We're building a new healthcare clearinghouse

In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers.

Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked as Ramp’s #3 fastest-growing SaaS vendor.

Stedi has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $92 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

What we’re looking for

We're hiring an experienced Regulatory Strategy & Government Affairs lead to work directly with our CEO, Head of Legal, and Network Operations team on a wide set of initiatives. Stedi's mission requires deep, reliable connectivity with healthcare payers. You'll lead the regulatory and operational efforts to establish and maintain those relationships, leveraging your knowledge of HIPAA transaction standards, CAQH CORE operating rules, and CMS requirements to broaden Stedi’s payer network. You'll also own a growing portfolio of payer, regulatory, and government affairs programs as Stedi's network and footprint expand.

This isn't a check-the-box compliance role. We need someone who will build scalable processes, go deep on government requirements, and take on substantive regulatory work to help shape the healthcare transaction regulatory environment.

The ideal candidate has relevant experience in at least one of these areas: health tech, fintech, compliance, government affairs, or internal audit. You don't need to know everything on day one – but you need to be excited to problem solve in unfamiliar territory. We hire for trajectory. If you bring excellent judgment and work ethic, strong writing, and the ability to pick up new subject matter quickly, we want to talk.

What you'll do

• Drive Stedi's regulatory affairs strategy by developing deep subject matter expertise and building relationships with payers, regulators (e.g., CMS, HHS) and industry standards bodies (e.g., WEDI, CAQH CORE, X12) to shape decision making.

• Quarterback compliance workstreams as we expand into new product areas. We work with world class external advisors who help define what's needed, and you will own the execution: coordinating filings, managing documentation, tracking deadlines, and driving internal stakeholders to completion.

• Own the end-to-end process for identifying, escalating, and resolving payer connectivity issues that implicate HIPAA, CAQH CORE, and/or CMS requirements. Build the playbook, run the campaigns, and ensure we're building scalable processes

• Conduct research on healthcare and financial services regulatory questions, monitor relevant legislation and rulemaking activity, and draft comment letters for agency proceedings. Translate complex guidance into 'plain English' recommendations for product, operations, and executive teams.

• Draft outreach citing specific, relevant regulation that compels action, advocate for favorable regulatory interpretations, and maintain excellent relationships with payers and a stellar reputation in the industry.

• Work directly with world-class external counsel when necessary, while recognizing that over 95% of situations should be resolved without outside help.

• Represent Stedi in discussions with payers, clearinghouses, and regulators, influence industry standards and operating rules, and continue to establish Stedi as a trusted, compliant, and forward-thinking network partner.

Who you are

• 3+ years in health tech, fintech, compliance, government affairs, or a generalist in-house role. You've had enough reps to know what great looks like in at least one of these areas. More senior candidates with broader experience are also encouraged to apply.

• You're not pigeonholed. You're genuinely excited to go deep on areas outside your current expertise – whether that's payments licensing, HIPAA transaction standards, or interoperability standards.

• You can sit down with a 60-page regulatory guidance letter, extract the three sentences that matter for Stedi, and translate them into business strategy.

• You thrive in ambiguity, create structure from chaos, and can independently design scalable processes from scratch.

• You have the business acumen to blend legal rigor with strategic persuasion – knowing when to apply pressure, and when to collaborate.

• You are relentless and resourceful. You follow up, escalate, and push until the job is done – and you do it with professionalism and integrity.

• You're a work enthusiast. You have low ego, high throughput, and a bias toward getting things done. You don't wait to be told what to do next. You follow up, close loops, and take ownership.

• You can communicate clearly and confidently with payers, regulators, government officials, and executives, both in writing and in conversation.

• You move fast and operate with precision. You thrive in an environment where clarity, accountability, and urgency matter.

We’ve been made aware of individuals impersonating the Stedi recruiting team. Please note:

• All official communication about roles at Stedi will only come from an @stedi.com email address.

• If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at careers@stedi.com.

We appreciate your attention to this and your interest in joining Stedi.

At Stedi, we're looking for people who are deeply curious and aligned to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the job description.