Provider Resources Inc. (PRI) is looking for an experienced Director of Compliance to own our enterprise compliance program. This is a leadership role for a compliance professional ready to build the infrastructure, lead the audits, and develop the team that allows PRI to scale responsibly under CMS and URAC regulation.
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Own PRI's compliance program across IDRE, IRO, and CMSgoverned programs
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Lead regulatory and URAC audit relationships as primary compliance owner
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Build and maintain the compliance risk register and compliance calendar
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Develop and lead the compliance team
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Serve as the internal expert on No Surprises Act and CMS IDR regulations
What we are looking for
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10+ years compliance experience including 3+ years in a leadership role
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CMS and No Surprises Act / IDR regulatory knowledge preferred
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URAC or NCQA audit experience
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Track record of building compliance infrastructure, not just maintaining it
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Healthcare or regulated services industry required
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Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
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Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
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Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
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Lean and direct — decisions get made, work is visible, and contributions matter
PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.
Join Provider Resources (PRI) and Make an Impact in Healthcare! At PRI, we’re passionate about driving integrity and advancing quality across the healthcare system. As a trusted leader in the industry, we’re tackling some of healthcare’s biggest challenges—improving compliance, advancing health equity, and enhancing quality and clinical outcomes while helping organizations improve care delivery and create meaningful change. We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers, and regulators. We strive to enhance experiences, improve outcomes, and foster a healthier future for all. If you’re looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!
