Director of Compliance in Erie, Pennsylvania at PROVIDER RESOURCES INC

About the company
Provider Resources Inc. (PRI) is looking for an experienced Director of Compliance to own our enterprise compliance program. This is a leadership role for a compliance professional ready to build the infrastructure, lead the audits, and develop the team that allows PRI to scale responsibly under CMS and URAC regulation.

What you will do
• Own PRI's compliance program across IDRE, IRO, and CMS-governed programs
• Lead regulatory and URAC audit relationships as primary compliance owner
• Build and maintain the compliance risk register and compliance calendar
• Develop and lead the compliance team
• Serve as the internal expert on No Surprises Act and CMS IDR regulations

What we are looking for
• 10+ years compliance experience including 3+ years in a leadership role
• CMS and No Surprises Act / IDR regulatory knowledge preferred
• URAC or NCQA audit experience
• Track record of building compliance infrastructure, not just maintaining it
• Healthcare or regulated services industry required

Why PRI
• Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
• Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
• Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
• Lean and direct — decisions get made, work is visible, and contributions matter

PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.