Compliance Manager

Manage day-to-day compliance with Medicare and Medicaid program requirements, including federal CMS rules, state-specific regulations, and value-based care contract obligations. Monitor regulatory developments to translate their impact into actionable guidance for product, clinical, and operations teams. Lead responses to audits, compliance reviews, and requests from federal and state regulators, health plans, and contracting partners. Maintain and continuously improve the compliance program framework, including policies, procedures, risk assessments, and training programs. Lead HIPAA Privacy and Security compliance, including BAA management, minimum necessary standards, and workforce training. Partner with engineering and product teams to evaluate data practices, new product features, and vendor integrations for privacy and security risk. Act as a trusted advisor to business, product, and clinical teams by flagging compliance risks early and helping design compliant solutions. Build and maintain a compliance risk register; triage issues by severity and likelihood and prioritize remediation proportionate to actual risk. Create scalable, lightweight compliance processes that work in a fast-moving environment and do not create unnecessary organizational drag. Work closely with the legal team on regulatory strategy and escalation of high-stakes issues. Partner with clinical operations on care delivery compliance, including documentation standards, authorization requirements, and billing compliance. Collaborate with the People team on compliance training, onboarding, and workforce policy development. Represent Pair Team professionally and compliantly in partner, health plan, and regulatory conversations.