<div class="content-intro"><div>firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.</div> <div> </div> <div>firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.</div> <div> </div> <div>We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.</div> <div> </div></div><p><strong>The Compliance Manager runs the day-to-day compliance program for a multi-state, peer-workforce organization serving individuals. The organization employs and is led by people with lived experience, delivers peer support and certain clinical services across several states, and is subject to federal health care fraud and abuse law, state-level requirements (including Medicaid requirements), and the compliance program expectations set out in the OIG’s General Compliance Program Guidance.</strong></p> <p>This is a hands-on execution role. Program direction, oversight, and board reporting are provided by the Compliance Officer; legal support is supplied by the General Counsel; employment administration sits with the organization. The Compliance Manager owns the operating work of the program - monitoring and auditing on a defined schedule, keeping policies current across all regulatory environments, ensuring training and screenings are accomplished on time, investigating reported concerns, managing and/or overseeing PC entity compliance, managing and/or overseeing collaborative physician agreements, auditing care pathways from a compliance perspective, and driving corrective actions to documented closure.</p> <p>The organization is looking for someone who can do this work independently, but also in a collaborative setting: rigorous about regulatory requirements, and equally capable of building compliance practices that strengthen rather than undermine a culture built on lived experience.</p> <p><strong>Reporting Relationship and Independence</strong></p> <p>This position reports to the Sr. Director, People Operations with a matrixed reporting relationship to the Compliance Officer.</p> <p><strong>Essential Duties and Responsibilities</strong></p> <p>Responsibilities align to the elements of an effective compliance program.</p> <p><strong>Written standards, policies, and procedures</strong></p> <ul> <li>In coordination with the interdisciplinary team, maintain the compliance policy library with annual review, version control, documented approval, and publication to the workforce. Ensure policies are crafted in plain language accessible to the workforce, and confirm they are understood (and supported through change management practices when applicable) rather than merely distributed.</li> <li>In coordination with the interdisciplinary team, maintain state-specific addenda or crosswalks covering peer certification, scope of practice, supervision, and Medicaid billing requirements in each state.</li> <li>In coordination with the interdisciplinary team, maintain the Code of Conduct and obtain annual attestation from all workforce members, contractors, and applicable vendors.</li> </ul> <p><strong>Program administration and governance support</strong></p> <ul> <li>Serve as the operational point of contact for compliance across all fh locations.</li> <li>Prepare the compliance dashboard, agendas, and minutes for the Compliance Committee and for Board or sub-Committee reporting.</li> <li>Maintain the annual compliance work plan and report progress against it.</li> <li>Maintain the compliance risk assessment, refreshed at least annually and after any material change in service line, payer mix, state footprint, or contract structure.</li> </ul> <p><strong>Training and education</strong></p> <ul> <li>Deliver and document compliance and fraud, waste, and abuse training at hire and annually, tracking completion to 100% with escalation for non-completion.</li> <li>Build role-specific training for certified peers and their supervisors on documentation standards, scope of practice, boundaries and dual relationships, confidentiality, and the requirements of 42 C.F.R. Part 2 where substance use disorder records are involved.</li> <li>Provide targeted education in response to audit findings, investigations, and regulatory change.</li> </ul> <p><strong>Reporting channels and communication</strong></p> <ul> <li>Administer the compliance hotline and other reporting routes; triage intake, maintain the case log, and track every matter to disposition.</li> <li>Maintain and actively communicate company policies.</li> <li>Ensure reporting routes work for a distributed, largely field-based workforce operating outside traditional office settings.</li> </ul> <p><strong>Screening, credent