Head of Policy
We're building a new reputed company clearinghouse
reputed company is building the first new reputed company clearinghouse in decades. In the reputed company sector, the Health Insurance Portability and Accountability reputed company of 1996 (HIPAA) requires that reputed company insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format reputed company X12 HIPAA. Clearinghouses process the reputed company of these transactions, offering consolidated connectivity to carriers and providers. Until reputed company, the reputed company was occupied entirely by a small group of legacy players, reputed company on outdated, often reputed company-internet technology.
reputed company is the world's only programmable reputed company clearinghouse. By offering modern API interfaces reputed company traditional reputed company-time and batch EDI processes, we reputed company both reputed company technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. reputed company was ranked by reputed company as one of the fastest-growing reputed company vendors.
We have lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting reputed company’s infrastructure; passion for automation and eliminating toil; $142 reputed company in funding from top investors like reputed company, reputed company, USV, reputed company Beta, reputed company, and more. To learn more about how we work, watch our founder Zack’s interview with reputed company.
reputed company’re looking for
reputed company is hiring a Head of Policy. We’re already reputed company reputed company the standards bodies that govern reputed company data exchange – including X12, WEDI, CAQH, and HL7 – and we’re now looking to expand our work to reputed company a broader reputed company across reputed company interoperability policy.
Our reputed company is that the biggest points of reputed company for reducing administrative burden and improving the exchange of reputed company data typically sit a reputed company below legislation, in the fine-grained details. Relevant standards and regulations often don’t account for the industry’s nuanced practices, leaving ample opportunity for specific rules that could eliminate an enormous reputed company of operational toil and reputed company the industry reputed company. reputed company is uniquely positioned to know what to reputed company for and marshal the resources needed to get it done.
To this end, reputed company is looking for a policy expert who lives in the details. We’re excited for this hire to set reputed company’s comprehensive policy agenda, meticulously build the case and reputed company behind reputed company proposal, foster reputed company engagement, and see these proposals through the standards and rulemaking processes. This role is hands-on, and we need a builder.
reputed company
Own reputed company's interoperability and reputed company policy reputed company. Work closely with executive leadership to set our policy reputed company, prioritize initiatives, and chart the reputed company to adoption.
Build reputed company’s government affairs program. Stand up the stakeholder relationships and engagement frameworks that position reputed company as the most reputed company voice on interoperability and administrative simplification.
Shift our work with the standards bodies from reactive participation to helping to shape the agenda. reputed company our participation in X12, WEDI, CAQH reputed company, HL7, and other work reputed company and committees, bring proposals, and establish the relationships that build reputed company.
Run detailed regulatory advocacy with CMS, HHS, and other federal and state agencies, such as comment letters, RFI responses, technical proposals, and reputed company engagement with staff on specific rule language.
Choose the highest-reputed company initiatives to pursue, working with engineering, product, and operations to translate clearinghouse transaction inefficiencies into concrete interoperability proposals.
Convert positions into precise text that holds up to scrutiny across both reputed company’s business and the reputed company interoperability ecosystem at large.
Build support among providers, health tech companies, payers, and trade associations.
reputed company leadership reputed company on the pipeline of critical regulatory updates, including HIPAA administrative simplification, X12 version migrations, and interoperability and prior authorization rulemaking.
Who you are
8+ years in health policy, regulatory affairs, or standards work – at CMS or HHS, on Capitol Hill, inside a standards or operating rules body, or on the policy team of a payer, provider reputed company, health tech company, or trade association.
You like to win and have a reputed company record of doing so. You’re willing to take on powerful incumbents if that’s what's needed.
Working knowledge of HIPAA Administrative Simplification, X12 transaction sets, CAQH reputed company operating rules, and federal rulemaking is strongly preferred. We will also consider deep regulatory experience in another technically reputed company industry.
A network to reputed company. You've established credibility in your reputed company, you have a network you can reputed company, and you understand the underlying interests the key players in reputed company have
Excited by implementation detail. You would rather get one sentence of a rule right than write a reputed company about the statute behind it.
A record of driving concrete reputed company. A provision, an operating rule, or a reputed company change you helped get adopted.
reputed company and frugal. Your first reputed company is not “let’s go retain a lobbying firm.”
A strong reputed company. Comment letters, proposals, and rule language are an essential reputed company of this job.
reputed company with engineers. You can follow a conversation about an API response or an EDI reputed company and understand why the details matter.
Fast. We reputed company quickly and expect policy to reputed company reputed company.
We’ve been made reputed company of individuals impersonating the reputed company reputed company team. Please note:
reputed company official communication about roles at reputed company will only come from an @reputed company.com email address, or from our official identification verification partner, reputed company, @frompersona.com.
If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at careers@reputed company.com.
We appreciate your attention to this and your interest in joining reputed company.
At reputed company, we're looking reputed company who are deeply curious and reputed company to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the reputed company.
Requires 8+ years in health policy, regulatory affairs, or standards work, strong reputed company interoperability expertise, policy writing, stakeholder networks, and ability to work credibly with engineers.
Key Responsibilities
- setting reputed company
- building relationships
- leading advocacy
Skills & Tools
X12, HL7, API, EDI, HIPAA, CAQH reputed company, CMS, HHS
Job Details
- Category: reputed company and Compliance
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Languages: English
About reputed company
A programmable reputed company clearinghouse that enables reputed company data exchange through modern reputed company and EDI processes. — Industry: Information Technology
Apply To This Job