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Cuvo 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
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
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 Cuvo:
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.
