Director of Regulatory Compliance – Workers’ Comp

MedRisk LLC; West Conshohocken (PA); On-site; USD 140,000 - 160,000; Full time

Job summary

MedRisk LLC in Conshohocken, PA seeks a Director-Regulatory Compliance to lead its regulatory program across workers’ compensation, managed care, and medical billing operations. You will monitor legislative changes, manage state filings, and serve as the main liaison with regulatory agencies, customers, and internal teams.

The role also oversees a team responsible for platform compliance, develops training materials, supports URAC certification, and coordinates cross‑functional projects to

Qualifications

• Bachelor's degree or equivalent in business administration or related field.
• At least 10+ years in business or industry with workers’ compensation state managed care and medical bill review.
• Strong regulatory research, interpretation, project management and communication skills.

Responsibilities

• Monitor and analyze state and federal regulatory developments impacting workers’ compensation and managed care.
• Research, track, and assess regulatory impacts on bill review and timely pay operations.
• Communicate regulatory changes to internal teams and customers.
• Develop compliance training materials for regulatory excellence.
• Support URAC certification and reaccreditation for clinical operations.
• Manage state filings, renewals, amendments and reporting for certified managed care programs.
• Coordinate resources and cross‑functional projects to ensure ongoing program effectiveness.

Skills

Regulatory research

Regulatory interpretation

Project management

Communication

Attention to detail

Problem solving

Self-starter mindset

Education

Bachelor's degree in business administration or related field

Job description

MedRisk LLC in Conshohocken, PA seeks a Director-Regulatory Compliance to lead its regulatory program across workers’ compensation, managed care, and medical billing operations. You will monitor legislative changes, manage state filings, and serve as the main liaison with regulatory agencies, customers, and internal teams.

The role also oversees a team responsible for platform compliance, develops training materials, supports URAC certification, and coordinates cross‑functional projects to