Senior Compliance Analyst - Healthcare Regulatory Compliance

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.

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. § (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

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),…