Compliance Associate – Medicare/Medicaid

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

📋 Description

• Provide compliance support, management, and guidance to ensure operations adhere to ethical practices, company policies, and legal/regulatory requirements.

• Advise business units and safeguard company interests in corporate, legal, and regulatory matters.

• Oversee carrier compliance investigations, including notifications, communications, and tracking responses.

• Identify compliance trends through both internal and external reporting and assist in the development of compliance guidelines and tools.

• Support call center oversight.

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

• Aid in internal and external audits as well as designated compliance issues.

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

• Guide internal and external parties while assisting with marketing material submissions for carrier and regulatory approval.

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

• Assist with responses and reporting regarding alleged or potential violations.

• Monitor statutes and regulations, communicating updates throughout the organization and to downstream agents.

• Help develop and oversee compliance training for employees and downstream agents.

• Track key compliance metrics and coordinate business-unit compliance activities.

• Identify compliance vulnerabilities and risks, assisting in the implementation of corrective action plans.

• Participate in relevant internal and external committees and complete special projects.

• 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 related fields, such as financial services or marketing.

• Carrier certification with MA/PDP.

• Working knowledge of federal, state, and local laws, as well as industry regulations.

• Familiarity with the insurance services sector.

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

• Knowledge of systems management.

• Acquainted with 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.

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

• Effective oral and written communication skills.

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

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

• Ability to maintain confidentiality and adhere to company policies.

• Capability to work independently, exercising judgment and making sound decisions.

• Aptitude for maintaining organization and attention to detail while managing multiple urgent requests.

🏝️ Benefits

• Remote or virtual work arrangement.

• Carrier certification with MA/PDP.