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.

Join us in solving one of the most important challenges of our time.

The Role

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.

Key Responsibilities:

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 health care 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.

The Requirements:

5-10 years of healthcare experience with 3-5 years in healthcare compliance.
Working knowledge of state health care 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.

Benefits:

Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.
Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

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.

Our Values

Families First
Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
Urgency with Precision
Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
Relentlessly Resourceful
As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
Purpose with Positivity
We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
Driven to Redefine What’s Possible
We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.