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Head of Trust and Safety

Open 29d

Summary

Oversee safety, risk, and compliance for child and elder care services, ensuring regulatory adherence and incident management while leading policy development and cross-team collaboration.

We are seeking a Head of Trust and Safety responsible for designing, implementing, and continuously improving the safety, risk, and compliance infrastructure that protects our clients, members, caregivers, and the company. This individual will serve as the primary subject-matter expert on regulatory compliance, duty-of-care obligations, and risk mitigation as they relate to in-home and on-site child and elder care services.

Responsibilities will include:

  • Develop and maintain comprehensive care safety policies, protocols, and standard operating procedures for in-home child care, elder care, and on-site backup care settings
  • Establish risk assessment frameworks to evaluate caregiver placements and on-site care facilities prior to and during service delivery
  • Identify, evaluate, and prioritize operational risks associated with caregiver-client matching, home environment safety, and care delivery
  • Create escalation protocols for safety incidents, behavioral concerns, medical emergencies, and client complaints; establish a grievance process to ensure concerns are addressed promptly, documented thoroughly, and resolved in accordance with company policy and applicable law
  • Design and manage an incident reporting system to capture near-misses, adverse events, and policy violations; analyze data to identify trends and systemic issues
  • Lead investigations into reported safety incidents, caregiver misconduct, or client complaints; document findings and implement corrective actions
  • Ensure all policies align with applicable federal, state, and local laws, including HIPAA, ADA, mandated reporter obligations, and state-specific child and elder care licensing requirements
  • Monitor evolving regulatory requirements and proactively update internal policies to maintain compliance
  • Serve as the primary liaison with state licensing agencies, child protective services, adult protective services, and other regulatory bodies
  • Oversee caregiver background screening, credential verification, and ongoing compliance with state caregiver registry requirements
  • Manage the compliance calendar, ensuring timely renewals, audits, and regulatory filings
  • Partner with legal counsel on liability risk assessments, claims management, and insurance compliance
  • Monitor and audit caregiver onboarding compliance requirements, including health screenings, reference checks, identity verification, and mandatory training completions
  • Design and deliver ongoing compliance training programs covering child abuse prevention, elder abuse prevention, emergency response, infection control, and duty-of-care obligations
  • Collaborate with Care, Operations, Legal, People, and Product and Engineering teams to embed compliance and safety practices across all service delivery touchpoints
  • Produce regular risk and compliance reporting for senior leadership, including key metrics on incident rates, audit findings, caregiver compliance status, and regulatory changes
  • Support new market expansion efforts by assessing regulatory requirements and establishing compliant operational frameworks prior to launch

You’re a great fit if you:

  • Have a bachelor’s degree in social work, public health, healthcare administration, law, risk management, or a related field
  • Have 5+ years of experience in compliance, risk management, or regulatory affairs within child care, elder care, home health, or a closely related human services sector
  • Demonstrate knowledge of federal and state regulations governing in-home and facility-based child and elder care, including mandated reporter laws, background check requirements, and licensing standards
  • Have experience developing and implementing compliance programs, policy frameworks, and training curricula from the ground up
  • Possess strong analytical skills with the ability to assess complex risk scenarios and translate findings into clear, actionable policies
  • Have exceptional written and verbal communication skills and are comfortable presenting compliance findings to executive leadership

Preferred qualifications:

  • Advanced degree (JD, MPH, MSW, MBA) or professional certification such as Certified Compliance & Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), or Certified Risk Manager (CRM)
  • Direct experience with multi-state compliance management across diverse regulatory environments
  • Background in backup care, employer-sponsored care benefits, or care concierge services
  • Familiarity with HIPAA Privacy Rule obligations in a care coordination or case management context
  • Experience partnering with legal, insurance, and HR teams on risk and liability matters

Total Compensation

The starting salary for this position is $125,000-$160,000.

Additional benefits include:

  • Remote work environment
  • Medical, dental, and vision benefits within 30 days of hire
  • Retirement savings account with matching company contributions
  • Mental health benefits
  • 15 days paid vacation, with two additional days for each subsequent year (up to a maximum of 25 days)
  • Sick and caregiving days
  • Professional development initiatives for growth
  • Generous parental leave (maternal and paternal) during a new child’s first year (born into family or adopted) and pregnancy loss leave

Role Requirements

To work remotely, you must have a strong internet connection, a quiet, private, and distraction-free space suitable for handling sensitive information. Candidates must be based in the United States, excluding Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Oklahoma, Rhode Island, and West Virginia.

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