Healthcare Regulatory Specialist

Progyny, Inc.-posted 4 months ago

$100,000 - $110,000/Yr

Full-time • Mid Level

New York, NY

501-1,000 employees

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We are seeking a strategic and results-driven Healthcare Regulatory Specialist to support new fully insured healthcare product offering. In this role, you will drive measurable value, ensure regulatory compliance, drive growth in a new market segment, advise and guide on the best approach to support compliant development of Progyny’s fully insured health plan offering. You will collaborate with internal teams and identify opportunities for development supporting our Progyny Select plan teams and ongoing licensing, audit, reporting and other regulatory compliance initiatives.

Coordinate and consult with health plan teams to ensure alignment across departmental initiatives incorporating sound compliance judgment.
Guide and advise operational teams across the Progyny Select insurance teams, compliance teams, and legal teams from initial filings, through renewals, and the audit lifecycle.
Draft, revise, review, and negotiate a variety of agreements, including vendor and partner agreements, ensuring appropriate consideration is made for legal requirements and business objectives to develop fully insured health plan offerings.
Develop and share healthcare and regulatory compliance expertise with others, including disseminating best practices, playbooks and templates.
Provide solution oriented legal advice and guidance to business stakeholders on a broad range of legal issues, and regulatory compliance issues.
Perform licensing tasks, delegation review and other ongoing monitoring activities to ensure compliance.
Stay current on federal and state laws and regulations impacting the Progyny suite of products, providing solutions-oriented advice and guidance.

Must currently possess a college degree from an accredited four year institution in a healthcare, policy, or adjacent field relevant to regulatory compliance.
JD preferred, CHC, or other health care compliance certification preferred.
3-5+ years of licensing and regulatory compliance experience within a fully insured health plan.
Strong skills in auditing, oversight, ongoing monitoring, collaboration, and relationship management, with the ability to influence key stakeholders effectively.
Expertise in presenting complex information and insights in ways that resonate with diverse audiences.
Proven ability to define goals, create action plans, and deliver results in a dynamic environment.
Thrives under pressure, can prioritize competing demands, and excels in a fast-growing organization.

Paid family and parental leave
Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support)
Family and pet care fund
Menopause and midlife care
Health, dental, vision and life insurance options for employees and family
Free in-person, virtual and text-based mental health and wellness support
Paid time off, including vacation, sick leave, personal days and summer flex time
Company equity
Bonus program
401(k) plan with company match
Access to on-demand legal and financial advice
Learning and development programs to help you grow professionally and a mentorship program
Company social events to include annual volunteer day and donation matching
Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

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