Remote Compliance Specialist

FORTA'S MISSION:

Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. Access is limited, delivery is fragmented, and families are left waiting. We are reinventing this model to provide early, high-quality access. With 1 in 36 children [CDC, 2023] diagnosed with autism, the need has never been greater. We are seeking driven, innovative, and mission-aligned individuals to join us in transforming how neurodiverse families experience care.

Forta is not only providing ABA services to our clients, but we're also improving the future of the ABA experience for families by creating software and predictive algorithms that elevate clinicians to work smarter by surfacing the latest and most relevant case data. We are working diligently to continuously improve the patient journey and deliver personalized care by applying smart technology and investing in the growth of our world-class team.

We are seeking a Compliance Specialist to join our dynamic team. In this role, you'll play a crucial part in mapping, tracking, and documenting ABA telehealth requirements across the U.S.

Responsibilities:

• Conduct in-depth research of Medicaid statutes, administrative codes, MCO policies, provider manuals, telehealth regulations, and licensing board rules across multiple states.
• Collaborate directly with leadership and in-house legal counsel to interpret and apply evolving requirements to the organization's policies and day-to-day operations.
• Maintain and continuously update a centralized regulatory database, capturing state-specific requirements such as, covered CPT codes, telehealth rules, required billing modifiers, POS rules, supervision, site requirements, and prior authorization guidelines.
• Synthesize and summarize legal language into clear, practical guidance for internal stakeholders and cross-functional teams.
• Maintain a structured multi-state compliance research pipeline, including deadlines, version control, and documentation standards.
• Identify and reconcile conflicts between policy sources; escalate ambiguities and propose resolution paths with legal counsel.
• Ensure accuracy and auditability of compliance data through rigorous source citation, document tracking, and version control protocols.
• Prepare concise compliance reports and summaries for leadership and other departments.
• Monitor and flag potential compliance risks or operational gaps before they escalate.
• Ensure alignment between Forta's internal practices and federal/state laws, including HIPAA and Medicaid program integrity standards.
• Partner with operations, credentialing, and billing teams to implement regulatory changes efficiently.
• Draft and update internal compliance guidance documents and SOPs.

Skills and Qualifications:

• 3–5+ years of experience in healthcare compliance, legal research, or paralegal work (preferably Medicaid or managed care focused).
• Demonstrated ability to analyze and interpret statutory and regulatory language.
• Proficiency in Excel and Google Sheets; comfort with database tools and document management.
• Exceptional attention to detail and accuracy, with strong documentation habits.
• Skilled in synthesizing complex information and communicating findings clearly to non-legal teams.
• Proven ability to work independently in a fast-paced environment.
• Bachelor's degree required; paralegal certification or JD coursework preferred.

Job Type: Full-time

Pay: Php Php320.00 per hour

Expected hours: 40 per week

Benefits:

• Work from home

Application Question(s):

• Do you have prior experience in Applied Behavior Analysis (ABA)?

• Are you comfortable working as an independent contractor and aligning your schedule with U.S. business hours?

• This position requires the installation of time-tracking software on your computer to monitor work hours. Are you willing to comply with this requirement?

• Do you have experience researching and interpreting Medicaid or managed care policies?

• What is your expected hourly rate in Philippine Pesos?

• Are you available to start immediately?

• Please complete the EF SET English test at and share your score and proficiency level (e.g., B2, C1).

Work Location: Remote