Hello Heart
AI
Director,ComplianceandLicensing
Neural analysis suggests this role is
optimal for Director candidates.
“Director, Compliance and Licensing at Hello Heart. Skills: Compliance, Licensing, Medicare enrollment, Medicaid enrollment, State licensing, Contract compliance, Compliance training. Maintain Medicare provider enrollments across multiple entities, including applications, revalidations, and updates through CMS PECOS and HPMS. Attain and maintain Medicaid enrollment in applicable states, managing the full lifecycle of applications, renewals, and state agency correspondence”
What You'll Achieve.
keep compliance processes accurate, organized, and audit-ready
Industry & Context.
What They're Looking For.
Must Have
10+ years of experience in healthcare compliance, regulatory affairs, licensing, or a related field, Demonstrated hands-on experience with Medicare and Medicaid enrollment and state licensing, with multi-state and multi-entity experience strongly preferred, Familiarity with CMS and Medicaid systems, including PECOS and HPMS, Experience maintaining compliance policies and procedures and drafting compliance documentation, Background developing and delivering compliance training programs, organizational skills, with the ability to maintain systems, track deadlines, and follow through without being reminded, Comfortable working independently across multiple workstreams in a fast-moving environment, Experience working across multiple corporate entities preferred
Nice to Have
American Bar Association-approved legal education strongly preferred, including a Juris Doctor, paralegal certificate, or equivalent formal legal or compliance training
What You'll Do.
Maintain Medicare provider enrollments across multiple entities
including applications
and updates through CMS PECOS and HPMS
Attain and maintain Medicaid enrollment in applicable states
managing the full lifecycle of applications
and state agency correspondence
Complete reporting obligations associated with active licenses and enrollments across multiple entities
Maintain CMS ACCESS participation
ensuring quarterly reports are accurate
and compliant before submission
Monitor enrollment and licensing deadlines across states and entities to ensure no lapses
Maintain a centralized database of client and partner contract compliance requirements
including AI restrictions
record retention obligations
offshore data restrictions
and other contractual compliance terms
Flag and escalate contract compliance risks to the Vice President
Compliance as they arise
Respond to external audit requests from partners and clients across multiple entities
Maintain compliance policies and procedures
including drafting initial policy updates and routing final drafts for review and signature
Maintain privacy incident logs and complete required privacy incident reports accurately and on time
Field compliance inquiries and review requests from internal stakeholders across Product
Develop and administer compliance training programs for employees and board members
Create new training materials as regulations change or new compliance requirements arise
Coordinate annual compliance training cycles and ensure timely completion across the organization
Support the Vice President
Compliance with regulatory research
compliance oversight on company initiatives
Compliance Committee presentations
and other compliance needs as they arise
How You'll Work.
Team & Collaboration
work closely with internal teams and regulatory agencies; Partner with Implementation to ensure systems and workflows are configured in accordance with contract requirements; Field compliance inquiries and review requests from internal stakeholders across Product, Engineering, Business Development, and Client Success
Process & Methodology
manage a broad portfolio of licensing, enrollment, compliance operations, contract compliance, and training work streams, ability to maintain systems, track deadlines, and follow through without being reminded, working independently across multiple workstreams
Full Job Description
About Hello Heart: Hello Heart is on a mission to make heart attacks a thing of the past. We’re an AI company focused exclusively on heart health, building a platform that predicts and prevents cardiac events before they happen—identifying risk up to 10 days in advance versus 10 years in traditional clinical models. This is already working at scale. Hello Heart has been shown to reduce inpatient hospital days by 47% and deliver ~$1,800 in annual savings per member. Hello Heart is the cardiac prevention partner to over 80% of large U. S. health plans and serves hundreds of public and private employers. We’re defining how the #1 cause of death—heart disease—is managed in the AI era. Join us. About the Role Hello Heart is looking for an experienced Director, Compliance & Licensing to join our Compliance team. In this hands-on, high-ownership role, you will manage a broad portfolio of licensing, enrollment, compliance operations, contract compliance, and training work streams across Hello Heart entities. Reporting into our Vice President, Compliance, you will work closely with internal teams and regulatory agencies to keep compliance processes accurate, organized, and audit-ready. This role is ideal for someone with deep healthcare compliance and licensing experience who thrives on process ownership, moves quickly and independently, and maintains precision across complex regulatory workstreams. Responsibilities Maintain Medicare provider enrollments across multiple entities, including applications, revalidations, and updates through CMS PECOS and HPMS Attain and maintain Medicaid enrollment in applicable states, managing the full lifecycle of applications, renewals, and state agency correspondence Complete reporting obligations associated with active licenses and enrollments across multiple entities Maintain CMS ACCESS participation, ensuring quarterly reports are accurate, complete, and compliant before submission Monitor enrollment and licensing deadlines across state
Applying for this Director, Compliance and Licensing role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
ANONYMOUS · UNFILTERED
What do employees actually say about Hello Heart?
Real rants from real employees. Read before you apply.