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About Abby Care: Powering the future of care at home for all of America.
Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.
We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.
We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.
The Opportunity:
The Regional Compliance Manager is the day-to-day compliance owner for a cluster of 2–3 states and the embedded compliance partner to the operations leaders running those markets. You'll execute and localize our enterprise compliance program in your states — adapting policies, training, and monitoring to each state's regulatory framework — and serve as the eyes and ears of our compliance leadership in market.
This is a high-ownership individual contributor role. You'll operate with real autonomy in your markets, working under the direction and guidance of the Senior Manager, Home Healthcare Compliance — who sets priorities across regions, serves as your SME and manager, and is the decision-maker on complex or novel compliance questions you escalate. Your cluster will be assigned from our current operating footprint and will evolve as we expand into new states and programs.
What you will work on:
Own licensure and survey readiness. Lead preparation, on-site execution, and response for state licensure surveys, audits, and inspections in your states — including drafting plans of correction and driving every finding to closure.
Localize policies and procedures. Adapt and maintain operational policies and procedures for your states, capture state-specific regulatory variations, help develop the state-specific components of enterprise policies, and keep everything current as rules change.
Track the regulatory landscape. Monitor state-level developments in your markets — Medicaid bulletins, agency guidance, licensure rule changes, payor policy updates — translate them into actionable operational changes, and feed them to compliance leadership for enterprise integration.
Deliver training that sticks. Bring compliance training to your state operating teams, including onboarding, role-specific content, and refreshers tied to regulatory change, and help build the state-specific content behind it.
Monitor and remediate. Execute state-level program monitoring, support enterprise audit activities in your markets, and make sure findings get fixed — with trends flowing back into updated policies and training.
Be the partner operations counts on. Serve as the standing compliance partner to state operations leadership and the first call when a compliance issue arises in your states.
Your scope covers every healthcare delivery program we operate in your states today — Medicaid home health, HCBS waiver programs, and family caregiver services — and will grow to absorb new programs as we do.
What you will have:
5+ years of healthcare experience with 3+ years in healthcare compliance.
Working knowledge of state healthcare regulatory frameworks, including licensure, survey and audit processes, and Medicaid program requirements.
A track record of operating independently, managing competing priorities across multiple markets, and partnering credibly with operations leadership.
Willingness and ability to travel to your assigned markets (25–40%).
Preferred:
Home health, HCBS, and/or Medicaid program compliance experience.
Hands-on experience leading or supporting state licensure surveys and plans of correction.
CHC certification or comparable compliance credential.
Multi-state compliance experience.
Diverse healthcare expertise integrating operational excellence, quality outcomes, regulatory compliance, and strategic leadership.
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Abby Care
View Company ProfileAbby Care (operating under Wellspring Care, Inc.) is a highly disruptive, tech-powered healthcare platform fundamentally dedicated to solving one of the most critical challenges of our time: unpaid family caregiving. Founded in 2021 and headquartered in San Francisco, California, the company completely redefines the traditional home health model by training, certifying, and financially compensating families for taking care of their loved ones with disabilities or special needs. Under the hood, Abby Care manages the high-stakes Medicaid and insurance paperwork, provides free clinical CNA-level training, and deploys a purpose-built digital platform for seamless care coordination and clinical on-call support. Their primary target audience spans the over 50 million unpaid family caregivers across the U.S. who desperately need specialized training, financial stability, and community support to deliver confident, high-quality care at home. What sets Abby Care apart in the broader healthcare ecosystem is its staggering real-world impact—driving a 38% reduction in hospitalizations within the first 120 days of care and fundamentally transforming an exhausted, unpaid workforce into an empowered, clinically supported network of dedicated family professionals.
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