We're building a new healthcare clearinghouse

In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers.

Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked as Ramp’s #3 fastest-growing SaaS vendor.

Stedi has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $92 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

What is transaction enrollment?

Stedi is an API-first healthcare clearinghouse. By offering a modern API interface for running eligibility checks, processing claims, and ingesting ERAs, healthcare technology businesses are able to exchange transactions with payers without dealing with the EDI protocol or carrier-specific connectivity.

Transaction enrollment is the process of registering a provider with a payer to to exchange specific healthcare transactions. It involves submitting information about the provider, including their name, tax ID, NPI, billing address, and contact information.

Transaction enrollment is the most toilsome process that revenue cycle businesses and teams have to manage. Thousands of payers, each with their own quirky enrollment experience. Form fills, faxes, PDFs, wet signature, and provider portal all stand in the way of reconciling financials and processing transactions.

What are we looking for?

We are looking for someone to lead our transaction enrollment operation. This team is responsible for the systems, automations, communications, and payer interactions that all result in a seamless enrollment experience for our customers and their providers. This is an operationally intensive process, which requires attention to the smallest details, excellent customer communication, and a product mindset to fix the incidental complexities inherent in these enrollment processes.

You will work with customers, internal operations teams, engineering, product, payers, and intermediaries to build and scale a world-class enrollment operation. You will also be responsible for managing the current team and bringing on exceptional talent. The work moves extraordinarily fast and is in the critical path for our customers, our business, and our revenue.

Who you are

You have experience building operational processes and programs. You’ve seen where systems break down, where bottlenecks emerge, and are excited to come in every day