Manager, Regulatory Compliance

Overview

HealthEdge is seeking a Manager, Regulatory Compliance to lead a team of regulatory professionals supporting HealthEdge Source™, HealthEdge’s reference data and pricing transparency platform.

People Leadership & Team Management

• Lead, supervise, and develop a team of regulatory compliance professionals with expertise in claims pricing, reference data, and healthcare transparency requirements.
• Conduct regular one-on-ones, performance reviews, and career development conversations.
• Build a team culture grounded in accountability, intellectual rigor, collaboration, and continuous improvement.
• Manage workload planning, capacity, and coverage to ensure consistent delivery against regulatory timelines and data release cycles.
• Drive onboarding and skill development for new and existing team members as Source’s regulatory scope evolves.

Source Regulatory Operations

• Oversee the team’s monitoring, interpretation, and documentation of federal and state regulatory requirements impacting pricing, reference data, and editing.
• Ensure regulatory deliverables - system requirement specifications, and client-facing materials - are accurate, timely, and meet quality standards.
• Manage the team’s review and disposition of regulatory changes relevant to Source across commercial, Medicare Advantage, and Medicaid lines of business.
• Oversee escalation management and resolution of complex regulatory issues affecting Source customers or product functionality.

Cross-Functional Partnership

• Partner with Source Product and Engineering to ensure regulatory requirements are incorporated into roadmap planning and sprint execution.
• Collaborate with Client Success and Implementation teams to support health plan client inquiries related to Source regulatory content.
• Represent the team’s work in cross-functional meetings, regulatory forums, and client-facing engagements as needed.
• Cook up coordination on enterprise regulatory monitoring and cross-product impact assessments where Source data intersects with other HealthEdge platforms.