Head of Trust and Safety

Why Wellthy is for you!

At Wellthy, we dream of a world where everyone has the care infrastructure they need to manage their own health and the health and well-being of their loved ones.

We’re building something new in the care space – reimagining how care is delivered, accessed, and supported by families around the globe.

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 company’s 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

• Develop and maintain a comprehensive suite of care safety policies, protocols, and standard operating procedures covering 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, and establish a member and client grievance process that ensures concerns are addressed promptly, documented thoroughly, and resolved in accordance with company policy and applicable law.
• Design and manage an incident reporting system that captures 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.
• In conjunction with the legal team, 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 across all jurisdictions in which the company operates 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, to ensure that caregivers placed through the platform meet all qualifications required by client organizations, state regulations, and accreditation standards.
• Manage the company’s compliance calendar, ensuring timely renewals, audits, and regulatory filings.
• Partner with legal counsel on liability risk assessments, claims management, and insurance compliance.
• In conjunction with the operations and people teams, monitor and audit caregiver onboarding compliance requirements, including health screenings, reference checks, identity verification, and mandatory training completions.
• In conjunction with the operations and people teams, design and deliver ongoing compliance training programs covering child abuse prevention, elder abuse prevention, emergency response, infection control, and duty‑of‑care obligations.
• Work closely with the 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.

Qualifications

To be successful in this role, you’ll need to be open to learning, experimenting, and evolving.

• Bachelor’s degree in social work, public health, healthcare administration, law, risk management, or a related field.
• 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.
• Demonstrated 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.
• Experience developing and implementing compliance programs, policy frameworks, and training curricula from the ground up.
• Strong analytical skills with the ability to assess complex risk scenarios and translate findings into clear, actionable policies.
• Exceptional written and verbal communication skills; 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 Rewards Package

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

• Remote work environment.
• Medical, dental and vision benefits within 30 days of hire.
• Retirement saving account with matching company contributions.
• Mental health benefits.
• 15 days paid vacation, 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, quiet space to take calls and a professional, distraction‑free environment.

Location

This is a remote and US states–based opportunity. We ask that you work in a location that is:

• Private, with secure (not public) internet and phone access.
• Suitable to safely and securely accommodate the sensitive information that you will be handling and communicating.
• Given the nature of the material you will be working on and handling, you are required to work from a private, dedicated, distraction‑free space.

We are currently not accepting candidates in the following states: Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Oklahoma, Rhode Island, and West Virginia.

All applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristics protected by law.

For information about our Applicant Privacy, please review at https://app. getguru. com/card/i Rg BL8y T/Applicant-Privacy-Policy.

For those who require reasonable accommodations, please let us know on your application or email us at jobs@wellthy. com.

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