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Clinical Compliance Lead, US

Neko Health - New York, NY, United States - In-office - posted 2026-09-15

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Neko Health is seeking a Clinical Compliance Lead to serve as the single accountable owner of clinical and healthcare regulatory compliance for the US clinical service. This is a director-level role responsible for ensuring Neko operates legally and safely across all states where it delivers care. The role owns the end-to-end compliance framework, including clinician licensure and credentialing, corporate structure compliance, facility permissions, clinical policy adherence, consent and documentation standards, and readiness for external inspection. You will decide whether Neko is clear to operate a clinical service in a given state and under a given clinical scope, holding the evidence that supports that decision. In the first 6–12 months, you will develop a compliance maturity model using the OIG's 7 pillars, produce written compliance positions per operating state covering licensure and corporate practice of medicine restrictions, conduct a regulatory readiness assessment against applicable standards, establish a market-entry compliance gate for new states, define written boundaries with Regulatory Affairs and Security, implement a clinical policy compliance review cycle, and create a defined path for regulatory reporting and external inquiry. Key responsibilities include owning the clinician licensure and credentialing process end to end with primary source verification and renewal management; maintaining the register of permitted clinical scope by state and clinician; advising on corporate practice of medicine restrictions and professional corporation structures; assessing telehealth delivery implications across state lines; maintaining current regulatory standards applicable to the clinical service; owning inspection and survey readiness; acting as the named point of contact for regulatory correspondence; defining and operating the regulatory reporting route for notifiable events; reviewing clinical policies for regulatory compliance; assessing adherence to consent, documentation, prescribing and record retention standards; routing compliance findings into the quality management system; operating the compliance gate for new state entry; maintaining written boundaries with other functions; and building and leading the compliance function as the service scales. You will report compliance status, risk and open gaps into the Medical Quality reporting cycle in a form the executive team can act on. This role is measured on patient safety contributions through clinical policy compliance and scope-of-practice control; clinician competence through licensure and credential verification; and perfect visit through consent and documentation standards. Neko's mission is to make data-driven, preventative care accessible to more people before symptoms appear. In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalized, actionable insights. REQUIREMENTS Essential: - At least five years in healthcare regulatory compliance, including experience in a multi-state United States provider or clinical service - Demonstrated experience preparing an organization for regulatory inspection, accreditation survey or state audit, and closing the resulting findings - Working knowledge of corporate practice of medicine restrictions and professional corporation structures across multiple states - Experience writing, reviewing and maintaining clinical policy in a regulated setting - Able to give a clear cleared or not cleared decision under commercial pressure, and to write down the reasoning and the residual risk - Strong written communication: this role produces documents that other functions and external parties rely on Desirable: - Certified in Healthcare Compliance (CHC) or equivalent professional certification - Advanced degree in law, health administration, public health or nursing - Experience of a quality management system and of the interface between clinical compliance and device regulatory obligations - Experience in a high-growth or health-technology environment where markets and services open faster than process matures - Experience of telehealth or multi-state virtual care compliance

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