Senior Compliance Professional

The Senior Compliance Professional ensures compliance with governmental requirements, working on moderately complex to complex issues that require in-depth evaluation of variable factors.

Responsibilities:

• Develop and implement compliance policies and procedures
• Research compliance issues and recommend changes to assure compliance with contractual obligations and state and federal law
• Perform various auditing and monitoring activities and issue corrective action plans as needed
• Identify risk and compliance concerns to the enterprise
• Maintain relationships with operational business areas and serve as a subject matter expert providing guidance on various matters

Requirements:

• Bachelor's degree in a related field
• 5+ years of experience working in regulatory law, compliance, audit, or risk management
• Experience working in a Compliance-related or managed care-related field
• Experience working with regulatory agencies
• Experience with compliance oversight of CMS Stars rating program
• Ability to analyze regulatory requirements and assist business areas with understanding impacts of requirements on their operations
• Experience with Medicare Advantage marketing and communication material review
• Experience with compliance oversight of agents and brokers

Preferred Qualifications:

• Graduate or advanced degree
• Audit or consulting experience
• Experience with metrics and reporting

Benefits:

• Competitive medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off, including paid time off, company and personal holidays, paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance

Additional Information:

• This role is an individual contributor
• This role will not have any domestic travel
• This role is fully remote within the U.S.
• In this role, you will report to an Associate Director of Compliance