Director of Regulatory Compliance (Health Insurance)

Location: Remote within the United States; must be in the CST or EST time zones. Business hours are 9-5 CST. Headquarters are in Dallas, Texas.

Company

A fully insured large-group health insurance carrier expanding from Texas into additional states.

What you will do

• Lead multi-state insurer licensing, certificate of authority applications, foreign qualification, and producer or agency licensing.
• Own or partner on SERFF rate and form filings, manage DOI responses, and maintain filing, renewal, and reporting calendars.
• Serve as the primary contact for Texas and other state Departments of Insurance, NAIC, and applicable federal regulators.
• Manage regulatory examinations, market conduct exams, inquiries, complaints, and cross-functional responses.
• Design compliance policies, internal controls, monitoring, testing, documentation, and audit trails.
• Advise Product, Actuarial, Claims, Sales, Legal, and Provider Relations teams and provide executive and board-level risk reporting.

Requirements

• Bachelor’s degree and 8+ years of progressive health insurance regulatory compliance experience.
• Direct experience with a fully insured commercial health carrier, such as an HMO, PPO, or indemnity carrier.
• Hands-on experience with state DOI rate and form filings, SERFF, multi-state licensing, and market entry.
• Strong knowledge of state insurance codes, NAIC model laws, ACA market reforms, HIPAA, and applicable COBRA or ERISA requirements.
• Experience managing regulatory examinations and market conduct exams, with strong written and verbal communication skills.
• Must live in the United States within the CST or EST time zones and maintain availability during 9-5 CST business hours.

Nice to have

• Experience expanding a Texas-domiciled or Texas-licensed carrier into additional states.
• Familiarity with Texas Department of Insurance requirements and relationships.
• Experience building a compliance function at an early-stage organization.
• CHC, CPCU, HIA, or AHIP certification.
• Experience with network adequacy, provider contracting compliance, ERM, or ORSA reporting.

Culture & Benefits

• Fully remote work environment across the company.
• Foundational role with substantial ownership in a lean, fast-moving organization.
• Opportunity to establish the compliance program, policies, monitoring calendar, and risk reporting cadence.
• Dedicated private work area and secure handling of sensitive company documents are required.
• Reliable high-speed internet service is required.