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About the Role

The Regional Compliance Manager will be the day-to-day compliance owner for a cluster of 2-3 states, serving as an embedded compliance partner to operations leaders. This role involves executing and localizing the enterprise compliance program, adapting policies, training, and monitoring to each state's regulatory framework, and acting as the liaison for compliance leadership in the market. This is a high-ownership individual contributor role with significant autonomy, reporting to the Senior Manager, Home Healthcare Compliance.

Responsibilities

Own licensure and survey readiness, including preparation, execution, and response for state licensure surveys, audits, and inspections.
Draft plans of correction and drive all findings to closure.
Adapt and maintain operational policies and procedures for assigned states, capturing state-specific regulatory variations.
Develop state-specific components of enterprise policies and ensure they remain current with rule changes.
Monitor state-level regulatory developments, including Medicaid bulletins, agency guidance, licensure rule changes, and payor policy updates.
Translate regulatory changes into actionable operational changes and communicate them for enterprise integration.
Deliver compliance training to state operating teams, including onboarding, role-specific content, and refreshers.
Build state-specific training content.
Execute state-level program monitoring and support enterprise audit activities.
Ensure findings are remediated and trends inform updated policies and training.
Serve as the standing compliance partner to state operations leadership and the first point of contact for compliance issues.
Oversee compliance for all current healthcare delivery programs including Medicaid home health, HCBS waiver programs, and family caregiver services, with scope expanding to new programs.

Requirements

5-10 years of healthcare experience.
3-5 years in healthcare compliance.
Working knowledge of state health care regulatory frameworks, including licensure, survey and audit processes, and Medicaid program requirements.
Proven ability to operate independently and manage competing priorities across multiple markets.
Demonstrated ability to partner credibly with operations leadership.
Willingness and ability to travel to assigned markets (25-40%).
Home health, HCBS, and/or Medicaid program compliance experience (preferred).
Hands-on experience leading or supporting state licensure surveys and plans of correction (preferred).
CHC certification or comparable compliance credential (preferred).
Multi-state compliance experience (preferred).
Diverse healthcare expertise integrating operational excellence, quality outcomes, regulatory compliance, and strategic leadership (preferred).

Experience Level

3-5 years in healthcare compliance

Benefits

Competitive compensation packages.
Annual company performance bonus for full-time employees.
Comprehensive health coverage including medical, dental, and vision options.
High-quality medical, dental, and vision options.
A $0 deductible PPO plan.
Company-funded HSA.
Employer-paid life and disability insurance.
Generous paid time off.
10 paid company holidays.
HSA contributions.
Optional FSA.
Optional commuter benefits.
Full coverage of all 401(k) account fees.
Paid parental leave.

About the Company

Abby Care is building the leading AI-native platform for family-led care.
America is facing a growing care crisis with millions needing care at home.
Over 50 million family caregivers support loved ones without adequate tools, training, or recognition.
Abby Care believes families are the largest untapped caregiving workforce and technology can help them deliver better care.
The platform combines clinical oversight with AI to train, enable, and support family caregivers.
Abby Care's platform helps health plans and government partners understand, verify, and improve care in the home.
The company expands access to care, reduces reliance on higher-cost settings, and ensures public dollars are spent effectively.
Abby Care partners with leading health plans, providers, and community organizations and is backed by top VCs.
The company envisions a future where family-led care is a core part of the healthcare system.
Values include: Families First, Urgency with Precision, Relentlessly Resourceful, Purpose with Positivity, and Driven to Redefine What’s Possible.

Equal Opportunity

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws.
Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.