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 we’re looking for

We’re looking for someone with a deep understanding of the HIPAA standard transactions as defined in 45 CFR Part 162 and their application to the healthcare clearinghouse regulatory environment. This person should have a strong mix of regulatory, legal, and product knowledge and the stamina to relentlessly apply that knowledge to help us scale our network of payer connections.

You will work closely with our Payer Strategy & Operations team who are establishing relationships with payers and, if necessary, their designated intermediaries such as clearinghouses and MACs. Some groups will connect readily, while others will require persistent follow-ups or will need help remediating their non-compliant requirements (for example, when their connection processes violate HIPAA, X12, or CAQH CORE rules).

Your primary responsibility is to help move these groups from a “no” to “yes,” both by working directly with these groups as well as with regulatory or standards bodies such as CMS, CAQH CORE, X12, and more.

This isn't traditional legal work – it's regulatory strategy paired with operational execution. Your job is to absorb relevant regulations, build the playbook, and run campaigns that expand our payer network in big ways.

In addition to our Payer Strategy & Ops team, you will work with our CEO, Head of Legal, and General Manager to remove bottlenecks and use your regulatory knowledge to help shape our product strategy and roadmap.

If you’re excited about tackling the hardest problems in healthcare infrastructure, using regulatory depth to unlock growth, and delivering game-changing impact at a fast-moving company, you’ll thrive here.

What you'll do

Build and maintain a commanding knowledge of CAQH CORE operating rules, 45 CFR Part 162 transaction standards, CMS guidance letters, and related materials to build Stedi's regulatory fact base that will inform our payer connectivity and product surface area.
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