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United States
Work type
Hybrid
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Skin Pharm is a fast-growing, private equity-backed medical aesthetics platform headquartered in Nashville. Our nurse practitioner-owned clinics deliver treatments such as microneedling, PRP, MOXI/BBL, neurotoxins and filler.

We operate 18 clinics across 9 states through a management services organization (MSO) and affiliated professional corporation structure, with about 20 legal entities. We are opening new clinics and entering new states every year, and we need a compliance owner who can keep that footprint clean as it grows.

ABOUT THE JOB
The Compliance Manager keeps Skin Pharm's entities, filings, licenses and new clinic openings on schedule. This person runs the compliance calendar and acts as the project manager between our internal teams and outside partners, including tax firms, legal counsel and registered agents.

The role sits in Finance, reporting to the Director of Accounting, and works daily with Operations, HR, clinical leadership and Accounting. It also owns administration of our purchasing and inventory system. We want a highly organized coordinator who builds trackers and playbooks, follows every item to closure, and knows when to escalate.

KEY RESPONSIBILITIES

Entity Management and Corporate Compliance
  • Own the master entity register for all legal entities: formation dates, ownership, officers and managers, registered agents, EINs, and state registrations.
  • Form new entities (LLCs, PCs/PLLCs) and register foreign qualifications in new states, coordinating with outside counsel.
  • File annual reports and franchise filings in every state on time, and keep all entities in good standing.
  • Maintain the organizational chart, minute books, resolutions and written consents.
  • Manage registered agent relationships and route incoming service of process and state notices.
  • Support entity dissolutions, restructurings and acquisition integrations.
Tax Compliance Coordination
  • Maintain the tax compliance calendar for all entities, covering income, sales and use, franchise and excise, business personal property and local business taxes.
  • Serve as the main point of contact for our outside tax firms, which prepare and file income and sales tax returns.
  • Gather and deliver the data and documents the tax firms request, on their deadlines.
  • Route state and local tax notices to the right advisor and track each one to resolution.
  • Coordinate tax registrations and local business licenses for new entities and clinics.
  • Notify the tax firms of new states, clinics and entities so new filing obligations are picked up.
Audit and Internal Controls
  • Prepare and deliver audit support (PBC lists) for the annual financial statement audit, and manage requests through to closure.
  • Support lender, sponsor and other third-party diligence requests for entity, tax and licensing documentation.
  • Document and execute compliance-related internal controls, and help build the broader ICFR framework.
  • Maintain an audit-ready document repository for all filings, licenses, permits and certificates.
New Clinic Opening Checklist
  • Own the new clinic opening checklist end to end, from signed lease to first patient.
  • Coordinate entity setup, tax registrations, business licenses, certificates of occupancy, signage and local permits.
  • Coordinate state facility, pharmacy or dispensing, medical waste, CLIA waiver and any equipment registrations required before opening.
  • Track insurance certificates, vendor and payroll registrations, and bank account setup with Finance and HR.
  • Report weekly status and open risks to Finance, Operations and the opening team.
  • After each opening, update the checklist and state-specific playbooks with lessons learned.
Licensing and Regulatory Upkeep
  • Track provider licenses, DEA registrations, prescriptive authority and collaborative or supervisory agreements, with renewal alerts well ahead of expiration.
  • Maintain clinic-level licenses and permits and keep renewals current.
  • Keep MSO and professional corporation agreements, ownership documentation and related filings current as providers, owners and states change.
  • Work with outside counsel to monitor corporate practice of medicine (CPOM) and scope-of-practice rules in current and target states.
Inventory System Administration
  • Serve as the system administrator for our purchasing and inventory management system.
  • Field user questions from clinics and corporate teams, and train new users.
  • Load new vendor contracts, pricing and product catalogs, and keep them current.
  • Make system-wide changes, such as adding products, clinics and users, and updating permissions and settings.
  • Work with the system vendor to resolve issues and roll out new features.
  • Coordinate with Accounting so vendor and item data in the system matches the general ledger.
Compliance Infrastructure
  • Build and maintain a single compliance calendar covering every entity, clinic and filing type.
  • Evaluate and run compliance tools (entity management, license tracking, tax filing software).
  • Write and maintain compliance policies and procedures.
  • Report monthly on compliance status, upcoming deadlines and exceptions to the Director of Accounting and CFO.

ABOUT YOU

Required Qualifications
  • Bachelor's degree in business, accounting, legal studies or a related field, or equivalent experience.
  • 3–5 years of experience in corporate compliance, entity management, paralegal work or operations project management.
  • Experience coordinating outside advisors such as law firms, tax firms or registered agents.
  • Highly organized, with a track record of managing many deadlines and projects at once.
  • Clear written and verbal communicator who works well across departments and with outside partners.
  • Comfortable learning and administering business software, with strong Excel skills.
Preferred Qualifications
  • Multi-state, multi-entity experience, ideally in healthcare or a multi-site services business.
  • Experience with business licensing, provider licensing or new location openings.
  • Familiarity with MSO and professional corporation structures.
  • Experience administering an inventory, purchasing or ERP system.
  • Paralegal certificate or project management training.
  • Experience in a private equity-backed or high-growth company.
What Success Looks Like in Year One
  • Every entity in good standing, with zero missed annual reports, tax filings or license renewals.
  • One compliance calendar covering all entities, clinics, providers and filing types.
  • A repeatable new clinic opening checklist, with each new clinic legally ready by its planned opening date.
  • Clean, on-time audit support for compliance, entity and tax areas.

TO APPLY

Submit your resume outlining your relevant experience and qualifications, along with any additional information that you think would help you stand out. We're excited to see what you can bring to the table!

Skin Pharm is committed to diversity and to a policy of equal employment opportunity and non-discrimination. We do not discriminate on the basis of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation or any other characteristic protected by applicable law.

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