Healthcare Regulatory Strategy & Operations (JD preferred)

Deep fluency in HIPAA standard transactions (837, 835, 270/271, EFT, etc.) and operational realities. Law degree strongly preferred, or equivalent regulatory interpretation experience and negotiation expertise. Ability to extract key information from regulations and translate into business strategy. Thrives in ambiguity, creates structure from chaos, and can independently design scalable processes. Business acumen to blend legal rigor with strategic persuasion. Relentless and resourceful, follows up, escalates, and pushes until the job is done. Communicates clearly and confidently with payers, regulators, and executives. Thrives on decoding complex technical and regulatory details into actionable insights. Moves fast and operates with precision.

Build and maintain a commanding knowledge of CAQH CORE operating rules, 45 CFR Part 162 transaction standards, CMS guidance letters, and related materials. Partner with Legal, Operations, and Executive teams to interpret federal and state-level guidance and translate it into actionable strategies. Identify, analyze, and resolve payer-side regulatory challenges to accelerate network growth. Draft outreach citing specific, relevant regulation that compels action. Work directly with external counsel when necessary. Maintain a system of record for payer communication, regulatory milestones, and escalations. Represent Stedi in discussions with payers, clearinghouses, and regulators.