Senior Director, Healthcare Compliance

Thank you for considering Progyny! Progyny is seeking an experienced Senior Director of Healthcare Compliance to oversee and manage our complex healthcare regulatory and compliance needs as our company continues to grow. This role will determine applicability of and ensure compliance with state and federal healthcare regulations, including licensure and associated regulatory reporting requirements across multiple jurisdictions. A key requirement for this role is to develop and maintain strong relationships with key regulatory bodies. The Senior Director will provide leadership to ensure our compliance program meets the highest standards. What you’ll do… Work with the Group Vice President, Regulatory Compliance and compliance team members to develop, implement, and oversee the healthcare compliance program to ensure adherence to state and federal regulations and state licensing requirements. Manage and maintain all healthcare related licenses (UM/UR, TPA, PBM, fully insured, others as needed), ensuring timely renewals and compliance with associated reporting requirements in each applicable state. Provide strategic guidance to leadership on evolving regulatory changes and their impact and required actions. Build and maintain strong relationships with regulators, acting as the primary point of contact for compliance-related matters. Lead company responses to regulatory audits, data requests, and market conduct exams, ensuring timely preparation and resolution of any findings. Collaborate with internal departments, including legal, operations, network, and product teams, to ensure alignment with compliance requirements and corporate goals. Provide leadership and mentorship to direct reports, fostering professional growth and ensuring the team’s effectiveness. Create and maintain policies, procedures, and training programs to ensure company-wide compliance awareness. Partner with leadership to establish proactive strategies for managing compliance needs and driving operational excellence. About you… Minimum of 8-10 years of experience in compliance or regulatory affairs within the insurance or healthcare industries, with expertise in state-specific regulations. Strong understanding of licensing processes and regulatory requirements for health insurance providers and/or pharmacy benefit managers. Proven track record of building and managing relationships with regulatory agencies and navigating complex regulatory environments. Experience managing and mentoring teams, with strong leadership and decision-making skills. Exceptional organizational, analytical, and problem-solving abilities, with a detail-oriented approach to compliance management. Excellent verbal and written communication skills, with the ability to convey complex regulatory concepts clearly to diverse stakeholders. Bachelor’s degree in Business Administration, Healthcare Administration, or a related field; advanced degree (e.g., JD, MBA, or MPH) preferred. Hybrid work schedule: candidates must be available to work onsite Tuesday through Thursday each week. Please note: This is not a digital nomad or remote international position; candidates must be based in the United States. 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. About Progyny: Progyny (Nasdaq: PGNY) is a global leader in women’s health and family building solutions, trusted by the nation’s leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women’s health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs. Our mission is to empower healthier, supported journeys through transformative fertility, family building and women’s health benefits. Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit 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 [wage] range for NYC‑based applicants is: $160,000 - $175,000. 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 Afflowerative 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. If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e‑mail to View email address on click.appcast.io. Thank you for your interest in Progyny! #J-18808-Ljbffr Progyny, Inc