Compliance and Quality Improvement Specialist

Thank you for considering Progyny!

As a Compliance and Quality Improvement Specialist, you will be joining the Compliance team and be primarily responsible for policy development, coordinating and performing all internal and vendor audits and monitoring of contracted activity to ensure compliance with accreditation standards, contractual agreements, and State and Federal requirements.  

What you’ll do…  

• Develop and maintain all compliance policies associated with compliance auditing functions 

• Coordinate all facets of the vendor management and internal audit including ensuring all activities, documentation and evidence necessary for upcoming audits are maintained appropriately 

• Assist in training internal teams as appropriate to ensure cross functional knowledge on compliance obligations and auditing standards

• Serve as a resource for other departments and vendors on compliance standards

• Establish standards by which to assess the performance of approved vendors 

• Implement compliance programs, policies and procedures designed to ensure compliance with all applicable federal and/or state laws, regulations and delegation requirements

• Analyze audit results and makes recommendations for improvement

• Identify and communicate with appropriate departments, teams, and key leadership on internal audit results and/or deficiencies

• Perform tasks related to external audits 

• Conduct interviews with new vendors and inform approved vendors of their responsibilities and obligations 

• Follow up on corrective action plans ensuring timely closure

• Demonstrate a solid understanding of compliance auditing functions and vendor review 

• Perform other duties as assigned in support of larger compliance team including licensing submissions  

About you...

• Clinical degree, Bachelor’s or Master’s degree in health care related field preferred

• Minimum of 2-3 years in healthcare vendor management or healthcare compliance 

• Minimum of 2-3 years of compliance policy development, audit, and maintenance with a strength in external oversight 

• Proven track record of working with external regulatory and compliance partners for client relationship management and consultation within healthcare

• Excellent messaging, positioning, and presentation of policy development, audit, and compliance 

• Unparalleled project management skills - identify a goal and the steps needed; actively manage action steps to accomplish goal while managing and holding key stakeholders accountable 

• Strong compliance acumen; strong problem-solving, judgment and analytic skills

• Prior experience and success in a fast-growing organization

Please note: Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.  

About Progyny:   

Progyny (Nasdaq: PGNY) is a global leader in women’s health and family building solutions, trusted by the nation’s leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians. 

Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.  

Our mission is to empower healthier, supported journeys through transformative fertility, family building and women’s health benefits.  

Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com. 

Our perks:  

• Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents’ Employee Affiliation Group 

• Menopause and midlife care

• Health, dental, vision and life insurance options fo