Compliance Lead

Join One Pass Solutions, Inc. — Where Wellness Meets Innovation

At One Pass Solutions, Inc., we believe wellness should be accessible, flexible, and tailored to fit every lifestyle. Our mission is to empower individuals to live healthier, more active lives through a comprehensive platform that offers unlimited access to thousands of gyms, fitness studios, online workouts, and even grocery delivery.

Whether someone prefers working out at home, joining live virtual classes, or visiting top fitness centers like Anytime Fitness, Crunch, LA Fitness, or Orangetheory Fitness, One Pass makes it easy to stay active—on their own terms.

We also support holistic well-being by making nutritious food more accessible through convenient grocery delivery, helping our members stay on track with their health goals.

Why Work With Us?

We offer two core products—One Pass and One Pass Select—available through insurance partners and employers. Our platform is designed to meet the diverse wellness needs of individuals and organizations alike, with scalable solutions that drive engagement, improve health outcomes, and support long-term success.

We’re a fast-growing company with a collaborative culture, a strong sense of purpose, and a commitment to innovation. If you're looking to make a meaningful impact in the health and wellness space, we invite you to explore opportunities with us.

The Role

As the Compliance Lead for One Pass, you will oversee company-wide compliance initiatives related to program administration, with a focus on network integrity, quality control, and regulatory adherence—particularly CMS requirements. This role is pivotal in ensuring that One Pass continues to scale responsibly in the commercial market while maintaining audit readiness and program governance. You will not be responsible for operational delivery (e.g., IT systems, call center performance), but will lead the strategic oversight of compliance frameworks and risk mitigation across all One Pass offerings.

Key Responsibilities

Compliance Program Leadership

• Design and maintain a comprehensive compliance framework aligned with CMS, HIPAA, and internal regulatory standards

• Monitor changes in federal and state regulations and translate them into actionable internal policies

Network Compliance Oversight

• Ensure that all network partners (e.g., gyms, providers, aggregators) meet contractual and regulatory obligations

• Conduct periodic audits and reviews of network sufficiency, accessibility, and quality

CMS Standards & Audit Readiness

• Lead CMS audit preparation and response efforts, including CAP submissions and validation audits

• Maintain documentation and reporting standards required for CMS-filed benefits and encounter data

Quality Control & Risk Management

• Develop and implement network quality control protocols, including provider data integrity and performance tracking

• Identify and mitigate compliance risks through proactive assessments and remediation plans

Policy Development & Training

• Draft and enforce compliance policies and procedures across relevant teams

• Partner with Training & Development to deliver role-specific compliance education

Audit Coordination

• Serve as the primary liaison for internal and external audits related to network compliance and CMS standards

• Ensure audit documentation is complete, accessible, and aligned with regulatory expectations

• Provide legal guidance on employment-related matters, including recruitment, termination, employee contracts, workplace disputes, and compliance with labor laws.

About You

• Bachelor’s degree in Healthcare Administration, Public Policy, or related field (Master’s preferred)

• 7+ years of experience in healthcare compliance, with direct exposure to CMS regulations and Medicare Advantage programs

• Proven track record in leading compliance initiatives across multi-stakeholder environments

• Strong understanding of network governance, provider contracting, and quality assurance protocols

• Experience with audit coordination and CAP management

• Excellent communication and policy writing skills

Preferred Attributes

• Strategic thinker with the ability to translate regulatory requirements into scalable frameworks

• Execution-minded leader who thrives in fast-paced, cross-functional environments

• Familiarity with digital health platforms, wellness programs, or fitness benefit networks

• Comfortable working with legal, product, and operations teams to drive compliance outcomes

One Pass Solutions, Inc. commits to provide a work environment free of discrimination and harassment, as well as equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. You may view all of One Pass Solutions, Inc.’s recruiting notices here, including our EEO policy, recruitment agency policy, recruitment scam notice, and important E-Verify information.