Director of Compliance

About The Company

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.

What You Will Do

• Own PRI's compliance program across IDRE, IRO, and CMS-governed programs
• Lead regulatory and URAC audit relationships as primary compliance owner
• Build and maintain the compliance risk register and compliance calendar
• Develop and lead the compliance team
• Serve as the internal expert on No Surprises Act and CMS IDR regulations

What We Are Looking For

• 10+ years compliance experience including 3+ years in a leadership role
• CMS and No Surprises Act / IDR regulatory knowledge preferred
• URAC or NCQA audit experience
• Track record of building compliance infrastructure, not just maintaining it
• Healthcare or regulated services industry required

Why PRI

• Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
• Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
• Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
• B 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.