[Remote] VP, Privacy & Healthcare Regulatory at Omada Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, LegalIndustries

Requirements

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

Responsibilities

Serve as a subject-matter expert for Omada's thorough HIPAA privacy program
Research and advance a variety of other privacy matters, including compliance with advancing consumer privacy laws across the various states
Serve as a subject-matter expert in support of regulatory research, planning, and compliance in relation to various healthcare regulatory areas
Expand knowledge of the regulation of AI in healthcare and relevant implications for Omada
Collaborate with stakeholders across the outstanding Legal team to maintain industry-leading regulatory and privacy practices
Work closely with other members of the Legal team to manage initiatives to closure and ensure compliance with a broad range of regulatory and privacy obligations
Develop and maintain relationships with key stakeholders, including healthcare providers, payers, and regulatory agencies
Provide counsel and guidance to Omada's business leaders on regulatory matters and compliance issues
Contribute to the development and implementation of Omada's regulatory and privacy programs
Participate in regulatory research and planning, including the development of regulatory guidance and compliance policies
Collaborate with the General Counsel and other members of the Legal team to develop and implement Omada's overall legal strategy
Stay up-to-date on changes in healthcare regulations and laws, including those related to AI, and apply this knowledge to Omada's business operations

Skills

HIPAA

Healthcare Regulatory

Privacy Law

Compliance

Regulatory Research

Healthcare Fraud and Abuse

Anti-Kickback Regulations

Telemedicine

FDA Regulation

Interoperability

Prior Authorization

Utilization Management

Clinical Research

AI in Healthcare

Omada Health

Virtual care for chronic condition management

About Omada Health

Omada Health provides virtual care programs aimed at helping individuals with chronic conditions improve their health over the long term. Their approach combines clinical protocols with behavioral science to create personalized interventions for issues like diabetes prevention, weight management, hypertension, and musculoskeletal problems. The programs are evidence-based and have shown positive results in peer-reviewed studies. What sets Omada apart from competitors is their focus on creating engaging programs that encourage participants to stick with them, leading to reduced healthcare costs and improved health outcomes. The goal of Omada Health is to leverage technology and human care teams to support members in achieving lasting health behavior changes.

San Francisco, CaliforniaHeadquarters

2011Year Founded

$436.3MTotal Funding

DEBTCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

Remote first - Join Omada from anywhere in the US. No matter where you’re located, we budget for travel so your team can come together.

Flexible vacation - Invest in yourself and your loved ones with flexible time away and monthly wellness days.

Parental leave - We support all new parents with competitive leave policies and flexible schedules upon return.

Omada program - Join our best-in-class program to reach your health goals, and invite a loved one to join you too.

Meeting-free days - Every Wednesday afternoon, we observe company-wide focus time with nothing on the calendar.

Resources to thrive - Invest in inclusion with resource groups, equity training, and a cross-functional team dedicated to belonging.

Risks

Amazon's entry into digital health could challenge Omada's market share.

High costs of GLP-1 medications may limit Omada's program adoption.

Reliance on partnerships with large employers poses a risk if they switch providers.

Differentiation

Omada Health is the largest CDC-recognized provider of the National Diabetes Prevention Program.

Omada combines health coaching, connected devices, and data for personalized health interventions.

Omada's programs are clinically supported and published in multiple peer-reviewed journals.

Upsides

Omada's IPO planned for 2025 could provide significant capital for expansion.

Partnerships with major employers like Costco enhance Omada's market reach.

Omada's integration of GLP-1s with behavior change programs shows promising health outcomes.

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