Clinical Compliance Officer

About Lumata Health: 

Blindness is a devastating—but largely preventable—consequence of poorly managed chronic eye diseases like glaucoma, diabetic retinopathy, and age-related macular degeneration. These debilitating diseases are expected to double between 2020 and 2050, outpacing the capacity of providers and contributing to the rising cost of eye disorders in the US, which already exceeds $99B in direct medical costs annually. In over 95% of cases, disease progression can be slowed or stopped, preserving vision and extending healthspan. But doing so requires tailored, timely, and intelligent engagement throughout the patient’s lifelong care journey. That’s where Lumata comes in.

Lumata Health is leading the way in leveraging data-driven virtual care management to address this large and rapidly growing problem. Built with $2M in funding support from the National Eye Institute, Lumata Health’s Intelligent Engagement Platform maximizes the impact of multichannel, personalized engagement by our team of JCAHPO-certified ophthalmic care coaches. Lumata takes a holistic approach to care—combining behavioral and psychosocial information with clinical data to create tailored, high-impact patient engagements. In addition to promoting adherence, we help patients overcome barriers to care by assisting with things like financial assistance programs, prescriptions and refills, insurance issues, transportation to visits, understanding their disease and care plan, and coordinating care with other providers.

With direct medical record access to hundreds of thousands of patients with vision-threatening chronic eye diseases and partnerships with over 1,400 eye care specialists in 34 states, Lumata Health is helping people affected by chronic eye conditions live healthier, longer lives. 

We’re looking for caring and committed teammates to join our mission of helping people see the world. If you’re passionate about stopping preventable blindness, we hope you’ll apply.

Position Overview

The Clinical Compliance Officer is responsible for ensuring that Lumata Health adheres to all applicable healthcare regulations, standards, and internal policies in a remote care management environment. This role involves the development, implementation, and oversight of a comprehensive compliance program designed to prevent, detect, and address any violations of regulatory requirements or internal standards. The Clinical Compliance Officer will work collaboratively with various departments to uphold high standards of patient care and operational integrity. Responsibilities include conducting risk assessments, performing audits, delivering training sessions, and providing expert guidance on regulatory matters.

Job Type: Full-Time

FLSA Status: Exempt

Compensation: $65,000 - 85,000 Annually

Schedule: Monday - Friday

Remote: Yes

Reports to: Chief Compliance Officer

In addition to applying, we ask that you please complete a brief Culture Index assessment to be considered for the position. An email with a link to the survey will be sent upon submission of your application.

Essential Functions

Regulatory Compliance

• Regularly review and interpret new and existing healthcare regulations (e.g., HIPAA, HITECH, CMS).
• Ensure all clinical practices comply with federal, state, and local regulations.
• Develop and maintain policies and procedures to mitigate compliance risks.

Program Development and Implementation

• Design and implement a comprehensive compliance program, including policies, procedures, training, and audits.
• Conduct periodic risk assessments to identify compliance vulnerabilities and recommend corrective actions.
• Monitor and update compliance protocols to reflect changes in regulations.

Training and Education

• Develop and deliver compliance training for all staff, including onboarding and ongoing education.
• Ensure training materials are up-to-date with current regulatory requirements, and that policies, procedures, and workflows in Trainual are accurate.
• Evaluate the effectiveness of training programs and identify areas for improvement.

Audit and Monitoring

• Conduct regular internal audits to assess compliance with laws, regulations, and internal policies.
• Collaborate with internal and external auditors to address and resolve compliance findings.
• Track audit outcomes and implement corrective actions as necessary.

Incident Management and Reporting

• Investigate compliance complaints, breaches, and incidents promptly.
• Report compliance issues to regulatory bodies as required by law.
• Maintain accurate documentation of all incidents and corrective actions.

Collaboration and Communication

• Maintain clear communication with leadership, management, and team members regarding compliance updates and initiatives.
• Collaborate with clinical, legal, IT, and operational teams to address compliance challenges.
• Provide guidance and advice on regulatory matters to all departments.

Professional Development

• Obtain the CPHC certification within the first 8 months of accepting the position, with support and at the company's expense.
• Engage in continuing education and professional development opportunities related to healthcare compliance.

Work Environment

Lumata is pleased to provide a remote working environment for their team members.  In order to perform the essential functions of this job, remote connectivity is essential.  You will need a dedicated remote workspace with either a cable or fiber optic internet connection offering a minimum of 50 Mbps of download speed and 10 Mbps of upload speed of dedicated internet bandwidth for each person asking your network.  

Your workspace should be private and offer a low noise level conducive with managing frequent professional conversations and virtual meetings.  It is also critical that your workspace be HIPAA compliant.  For example, you will want to ensure access to  your company-issued PC is restricted, as you may be handling confidential and privileged data at times. You are typically expected to have your camera on during virtual external and internal meetings, therefore, your surroundings should be optimized for privacy.

Requirements

Education: Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or a related field preferred.

Experience: Minimum of 2-5 years of experience in a healthcare compliance role, preferably in a remote care management or telehealth setting.

Certification: Certification in Healthcare Compliance (CHC) or equivalent preferred; willingness to obtain Certified Professional in Healthcare Compliance (CPHC) certification within the first 8 months.

Knowledge: Strong knowledge of healthcare laws, regulations, and standards (e.g., HIPAA, HITECH, CMS).

Skills: Excellent communication, analytical, and problem-solving skills.

Attributes: Ability to work independently in a remote environment and manage multiple tasks simultaneously.

Core Competencies:

• Attention to Detail
• Regulatory Knowledge
• Analytical Thinking
• Communication (Oral and Written)
• Training and Development
• Collaboration
• Problem Solving
• Ethical Judgment
• Initiative

Benefits

At Lumata Health, we know you are more than just an employee. Your health and happiness is important to us. We offer medical insurance for full time employees, 8 paid holidays, and discretionary time off (DTO). As we grow, so will our benefits package. We hope you’ll be a part of that growth!

• 401(k)
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Referral program
• Vision insurance
• Employee Wellness Program

Our Culture

At Lumata, we foster a dynamic, inclusive, and supportive remote work environment. We prioritize trust, collaboration, and continuous learning, ensuring a healthy work-life balance.

Collaboration: Stay connected through regular team meetings and open communication.

Inclusivity: A diverse team where everyone feels welcome and valued.

Fun Culture: Engage in chats centered around health, wellness, celebrations, and more.

Recognition: Regular feedback, performance incentives, and growth opportunities.

Join Lumata and be part of a forward-thinking, remote-first team where your contributions make a difference, and your well-being is prioritized.

Diversity Creates a Healthier Atmosphere

Lumata Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

We are an equal opportunity employer that values diversity at all levels.  All individuals are encouraged to apply.  If you need assistance or an accommodation due to a disability, you may contact us at:  [email protected] (no unsolicited resumes please). Applicants must submit an application with Lumata Health to be considered for the position. 

We are an E-Verify employer.

For more information, please click on the following links:

E-Verify Participation Poster: English / Spanish

E-Verify Right to Work Poster: English | Spanish

**For application status, please email: [email protected] (No phone calls please). Due to an increase in fraudulent activity, please verify any communication is coming from our domain ending in lumatahealth.com, and not a similar domain.

Please be advised that Lumata Health only accepts resumes for compensation from agencies that have a signed agreement with Lumata Health.  Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Lumata Health. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. 

Disclaimer:
This job description is subject to change based on business needs, advancements in regulations, and workflow adjustments. Continuous review and adjustments will be made to ensure alignment with the company's goals and objectives.