Compliance Associate – Medicare/ACA

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

📋 Description

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

• Document notifications, facilitate both internal and external communications, and monitor investigations to ensure timely responses.

• Analyze compliance trends through internal and external reporting, aiding in the creation of compliance guidelines and tools.

• Provide support for call center management.

• Organize, maintain, and track compliance records, reports, and analyses.

• Assist with both internal and external audits, as well as designated compliance issues.

• Evaluate advertisements, social media content, and websites created by agents.

• Offer compliance advice to both internal and external stakeholders.

• Help in the submission of marketing materials to carriers and regulatory bodies for approval.

• Support the Compliance Officer in administering and enhancing the Compliance Program.

• Aid in reporting violations or suspected violations to authorized enforcement agencies.

• Keep abreast of statutes and regulations, communicating updates throughout the Company and to downstream agents.

• Assist in developing and overseeing compliance training for staff and downstream agents.

• Monitor and coordinate compliance activities across various business units while tracking key compliance metrics.

• Identify compliance vulnerabilities and risks, helping to implement corrective action plans.

• Participate in relevant internal and external committees and assist with special projects.

• Carry out other duties as assigned by management.

⛳️ Requirements

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

• A minimum of one (1) year of experience in compliance.

• Experience in the insurance industry or a related sector (such as financial services or marketing).

• Carrier certification with MA/PDP.

• Familiarity with federal, state, and local laws, as well as industry regulations.

• Understanding of the insurance services industry.

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

• Proficiency in systems management.

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

• Knowledge of supervisory techniques for instruction, motivation, and training.

• Preferred proficiency in Microsoft Word, Excel, PowerPoint, Adobe Acrobat, and MS Outlook.

• Strong verbal and written proficiency in English is required; bilingual proficiency in Spanish and English is preferred.

• Ability to read, write, and communicate effectively in English.

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

• Ability to work independently, make sound judgments, and execute decisions.

• Capacity to maintain organization and attention to detail while managing multiple urgent requests.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company match.

• Paid time off and holidays.

• Opportunities for professional development and training.

• A collaborative and supportive work environment.