An exciting opportunity for a detail-driven and highly accountable Head of Compliance to lead multi-state regulatory validation, strengthen operational compliance, and help protect the company, NPs, and physicians from legal and regulatory risk in a growing, mission-driven organization.

Company Profile:

Our client is the leading platform connecting Nurse Practitioners (NPs) with collaborating physicians across the United States. Their service streamlines an often-complex process—enabling NPs to quickly, affordably, and confidently find physician collaborators to meet state requirements and launch their practices.

Overall purpose and responsibilities of the role:

The Head of Compliance will own the accuracy, maintenance, and ongoing improvement of the state-by-state collaboration or supervision requirements and the agreements and processes that depend on them.

The company currently have strong research and summaries that are likely 90% accurate. This role is responsible for getting the company to 99% accuracy by validating each requirement against primary sources, documenting proof, and implementing a continuous monitoring system so we stay current as rules change.

This role reports directly to the President and Co-Founder and coordinates with U.S. outside counsel for edge cases and legal interpretation when needed.

Duties and Responsibilities:

1. Build and maintain the company’s “source of truth” (state-by-state requirements)

• Take ownership of our state requirements content as if we are an authority—and make it defensible.
• Validate every requirement we publish/provide to NPs and physicians using primary sources (board rules, statutes, official guidance) and reputable secondary sources when necessary.
• Convert existing research into a standardized format:

1. Requirement statement (plain English)
2. Who it applies to (NP/PA, specialty, setting)
3. What must happen (frequency, documentation, signoffs)
4. Citations/links to sources
5. Last-reviewed date
6. Confidence notes / edge cases

• Maintain a change log and version history so we can explain what changed and why.

2. State collaboration/supervision agreements: accuracy + completeness

• Review and continuously maintain all state agreement templates to reflect the validated requirements.
• Ensure required elements are consistently covered (e.g., oversight duties, availability/consultation expectations, chart review, meetings/visits, prescriptive authority language where applicable, documentation standards, termination and notice, etc.).
• Create a repeatable “update pipeline” so agreement changes flow from the requirements source-of-truth with minimal delay.

3. Continuous monitoring of regulatory changes

• Set up a formal process to monitor changes by state:

1. Boards and rulemaking updates
2. Statutory changes
3. Policy/interpretation updates where relevant

• Maintain a cadence (weekly/monthly review cycles + quarterly full refresh) and publish internal updates:

1. What changed
2. Who is impacted
3. What we must update (requirements summary, agreement language, onboarding steps)

• Ensure impacted NPs/physicians are notified when changes materially affect them.

4. Tighten contracting + onboarding processes (risk reduction)

• Map the end-to-end onboarding/contracting journey and reduce variability.
• Recommend SOPs for onboarding, contracting, renewals, changes, and offboarding.
• Ensure documentation is complete, auditable, and easy to retrieve (who signed what, when, which state template version).

5. Board action checks (discipline / adverse actions) program

• Implement a board-action/self-query process for clinicians (e.g., self-query reports, attestations, periodic re-checks).
• Define thresholds: what is disqualifying vs reviewable; build escalation rules and documentation standards.
• Train internal team members and enforce consistent execution.

6. License validation program

• Build a repeatable system to verify NP/PA and Physician licenses and status:

1. Active license(s) + status
2. Correct license numbers
3. Specialty credentials where relevant
4. DEA where applicable to the arrangement (state/model dependent)

• Implement initial verification and scheduled re-verification with documented proof storage.

7. Light support for compliant communications

• Provide occasional review of high-risk outward-facing claims when needed (e.g., “time required,” “earnings,” definitions of “supervision/oversight,” etc.).
• Create a short internal “do/don’t” guideline, but this is not the primary focus of the role.

8. Operationalize compliance processes & continuous improvement

• Ensure agreements and operational processes reflect reality and identify any gaps.
• Set up alerts and automated reminders for reviews, renewals, and monitoring.
• Stay updated on proposed regulatory changes and their strategic impact.
• Work closely with Sales (contracts) and Operations to integrate compliance into workflows.
• Provide internal guidance and opinions on compliance issues, escalating to U.S. counsel when needed.

Deliverables (first 60–90 days)

• A cleaned, standardized 50-state requirements library with citations, last- reviewed dates, and confidence notes.
• A working requirement → agreements update pipeline and version control system.
• A formal regulatory monitoring cadence with change logs and internal update memos.
• Implemented SOPs for:

1. License verification + re-verification
2. Board action/self-query checks
3. Agreement updates + documentation retention

• A compliance dashboard / tracker (simple is fine) showing review status by state.

What success looks like

• The company can confidently say: “This is our best current understanding based on primary sources,” with clear citations and dates.
• Requirements content stays current and improves toward ~99% accuracy, with documented proof and audit trails.
• Agreements stay aligned with the “source of truth” and can be updated quickly when a state changes something.
• Every clinician is verified and screened consistently with documented evidence.