Compliance Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Monitor both state and federal legislation, sub-regulatory guidance, and changes in rules related to the ACA, HIPAA, MHPAEA, and associated laws.

• Evaluate the impact of regulatory modifications on the level-funded line of business and provide summaries for senior leaders and operational stakeholders.

• Create implementation strategies and oversee their execution until operational readiness is achieved.

• Provide guidance to business partners on intricate regulatory inquiries.

• Act as a representative for Corporate Compliance in cross-functional teams and product development initiatives.

• Examine ERISA and non-ERISA plan documents, SBCs, and member communications to ensure compliance.

• Assist with state-specific requirements, which include assessments, advisor licensing and appointments, TPA licensing, and Secretary of State certifications.

• Formulate, enhance, and enforce policies, procedures, and internal controls that bolster audit readiness and SOC 2 preparation.

• Design, execute, and document risk-based oversight evaluations and internal audits concentrating on claims processing, member enrollment, and benefits administration.

• Analyze compliance data to uncover trends and systemic risks, and communicate findings along with corrective actions.

• Monitor the closure of corrective actions and maintain comprehensive review records.

⛳️ Requirements

• A minimum of 2 years of experience in a highly regulated sector such as healthcare or finance.

• Proven knowledge of regulatory compliance.

• Experience in compliance or a related field.

• Strong analytical capabilities and the ability to interpret complex regulatory requirements.

• Exceptional written and verbal communication skills, with the capacity to convert legal requirements into practical guidance.

• Experience in developing and implementing policies and procedures.

• Ability to work autonomously and manage multiple competing priorities.

• Excellent project management and organizational competencies.

• Comprehensive understanding of health plan compliance and regulatory frameworks.

• Experience with SOC compliance preparation.

• Background in the healthcare or financial services industry.

• Must possess authorization to work in the United States.

🏝️ Benefits

• Coverage for alternative medicine.

• Flexible paid time off (PTO).

• Up to 16 weeks of paid parental leave.

• Paid holidays.

• A 401k program.

• Transportation benefits.

• Education reimbursement.

• Two days of paid paw-ternity leave.

• Standard health and wellness benefits.