About The Position

Stedi is building the first new healthcare clearinghouse in decades. In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. Clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers. Until Stedi, the space was occupied entirely by a small group of legacy players, built on outdated, often pre-internet technology. Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked by Ramp as one of the fastest-growing SaaS vendors. We have lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $142 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

Requirements

  • 8+ years in health policy, regulatory affairs, or standards work – at CMS or HHS, on Capitol Hill, inside a standards or operating rules body, or on the policy team of a payer, provider system, health tech company, or trade association.
  • You like to win and have a track record of doing so. You’re willing to take on powerful incumbents if that’s what's needed.
  • A network to leverage. You've established credibility in your space, you have a network you can leverage, and you understand the underlying interests the key players in healthcare have
  • Excited by implementation detail. You would rather get one sentence of a rule right than write a paper about the statute behind it.
  • A record of driving concrete outcomes. A provision, an operating rule, or a standard change you helped get adopted.
  • Resourceful and frugal. Your first instinct is not “let’s go retain a lobbying firm.”
  • A strong writer. Comment letters, proposals, and rule language are an essential output of this job.
  • Credible with engineers. You can follow a conversation about an API response or an EDI segment and understand why the details matter.
  • Fast. We move quickly and expect policy to keep pace.

Nice To Haves

  • Working knowledge of HIPAA Administrative Simplification, X12 transaction sets, CAQH CORE operating rules, and federal rulemaking is strongly preferred. We will also consider deep regulatory experience in another technically complex industry.

Responsibilities

  • Own Stedi's interoperability and related policy strategy. Work closely with executive leadership to set our policy playbook, prioritize initiatives, and chart the path to adoption.
  • Build Stedi’s government affairs program. Stand up the stakeholder relationships and engagement frameworks that position Stedi as the most credible voice on interoperability and administrative simplification.
  • Shift our work with the standards bodies from reactive participation to helping to shape the agenda. Lead our participation in X12, WEDI, CAQH CORE, HL7, and other work groups and committees, bring proposals, and establish the relationships that build momentum.
  • Run detailed regulatory advocacy with CMS, HHS, and other federal and state agencies, such as comment letters, RFI responses, technical proposals, and direct engagement with staff on specific rule language.
  • Choose the highest-leverage initiatives to pursue, working with engineering, product, and operations to translate clearinghouse transaction inefficiencies into concrete interoperability proposals.
  • Convert positions into precise text that holds up to scrutiny across both Stedi’s business and the healthcare interoperability ecosystem at large.
  • Build support among providers, health tech companies, payers, and trade associations.
  • Keep leadership current on the pipeline of critical regulatory updates, including HIPAA administrative simplification, X12 version migrations, and interoperability and prior authorization rulemaking.
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