Healthcare Regulatory Strategy & Operations (JD preferred)

We're building a new healthcare clearinghouse. We're looking for someone with a deep understanding of the HIPAA standard transactions as defined in 45 CFR Part 162 and their application to the healthcare clearinghouse regulatory environment. You will work closely with our Payer Strategy & Operations team to establish relationships with payers and help scale our network of payer connections.

Requirements

• Build and maintain a commanding knowledge of CAQH CORE operating rules, 45 CFR Part 162 transaction standards, CMS guidance letters, and related materials.
• Partner with Legal, Operations, and Executive teams to interpret federal and state-level guidance and translate it into actionable strategies.
• Identify, analyze, and resolve payer-side regulatory challenges, including nonconformance, exclusivity agreements, and data submission policies.
• Draft outreach citing specific, relevant regulation that compels action while maintaining excellent relationships with payers and a stellar reputation in the industry.
• Work directly with world-class external counsel when necessary, while recognizing that over 95% of situations should be resolved without outside help.
• Maintain a system of record for payer communication, regulatory milestones, and escalations – ensuring consistency, traceability, and accountability.
• Represent Stedi in discussions with payers, clearinghouses, and regulators, and continue to establish Stedi as a trusted, compliant, and forward-thinking network partner.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Four Day Work Week
• Generous Parental Leave
• Tuition Reimbursement
• Relocation Assistance