---
title: 'Director of Regulatory Compliance- Large Group Health Insurance at Evry Health'
canonical: 'https://feeny.ai/job/director-of-regulatory-compliance-large-group-health-insurance-evry-health-9cxw51m6epbt'
type: 'job'
last_seen: '2026-09-07'
---

# Director of Regulatory Compliance- Large Group Health Insurance at Evry Health

- **Company:** Evry Health
- **Location:** Remote
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-11
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.lever.co/evry-health/fefd6231-75a7-4dd5-9da5-fec703fbe11b

## Job description

Position Summary Evry Health is a large group health insurance carrier seeking a Director of Regulatory Compliance to build, own, and scale the company's regulatory compliance function during a pivotal period of multi-state expansion. This is a hands-on, individual-contributor-to-builder role: the Director will serve as the company's primary subject-matter expert on state Department of Insurance (DOI) requirements, filing obligations, and licensing, while establishing the compliance infrastructure, policies, and monitoring processes needed to support new-state entry and ongoing operations as a fully insured carrier. This role will work cross-functionally with Actuarial, Legal, Product, Claims, Network/Provider Relations, and Sales to ensure that Evry Health's products, operations, and market conduct meet all applicable state and federal insurance regulatory requirements — today in Texas, and in each new state as it comes online. This is a foundational hire. The successful candidate will have the opportunity to shape Evry Health's compliance program from an early stage rather than inherit a mature, heavily bureaucratic function.

## Key Responsibilities

Multi-State Expansion & Licensing

- Lead the regulatory workstream for entry into new states, including certificate of authority applications, insurer licensing, foreign qualification coordination, and producer/agency licensing requirements.
- Research and map state-specific insurance regulatory requirements (mandated benefits, network adequacy, prompt pay, grievance/appeals, rate and form filing) to inform go/no-go and sequencing decisions for expansion states.
- Build a repeatable "new state playbook" that captures licensing steps, filing timelines, and ongoing obligations so future state launches become faster and lower-risk.

Filings & Regulatory Submissions

- Own or closely partner with Actuarial on SERFF (System for Electronic Rate and Form Filing) submissions for rate and form filings, ensuring accuracy, completeness, and timely response to DOI objections.
- Track and manage all state filing deadlines, renewals, and required periodic reporting (financial, market conduct, statistical, network adequacy, etc.).
- Maintain a master compliance calendar and filing tracker across all states of operation.
- Assist the CFO and Chief Actuary in maintaining the financial reporting calendar (this position is not responsible for financial submissions).

Regulatory Relations

- Serve as the primary point of contact with the Texas Department of Insurance and, as applicable, other state DOIs, NAIC, and CMS on matters not involving Medicaid/Medicare (e.g., ACA market reforms, exchange requirements if applicable).
- Manage regulatory examinations, market conduct exams, inquiries, and complaint escalations; coordinate responses across departments.
- Monitor legislative and regulatory developments (state and federal, including ACA/ERISA where relevant to fully insured group business) and translate changes into actionable business impact assessments.

Compliance Program & Policy Development

- Design, implement, and maintain Evry Health's compliance policies, procedures, and internal controls (e.g., complaint handling, prompt pay, appeals/grievances, producer oversight, advertising/marketing review, privacy practices coordination with HIPAA compliance).
- Establish a compliance monitoring and testing program to proactively identify and remediate gaps ahead of exams or audits.
- Partner with Legal and HR to ensure producer/agent appointment, licensing, and training requirements are met in all operating states.

Risk Management & Reporting

- Support the Chief Actuary in enterprise risk management activities related to regulatory and compliance risk, including input into ORSA-related processes, risk registers, and board/leadership reporting.
- Prepare clear, concise compliance updates and risk assessments for executive leadership and, as needed, the Board.
- Maintain documentation and audit trails sufficient to demonstrate compliance readiness at all times.

Cross-Functional Partnership

- Advise Product and Actuarial teams early in product design on regulatory feasibility across current and target states.
- Train and support Claims, Member Services, and Sales teams on regulatory requirements affecting their day-to-day work (e.g., prompt pay standards, appeals timelines, marketing compliance).
- Act as an internal consultant, helping non-compliance teams understand "what's required and why" without becoming a bottleneck.

Required Qualifications

- Bachelor's degree required; JD, MBA, or relevant advanced degree a plus but not required.
- Must be familiar with health insurance regulatory reporting requirements such as Mental Health Parity, Prompt Pay, Market Conduct, Gold Card, Balance Billing, and Network Adequacy.
- 8+ years of progressive experience in health insurance regulatory compliance, with direct experience at a fully insured commercial health carrier (HMO, PPO, or indemnity).
- Demonstrated hands-on experience with state DOI rate/form filings and SERFF.
- Experience supporting or leading multi-state licensing and market entry for an insurance carrier.
- Strong working knowledge of state insurance codes, NAIC model laws/regulations, and federal requirements applicable to fully insured group and individual health coverage (ACA market reforms, HIPAA administrative simplification, COBRA/ERISA as applicable to fully insured plans).
- Experience managing or responding to regulatory examinations and market conduct exams.
- Excellent written and verbal communication skills, with the ability to translate complex regulatory requirements into practical business guidance for non-compliance audiences.
- Highly organized, self-directed, and comfortable operating with significant ownership in a lean, fast-moving organization.
- Excellent time management and organizational skills required to maintain the reporting calendar and state points of contact.

## Preferred Qualifications

- Experience specifically expanding a Texas-domiciled or Texas-licensed carrier into additional states.
- Familiarity with Texas Department of Insurance requirements and relationships within the TDI.
- Experience building a compliance function from an early stage (vs. only operating within an established, mature program).
- Working knowledge of health plan network adequacy and provider contracting compliance requirements.
- Professional certification such as CHC (Certified in Healthcare Compliance), CPCU, HIA, or AHIP fully insured/HMO designations.
- Experience with fully insured group employer products specifically (as opposed to Medicare Advantage, Medicaid, or self-funded/ASO business), given Evry Health's current product mix.
- Favorable consideration given to candidates who can also assist with Enterprise Risk Management (ERM) and ORSA-related risk management reporting.

What Success Looks Like in the First Year

- New-state licensing and filing playbook established and successfully executed for at least one expansion state.
- A documented, board-visible compliance program (policies, monitoring calendar, risk reporting cadence) is in place.
- Strong, responsive working relationships established with the Texas DOI and any newly entered state DOIs.
- Cross-functional teams (Product, Claims, Sales) have clear, practical guidance on regulatory requirements relevant to their work.

Telecommuting Requirements

- This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas.
- Must live in the United States within the CST or EST time zones.
- Company business hours are weekdays 9-5 CST.
- Required to have a dedicated work area established that is separate from other living areas and provides information privacy.
- Ability to keep all company sensitive documents secure.
- Must live in a location that receives an existing high-speed internet connection/service.

## About Evry Health

## Company Overview
- **One-liner**: Evry Health provides health insurance solutions for mid-sized businesses, aiming to lower premiums by 20% while improving care quality.
- **Entity Type**: Private (Acquired by Globe Life in October 2023)
- **Headquarters**: Dallas, Texas, United States
- **Founded**: 2017
- **Founders**: Chris Gay (CEO), Jay Startz (COO), Mark Jamilkowski (Chief Actuary)

## Core Business
- **Primary industry**: Health Insurance (Insurtech)
- **Target customers**: B2B – mid-sized companies (employer-sponsored health plans)
- **Mission or purpose**: "Better health insurance for mid-size companies that costs 20% less and provides more effective medical care." [ycombinator.com](https://www.ycombinator.com/companies/evry-health)

## Products & Services
- **EPO (Exclusive Provider Organization)**: A large group fully insured health plan designed for mobile workforces, including virtual care, pre-authorization, and notifications/admissions. [cbinsights.com](https://www.cbinsights.com/company/evry-health)
- **Virtual Care Program**: Partnerships (e.g., Color Health) to expand access to virtual cancer care and other telehealth services.
- **Member App & Portal**: Integrated application for members to manage claims, find providers, and access care.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (acquired by Globe Life, terms not public)
- **Key Metric**: Annual Revenue of $5M (as of latest data) [linkedin.com](https://linkedin.com/company/evryhealth)
- **Total Funding**: $7.5M (Seed round led by Y Combinator in 2018, Venture round in 2021) [linkedin.com](https://linkedin.com/company/evryhealth)
- **Notable Investors/Partners**: Y Combinator (Winter 2018 batch), Globe Life (acquirer), Color Health (partner)
- **Growth Signals**: 85% YoY headcount growth (44 employees), 7 active job postings, 600% quarterly increase in job postings. [linkedin.com](https://linkedin.com/company/evryhealth)

## Competitive Advantages
- **Founder expertise**: CEO Chris Gay previously founded MileMeter Insurance (invented per-mile auto insurance) and built a full P&C insurance software stack.
- **Y Combinator backing**: Early validation and network from a top accelerator.
- **Post-acquisition stability**: Backed by Globe Life (a major insurance group) provides resources and market access.
- **Differentiated model**: Focus on lowering costs 20% while improving outcomes through integrated virtual care and data-driven underwriting.

## Strategic Focus
- **Post-acquisition integration**: Merging into Globe Life’s portfolio while maintaining brand and tech stack.
- **Expanding virtual care**: Partnerships like Color Health to enhance cancer care and other specialty services.
- **Technology investment**: Modern tech stack (React, Node, Azure, Kubernetes, OpenAI, etc.) to automate claims, underwriting, and member experience.
- **Talent acquisition**: Actively hiring for engineering, AI, underwriting, and medical director roles to scale operations.

## Why Work Here
- **Remote-first culture**: Many roles (e.g., Sr. Software Engineer, Commercial Underwriter) are fully remote. [jobs.lever.co](https://jobs.lever.co/evry-health)
- **Competitive benefits**: Health insurance, 401(k) matching, flexible vacation. [evryhealth.com](https://www.evryhealth.com/careers)
- **Growth opportunity**: Rapidly scaling team (85% YoY headcount increase) with roles across engineering, AI, and healthcare operations.
- **Engineering culture**: Modern stack (React, Node, TypeScript, Azure, Kubernetes, GraphQL, PostgreSQL, Redis, OpenAI) and emphasis on AI solutions.
- **Mission-driven**: Opportunity to directly improve healthcare affordability and quality for mid-size businesses.

## Sources
1. [linkedin.com](https://linkedin.com/company/evryhealth)
2. [cbinsights.com](https://www.cbinsights.com/company/evry-health)
3. [ycombinator.com](https://www.ycombinator.com/companies/evry-health)
4. [evryhealth.com](https://www.evryhealth.com/careers)
5. [jobs.lever.co](https://jobs.lever.co/evry-health)

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