Compliance Associate – Medicare/ACA

This is a fully remote position, open to applicants in Florida, +4 more states.

📋 Description

• Provide support, practical management, and guidance to ensure that Company operations adhere to ethical business practices, Company policies, and legal/regulatory standards.

• Advise business units and safeguard the Company's interests in corporate, legal, and regulatory issues.

• Oversee carrier compliance investigations regarding alleged breaches of rules, regulations, policies, procedures, and standards of conduct.

• Document notifications, manage both internal and external communications, and track investigations to ensure timely responses.

• Identify compliance trends by monitoring internal and external reporting.

• Assist in creating compliance guidelines and tools.

• Provide support in call center management.

• Coordinate, document, maintain, and monitor compliance records, reports, and analyses.

• Support internal and external audits and designated compliance matters.

• Review advertisements created by agents, as well as social media content and websites.

• Offer guidance to both internal and external stakeholders.

• Assist with the submission of marketing materials to carriers and for regulatory approval when required.

• Support the Compliance Officer in administering and enhancing the Company's Compliance Program.

• Assist with responses to alleged violations and report violations or potential violations to authorized enforcement agencies as necessary.

• Monitor statutes and regulations and communicate updates throughout the Company and its downstream agents.

• Aid in the development and oversight of compliance training for employees and downstream agents.

• Monitor and coordinate compliance activities across business units, including tracking and reporting essential compliance metrics.

• Identify compliance vulnerabilities and risks.

• Assist in the development and implementation of corrective action plans.

• Participate in relevant internal and external committees.

• Assist with special projects and assignments as requested by management.

• Perform additional duties as assigned by management.

⛳️ Requirements

• Bachelor's Degree in Business or a related field.

• One (1) or more years of compliance experience.

• Experience in the insurance industry or a related field (financial services or marketing).

• Carrier certification with MA/PDP.

• Working knowledge of federal, state, and local laws, along with industry regulations.

• Familiarity with the insurance services industries.

• Understanding of general industry procedures, practices, and terminology.

• Knowledge of systems management.

• Awareness of general office forms, processes, and procedures.

• Understanding of program and project management, including outcomes, quality assurance, and satisfaction measurement and interpretation.

• Knowledge of supervisory techniques to facilitate instruction, motivation, and training.

• Ability to supervise, motivate, and train effectively.

• Skills in engaging effectively with inbound and outbound callers/customers.

• Proficiency in negotiation and problem-solving to resolve internal and external conflicts.

• Competence in using office equipment, including computers, fax machines, printers, and telephone systems.

• Skill in time management.

• Ability to maintain effective working relationships with all customers, employees, and the general public.

• Proficient computer skills (preferred software includes Microsoft Word, Excel, PowerPoint, Adobe Acrobat, and MS Outlook).

• Strong ability to communicate effectively, both verbally and in writing, in a constructive manner.

• Ability to engage and communicate with a diverse range of personalities in a professional and courteous manner.

• Capacity to remain patient under stressful circumstances and demonstrate controlled emotional responses in difficult situations.

• Proficiency in effective interpersonal interaction, verbal communication, and written communication.

• Ability to maintain high levels of organization and attention to detail while being flexible and responsive to multiple urgent requests.

• Proficient in reading, writing, and communicating in English effectively.

• Ability to uphold all company policies, including confidentiality and safety protocols.

• Capacity to actively contribute to team efforts.

• Ability to work independently, exercise independent judgment, and make and implement decisions.

• Skill in developing and nurturing trusting relationships.

• Strong verbal and written proficiency in the English language is required.

• Bilingual (Spanish and English) preferred.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company match.

• Opportunities for professional development and growth.

• Flexible work arrangements and paid time off.