--- title: 'Head of Compliance (Part-Time) at Mira Mace' canonical: 'https://feeny.ai/job/head-of-compliance-part-time-mira-mace-united-states-7h0r9yhw4b2f' type: 'job' last_seen: '2026-10-20' --- # Head of Compliance (Part-Time) at Mira Mace - **Company:** Mira Mace - **Location:** United States - **Employment:** part-time - **Work type:** remote - **Posted:** 2026-10-18 - **Last confirmed live:** 2026-10-20 - **Apply:** https://jobs.ashbyhq.com/miramace/b8a7406b-94e4-4c1e-981b-2b3a20660bf9 ## Job description Location: Remote (U.S.-based) Commitment: Part-time (fractional), flexible hours ## About Mira Mace Mira Mace is a venture-backed company on a mission to help Medicare patients navigate a complicated healthcare system with clarity and confidence. We pair people-centered navigation with technology so patients understand their care, stay connected to their providers, and get to the resources they need. Our clinicians and care advocates deliver care management and medical visits to patients across many states, billed to Medicare, Medicare Advantage, Medicaid and commercial plans. Our team has built products and care at places like Google, Meta and Amazon, and at health companies like Landmark Health and Parsley Health. ## About the Role We're looking for a part-time Head of Compliance to own our regulatory posture as we scale. We operate as a professional corporation / management services organization (PC-MSO), deliver care by phone and video, and bill payers every month for care management and visits. You'll make sure everything we do — how we're structured, how we document, how we code, how we bill and collect — holds up to CMS, OIG, state and payer scrutiny. This is a hands-on, senior role. You'll set the policies, review the work, train the team, and be the person we call when a rule changes or a payer asks hard questions. ## What You'll Do - PC-MSO structure: keep our PC-MSO arrangement compliant — management services agreements, corporate practice of medicine rules state by state, fair-market-value fees, and the line between clinical and business decisions. - HIPAA: own our privacy and security program — policies, risk assessments, BAAs with vendors, workforce training, access reviews, and breach response. - Coding and billing: audit our use of Medicare codes (care management, E&M and related services) against documentation and time requirements; catch problems before a claim goes out. - Revenue cycle: review our RCM practices end to end — eligibility, claim submission, denials and appeals, copays and coinsurance collection, cost-sharing waivers, and refunds of overpayments. - Regulatory watch: track the annual Physician Fee Schedule, NCCI edits, MACs' local guidance, the OIG Work Plan and enforcement actions, and Medicaid and commercial payer policy — and tell us what changes for us, in plain words. - Fraud, waste and abuse: keep us clear of the Anti-Kickback Statute, Stark, the False Claims Act and beneficiary-inducement rules, especially in how we reach and enroll patients and work with referral partners. - Program: build and run a compliance program on the OIG's General Compliance Program Guidance — policies, training, monitoring, audits, a hotline, and reporting to leadership. ## Who You Are - You know Medicare, Medicaid and commercial rules cold, and you stay current — you read the Fee Schedule final rule when it drops. - You understand how Medicare codes evolve over time: why codes are created, revalued, bundled or retired, and where CMS and the OIG are focusing their scrutiny right now (care management, remote monitoring, telehealth, E&M levels). - You're practical. You give clear answers a team can act on, not a list of every possible risk. - You're comfortable in a fast-moving startup and with working alongside engineers to build compliance into our software. ## Qualifications Required - 7+ years in healthcare compliance, with Medicare Part B billing and coding at the center of it. - Hands-on experience with a PC-MSO or similar physician-practice management structure. - Deep working knowledge of HIPAA, the Anti-Kickback Statute, Stark, and the False Claims Act. - Experience with revenue cycle operations: claims, denials, appeals, patient cost-sharing, and overpayment refunds. ## Preferred - Certification such as CHC, CHPC, CPC or CPCO. - Experience with care management (CCM, PCM, APCM, BHI), remote monitoring, or telehealth services. - Experience with Medicare Advantage and Medicaid managed care plans across multiple states. - JD, or experience working closely with healthcare counsel. ## About Mira Mace ## Company Overview - **One-liner**: Mira Mace is an AI-assisted care-navigation platform that pairs Medicare beneficiaries with a dedicated healthcare advocate to manage appointments, insurance, and care coordination. - **Entity Type**: Private (Early-stage startup, backed by Foundation Capital and DefineVC) - **Headquarters**: Boston, Massachusetts, United States - **Founded**: 2025 - **Founders**: Prashant Kumar (CEO), Jagadeesh Jagarlamudi (CTO), Victor Mimo (COO) ## Core Business - **Primary industry/industries**: Healthcare IT, Medicare Advocacy, Care Coordination - **Target customers**: Medicare beneficiaries (B2C) and their families - **Mission or purpose statement**: "To ensure every Medicare beneficiary has access to personalized healthcare advocacy, making the complex healthcare system work for them, not against them." [miramace.com](https://www.miramace.com/about) ## Products & Services - **Mira Mace Platform**: An AI-assisted care-navigation platform. The core offering pairs each patient with a dedicated human care advocate (often a nurse) who handles insurance calls, appointment scheduling, pre-authorizations, bill reviews, and ongoing care coordination. AI agents handle backend administrative work. The service is covered by Medicare. [miramace.com](https://www.miramace.com/) ## Market Standing - **Valuation/Market Cap**: Not publicly available (early-stage private company) - **Key Metric**: Total Headcount of 20 (Built In profile) with 6 employees currently listed on LinkedIn. The company is in a rapid growth phase. - **Notable Investors/Partners**: Backed by Foundation Capital and DefineVC, along with "top Silicon Valley angel investors." [linkedin.com](https://www.linkedin.com/company/miramace) - **Growth Signals**: The company was founded in 2025 and is actively hiring for senior engineering roles (Senior AI Engineer and Senior Full-Stack Engineer), indicating product development and scaling. LinkedIn follower growth is very high at +27.5% monthly. [builtin.com](https://builtin.com/company/mira-mace) ## Competitive Advantages - **Deeply integrated AI + Human model**: The company differentiates by using AI agents to automate the "tedious backend work" (claims, scheduling, insurance navigation) while providing a human advocate for empathy, trust, and complex problem-solving. This allows the service to be covered by Medicare, making high-touch advocacy accessible to a broad population. - **Founder-led with lived experience**: The company was founded by Prashant Kumar, who spent years navigating his own chronic illnesses and saw the system's fractures firsthand. This mission-driven origin is a strong cultural anchor. [miramace.com](https://www.miramace.com/about) ## Strategic Focus - **Scaling the engineering team**: Currently hiring senior engineers in AI/voice and full-stack development. The focus is likely on building the AI agent systems (voice, decision-making, integration) and the patient/advocate-facing application. - **Expanding coverage and network**: Growing the base of Medicare beneficiaries served and the network of advocates. - **Product maturity**: Moving from an early-stage product to a more robust, scalable platform, with technology stack including Next.js, Python, React Native, GraphQL, PostgreSQL, and cloud infrastructure (Azure/GCP). [builtin.com](https://builtin.com/company/mira-mace) ## Why Work Here - **Mission-driven impact**: Employees directly help people navigate a broken healthcare system, with a focus on empathy and tangible outcomes for patients. - **Hybrid/Remote culture with a plan to collocate**: The company is currently remote but has plans to collocate in the NYC and Boston areas. Currently, teams work on Zoom during business hours to foster collaboration and speed. [builtin.com](https://builtin.com/company/mira-mace) - **Early-stage energy**: As a 2025 startup of ~20 people, new hires will have high ownership, work closely with founders, and influence product direction significantly. - **Transparent and fast-moving**: The company describes itself as transparent and fast-moving. - **Tech stack**: Work with modern tools: React, Node.js, Python, GraphQL, Postgres, Docker, and AI/voice systems. [builtin.com](https://builtin.com/company/mira-mace) - **Hybrid offices**: Offices in San Francisco, CA; New York, NY; and Boston, MA (HQ). [builtin.com](https://builtin.com/company/mira-mace) ## Sources 1. [miramace.com](https://www.miramace.com/) 2. [miramace.com](https://www.miramace.com/about) 3. [builtin.com](https://builtin.com/company/mira-mace) 4. [linkedin.com](https://www.linkedin.com/company/miramace) 5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/miramace) ## Other roles at Mira Mace - [Head of Sales](https://feeny.ai/job/head-of-sales-mira-mace-boston-k96x3k3wynh3) — Boston, MA / San Francisco, CA - [Telehealth Physician (MD/DO), Medicare Primary Care](https://feeny.ai/job/telehealth-physician-md-do-medicare-primary-care-mira-mace-united-states-9mqqwh0m3spd) — United States - [Patient Enrollment Specialist — Medicare (Remote)](https://feeny.ai/job/patient-enrollment-specialist-medicare-remote-mira-mace-remote-2dfjw8vjbxv1) - [Patient Enrollment Specialist — Medicare (Remote)](https://feeny.ai/job/patient-enrollment-specialist-medicare-remote-mira-mace-remote-21yqa4wtrr3k) - [Customer Success Specialist (CHW/LPN)](https://feeny.ai/job/customer-success-specialist-chw-lpn-mira-mace-remote-sxkm7et8b8yw) - [Director of Sales](https://feeny.ai/job/director-of-sales-mira-mace-remote-znahkrawmpjg) - [Rapid Response Care Advocate (Remote) | 24/7 Urgent Patient Support](https://feeny.ai/job/rapid-response-care-advocate-remote-24-7-urgent-patient-support-mira-mace-remote-aesmpnzxvtr3) - [Staff Engineer](https://feeny.ai/job/staff-engineer-mira-mace-san-francisco-662jv763n1rd) — San Francisco, CA - [Senior AI Engineer — Agents](https://feeny.ai/job/senior-ai-engineer-agents-mira-mace-san-francisco-t271cbbpwv10) — San Francisco, CA - [Certified Nursing Assistant (CNA) - Care Advocate | Patient Navigation](https://feeny.ai/job/certified-nursing-assistant-cna-care-advocate-patient-navigation-mira-mace-j8mxxpvdakft)