Senior Director, Healthcare Compliance

Progyny•New York, NY

1d•Hybrid

About The Position

Progyny is seeking an experienced Senior Director of Healthcare Compliance to oversee and manage our complex healthcare regulatory and compliance needs as our company continues to grow. This role will determine applicability of and ensure compliance with state and federal healthcare regulations, including licensure and associated regulatory reporting requirements across multiple jurisdictions. A key requirement for this role is to develop and maintain strong relationships with key regulatory bodies. The Senior Director will provide leadership to ensure our compliance program meets the highest standards.

Requirements

Minimum of 8-10 years of experience in compliance or regulatory affairs within the insurance or healthcare industries, with expertise in state-specific regulations.
Strong understanding of licensing processes and regulatory requirements for health insurance providers and/or pharmacy benefit managers.
Proven track record of building and managing relationships with regulatory agencies and navigating complex regulatory environments.
Experience managing and mentoring teams, with strong leadership and decision-making skills.
Exceptional organizational, analytical, and problem-solving abilities, with a detail-oriented approach to compliance management.
Excellent verbal and written communication skills, with the ability to convey complex regulatory concepts clearly to diverse stakeholders.
Bachelor’s degree in Business Administration, Healthcare Administration, or a related field.
Candidates must be based in the United States.
Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.

Nice To Haves

Advanced degree (e.g., JD, MBA, or MPH) preferred.

Responsibilities

Work with the Group Vice President, Regulatory Compliance and compliance team members to develop, implement, and oversee the healthcare compliance program to ensure adherence to state and federal regulations and state licensing requirements.
Manage and maintain all healthcare related licenses (UM/UR, TPA, PBM, fully insured, others as needed), ensuring timely renewals and compliance with associated reporting requirements in each applicable state.
Provide strategic guidance to leadership on evolving regulatory changes and their impact and required actions.
Build and maintain strong relationships with regulators, acting as the primary point of contact for compliance-related matters.
Lead company responses to regulatory audits, data requests, and market conduct exams, ensuring timely preparation and resolution of any findings.
Collaborate with internal departments, including legal, operations, network, and product teams, to ensure alignment with compliance requirements and corporate goals.
Provide leadership and mentorship to direct reports, fostering professional growth and ensuring the team’s effectiveness.
Create and maintain policies, procedures, and training programs to ensure company-wide compliance awareness.
Partner with leadership to establish proactive strategies for managing compliance needs and driving operational excellence.

Benefits

Paid family and parental leave
Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support)
Family and pet care fund
Parents’ Employee Affiliation Group
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