Senior Compliance Corrections Specialist

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

📋 Description

• Engages in the corrections process across all business lines.

• Evaluates and prioritizes suspected cases of non-compliance.

• Inputs compliance issues into the GRC tool and coordinates the assignment of these issues to corrections team members.

• Works collaboratively with compliance and business stakeholders to collect information, formulate corrective action plans, pinpoint and escalate obstacles to progress, and gather evidence of remediation.

• Updates the GRC tool to facilitate corrections reporting.

• Monitors and oversees progress towards remediation and documents key milestones in the GRC tool.

• Recognizes issues that need escalation and ensures they are addressed promptly through established procedures.

• Conducts reviews of evidence to determine the root cause of issues and enables timely closure of those issues.

• Creates, implements, and continuously improves corrections reporting to offer valuable trend analysis for business stakeholders and senior leadership regarding new, ongoing, and resolved issues, along with regulatory sanctions.

• Assists management in developing and maintaining corrections processes and tools.

⛳️ Requirements

• Bachelor's Degree in Managed Care/Health Insurance or a related field, or equivalent experience required.

• 5+ years of experience in Managed Care/Health Insurance or a related field required.

• Experience in data analytics is preferred.

• Strong Microsoft Office skills are preferred.

• Certification in HealthCare Compliance (CHC) is preferred.

• Certification as a Compliance & Ethics Professional (CCEP) is preferred.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K and stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.