VP, Privacy & Healthcare Regulatory

Omada Health; Myrtle Point (OR); Remote; USD 264,000 - 330,000; Full time

Job summary

A healthcare technology company is seeking a VP, Privacy & Healthcare Regulatory to lead their regulatory compliance initiatives. The ideal candidate will have extensive experience in healthcare regulations and privacy law, particularly HIPAA. This remote-first role offers a competitive salary and flexible benefits, fostering a culture that values work-life balance and employee well-being.

Benefits

Competitive salary with annual cash bonus

Equity grants

Flexible Time Off

Health, dental, and vision insurance

401k retirement savings plan

Mental Health Support Solutions

Qualifications

• 12+ years of relevant legal experience.
• Significant prior experience in healthcare regulations.
• Experience with federal and state privacy laws.

Responsibilities

• Lead the privacy program including HIPAA compliance.
• Collaborate with stakeholders on regulatory initiatives.
• Research and advance consumer privacy laws.

Skills

Expertise in U.S. healthcare regulations

Privacy law compliance (HIPAA)

Communication skills

Education

J.D. from an accredited law school

Job description

Omada Health is on a mission to inspire and nurture lifelong health, one day at a time. Our ambition is to bend the curve of chronic disease.

Job overview:

Omada is seeking a talented, confident, and motivated in-house attorney to join our Legal team as VP, Privacy & Healthcare Regulatory. The ideal candidate is a strategic thinker who embraces challenges, innovation, and complexity and is inspired to deliver long-term value. Reporting directly to the General Counsel, this role is a unique opportunity to contribute significantly to our healthcare regulatory and privacy programs. You will work closely with other members of our outstanding Legal team to maintain industry-leading regulatory and privacy practices and to promote compliance-by-design principles in a dynamic environment. As a trusted and strategic business partner, you will collaborate with stakeholders across our innovative business to understand goals, align expectations, manage initiatives to closure, and ensure compliance with a broad range of regulatory and privacy obligations.

You will serve as a subject-matter expert for Omada’s thorough HIPAA privacy program while also researching and advancing a variety of other privacy matters, including compliance with the range of advancing consumer privacy laws across the various states.

In addition, you will serve as a subject-matter expert in support of regulatory research, planning, and compliance in relation to various healthcare regulatory areas, including healthcare fraud and abuse, anti-kick back regulations, compliant healthcare billing and payment processes, scope of practice and licensure, telemedicine, corporate practice of medicine, FDA regulation, interoperability and information blocking, prior authorization and utilization management, clinical research support, and more. You will also expand your knowledge of the regulation of AI in healthcare and relevant implications for Omada.

About you:

• 12+ years of relevant legal experience, including work at one or more top U.S. law firms and as in-house counsel
• Significant prior experience in matters relevant to the healthcare industry and digital care delivery
• Extensive experience with federal and state healthcare regulations and regulatory research, including fraud and abuse rules, anti-kickback statutes, scope of practice and licensure matters, telemedicine practice, corporate practice of medicine, FDA regulation, interoperability and information blocking regulation, clinical and human subjects research, federal rule-making processes and procedures, and more
• Experience with healthcare billing and payment processes, reimbursement rules for digital healthcare services (including for Medicare and Medicaid), and prior authorization and utilization management requirements
• In-depth knowledge of federal and state privacy laws related to personal information, and in particular of HIPAA, including experience with impact analyses and investigations
• Reliable understanding of the key principles of artificial intelligence, including machine learning models, fine-tuning and RAG, prompt engineering, and AI compliance best practices to support product development
• Experience working with and counseling clients in day-to-day business operations (e.g., product development, engineering, data science, care delivery and clinical operations, billing)
• Outstanding written and verbal communication and strong collaboration skills, with the ability to convey complex legal concepts to non-legal audiences
• Proven ability to lead, manage, and prioritize competing transactions and projects from inception to completion in a collaborative, fast-paced environment
• Exceptional organization, time management, and attention to detail
• A creative, roll-up-your-sleeves approach to problem solving with superb interpersonal skills
• Excellent academic credentials with a J.D. from an accredited law school and active membership in good standing with a state bar

Bonus Points for:

• First-hand experience managing the privacy program of a HIPAA covered entity
• Experience navigating healthcare interoperability frameworks, including TEFCA
• Experience interpreting and applying international privacy and data protection laws (e.g., GDPR, PIPEDA)
• Experience working directly with health insurance companies, pharmacy benefit managers, and risk-bearing health systems
• Familiarity with regulatory concepts concerning prescription medications and related processes, relevant to Omada’s companion programs for patients taking GLP-1 medications
• Technical understanding of digital technologies relevant to privacy practices, such as cookies, web beacons, and similar tracking and analytic tools
• Detailed understanding of ERISA plan regulation and compliance

Benefits:

• Competitive salary with generous annual cash bonus
• Equity grants
• Remote first work from home culture
• Flexible Time Off to help you rest, recharge, and connect with loved ones
• Generous parental leave
• Health, dental, and vision insurance (and above market employer contributions)
• 401k retirement savings plan
• Lifestyle Spending Account (LSA)
• Mental Health Support Solutions

Omada is proud to be an equal opportunity workplace and affirmative-action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws.

California, Colorado, New York State and Washington State Base Compensation Ranges: $264,000 - $330,000*. Other states may vary.

*The actual offer, including the compensation package, is determined based on multiple factors, such as the candidate's skills and experience, and other business considerations.