business operations teams
- Comfort with ambiguity and ability to develop pragmatic compliance solutions in evolving regulatory landscape
- Project management skills to coordinate multi-state compliance initiatives
- Proficiency with compliance management software, document management systems, and Excel for tracking/reporting
Experience Indicators:
- Successfully managed compliance programs through regulatory audits or investigations
- Developed and implemented compliance policies that balanced legal requirements with business objectives
- Built relationships with healthcare attorneys, external auditors, and regulatory consultants
- Navigated state-specific healthcare regulations in multiple jurisdictions simultaneously
Benefits
Compensation & Equity:
- Competitive base salary commensurate with experience
- Performance-based bonus structure
- Equity participation in high-growth healthcare infrastructure company
Health & Wellness:
- Comprehensive health, dental, and vision insurance (company covers 100% of employee premiums)
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Mental health support and wellness programs
- Access to company telehealth services
Work-Life Balance:
- Fully remote position (work from anywhere in the US)
- Flexible working hours with core collaboration times
- Unlimited PTO policy with minimum 3 weeks encouraged
- Paid parental leave
Professional Development:
- Annual budget for compliance certifications, conferences, and continuing education
- Opportunity to work with top-tier healthcare law firms (Jones Day, K&L Gates, Hall Render)
- Exposure to cutting-edge healthcare regulatory issues at intersection of telehealth, MSO structures, and digital health
- Direct access to executive leadership and strategic decision-making
Why Medstra:
- Join a company building critical infrastructure for the future of telehealth
- Work on compliance challenges that Fortune 500 companies pay millions to solve
- Help operators legally enter healthcare and build sustainable telehealth brands
- Be part of the team ensuring compliance for a framework that's processed $XXM+ in patient care
- Collaborate with passionate team members who value both aggressive growth and rigorous compliance
If you're a compliance professional who thrives in fast-growing environments and wants to work on complex, meaningful regulatory challenges—this role is for you. You'll be joining at a pivotal moment as we scale our compliant infrastructure to support hundreds of Brand Partners nationwide.
We're looking for someone who views compliance not as a blocker, but as the foundation that enables sustainable growth. Someone who can translate complex healthcare regulations into practical operational guidance. Someone who gets energized by building compliance programs from the ground up.
To apply, please submit:
- Resume highlighting healthcare compliance experience
- Cover letter explaining your interest in MSO/telehealth compliance (1-2 paragraphs)
- Brief writing sample: Summarize a complex healthcare regulation and its practical implications (500 words max)