Healthcare Regulatory Specialist

Job not on LinkedIn

August 28

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $100k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Progyny, Inc.

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Healthcare Insurance • B2B • Wellness

Progyny, Inc. is a company that provides comprehensive reproductive health benefits with a focus on fertility, family building, and women's reproductive health. Their services include flexible and equitable fertility benefits such as IVF, IUI, adoption, and surrogacy, catering to a global workforce. Progyny is dedicated to achieving superior clinical outcomes and exceptional member experiences through their data-driven model. They offer an extensive network of providers, ensuring high-quality, accessible care. Progyny supports over 460 companies with varied industries, aiming to redefine employer benefits with solutions that encompass every stage of life, from preconception to menopause.

201 - 500 employees

Founded 2015

⚕️ Healthcare Insurance

🤝 B2B

🧘 Wellness

📋 Description

• 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.

🎯 Requirements

• 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. Experience: 3-5+ years of licensing and regulatory compliance experience within a fully insured health plan. Negotiation and Influence: Strong skills in auditing, oversight, ongoing monitoring, collaboration, and relationship management, with the ability to influence key stakeholders effectively. Communication Excellence: Expertise in presenting complex information and insights in ways that resonate with diverse audiences. Project Management: Proven ability to define goals, create action plans, and deliver results in a dynamic environment. Adaptability: Thrives under pressure, can prioritize competing demands, and excels in a fast-growing organization. Please note: Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.

🏖️ Benefits

• Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and 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 Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office