VP, Compliance

About Abby Care: Powering the future of care at home for all of America. Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve. We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system. Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively. We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future. Join us in solving one of the most important challenges of our time. The Opportunity: This is a build role. Abby Care has a working compliance foundation and an experienced, growing legal function, but the next phase of growth, from state expansion, new home-based health care programs, AI-enabled clinical and operational tools, and M&A activity, requires a senior compliance leader who can operate the program at federal-investigation grade while moving at the pace of a growth-stage operator. You will design, build, deploy, and lead Abby Care's enterprise-wide compliance program and the team that runs it. You will report to the General Counsel, partner closely with Legal on regulatory and risk matters, and have independent access to the Board's Audit and Compliance Committee. You will chair the Compliance Committee and serve as the company's designated Compliance Officer. You will be central to enterprise risk management and work with all business units to ensure informed decision making across all business operations. What You'll Do: Design, build, deploy, and continuously improve a comprehensive enterprise compliance program covering every aspect of Abby Care's healthcare operations, anchored to the OIG seven-element framework and the DOJ's Evaluation of Corporate Compliance Programs guidance. Set the company's compliance strategy and priorities, including the annual enterprise risk assessment, multi-year work plan, audit and monitoring calendar, and annual program effectiveness review; secure the resourcing and Board endorsement to execute against them. Establish and operate the program's full operational backbone — policies and procedures, training and culture, reporting and hotline channels, monitoring and auditing, investigations, discipline, and corrective action — and ensure each element is functioning, measurable, and improving. Lead compliance across the full program lifecycle, clinical operations, documentation, billing and coding, EVV, payor and MCO contract performance, and program integrity; and work to build a culture of compliance by embedding compliance into how the business runs rather than bolting it on. Lead regulatory change management across the federal stack (AKS, Stark, FCA, HIPAA/HITECH, CMS, OIG, HRSA, and the 21st Century Cures Act) and across each state Medicaid environment in which we operate. Manage all government inquiries, audits, investigations, self-disclosures, and any settlement or CIA obligations; serve as the company's principal compliance liaison to regulators, MCO program integrity functions, and external counsel. Partner with Legal, People, Operations, Clinical Leadership, Information Security, and Finance to embed compliance controls across the workforce, software and vendor ecosystem, and care delivery model. Partner with the General Counsel on compliance initiatives regarding AI governance and the deployment of AI in clinical and operational workflows, including FDA SaMD/CDS analysis, documentation integrity, and patient-facing disclosures. Lead compliance diligence and integration for new market entry, new Medicaid program design, new service lines, and M&A activity. Serve as the company's designated Compliance Officer; chair the Compliance Committee; report regularly to the Board on risk posture, incidents and program effectiveness, with independent access as needed. Build, hire, and develop a high-performing in-house compliance team, investigations, auditing and monitoring, training, and compliance operations and analytics, and the technology infrastructure that supports a modern program. What You Bring: 10+ years of progressively senior compliance experience at a healthcare company, including 5+ years at the Director level or above. A track record of designing and building, or materially rebuilding and scaling, an enterprise compliance program, not solely operating an established one. Demonstrated end-to-end ownership across all seven OIG compliance program elements, not partial ownership of one or two pillars. Substantial experience at companies funded by government healthcare programs (Medicaid, Medicaid waivers, Medicare, and managed Medicaid). Working command of the federal healthcare regulatory stack (AKS, Stark, FCA, HIPAA/HITECH, CMS and OIG guidance) and of state Medicaid program integrity requirements. Multi-state operating experience and the range to manage a comprehensive, systems-based program across several state Medicaid environments simultaneously. High judgment on risk tradeoffs, strong written communication, and the credibility to take and defend a position with executives, the Board, and regulators. Comfort operating in a fast-growth environment with imperfect data, competing priorities, and the need to write the policy yourself before handing it off. Nice to Have: Home health and/or personal care services experience. Direct experience with family caregiver service models. Experience leading compliance diligence and integration in M&A or new state market entries. Experience building or operating compliance analytics, continuous monitoring, and GRC, privacy and HIPAA-specific software platforms. JD, MHA, or MBA background; CHC, CHPC, or CHRC certification. Our Values Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?” Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand . Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity. Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve. Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.