Director, Regulatory Compliance – Payment Integrity

Medata Inc.; Conshohocken (Montgomery County); On-site; USD 140,000 - 160,000; Full time

Job summary

MedRisk in Conshohocken, PA, is seeking a Director-Regulatory Compliance to lead the regulatory program for workers’ compensation, managed care, and medical billing operations. You will monitor legislative changes, manage state filings, and act as the primary liaison with regulators, customers, and internal teams to ensure continuous compliance.

You will oversee a comprehensive team responsible for platform compliance, support URAC certification, and drive cross‑functional adherence across the

Qualifications

• Bachelor’s degree in business administration or related field.
• 10+ years in business or industry with workers’ compensation state managed care and medical bill review.
• Regulatory research and interpretation, project management in regulated environments, communication (oral/written), attention to detail, problem-solving, and self-starter mindset.

Responsibilities

• Regulatory & Compliance: Monitor and analyze state/federal regulatory developments, legislation, and industry trends affecting workers’ compensation.
• Managed Care & Filing: Manage state filings, renewals, amendments, and reporting; liaison with state regulatory agencies.
• Team & Operations: Coordinate resources and support cross-functional compliance projects and documentation.

Skills

Regulatory research

Project management

Communication

Attention to detail

Problem solving

Self-starter

Education

Bachelor’s degree in business administration or related field

Job description

MedRisk in Conshohocken, PA, is seeking a Director-Regulatory Compliance to lead the regulatory program for workers’ compensation, managed care, and medical billing operations. You will monitor legislative changes, manage state filings, and act as the primary liaison with regulators, customers, and internal teams to ensure continuous compliance.

You will oversee a comprehensive team responsible for platform compliance, support URAC certification, and drive cross‑functional adherence across the