Job Description

Healthcare Regulatory Specialist

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.

What you'll do

• 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.

About you

• 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.

Our perks:

• 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

In compliance with New York City's Wage Transparency Law, the annual salary range for NYC-based applicants is: $100,000 - $110,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.

Progyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.

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