Associate Compliance Specialist

Delta Dental Plan of Michigan•Okemos, MI

2d•Hybrid

About The Position

The Associate Compliance Specialist supports the day-to-day operations and management of the Compliance Program for Delta Dental of Michigan and its affiliates and/or subsidiaries. The role helps raise awareness of the Compliance Program through education and training, collaborates with departments on compliance policies and procedures, and supports the organization’s response to regulatory changes and compliance initiatives. It also assists with risk assessments, monitoring and analysis of compliance efforts, contractual requirement tracking, client reporting, committee coordination, and the preparation and coordination of audits, requests, and inquiries.

Requirements

Bachelor’s degree in business administration, health administration, public health/public policy, or a related field.
One year of experience related to compliance, auditing, quality monitoring, risk management, or operations.
Ability to process large quantities of detailed information with a high level of accuracy.
Ability to multitask and work on multiple projects at once.
Ability to analyze information and provide alternative problem-solving solutions.
Excellent interpersonal skills.
Effective verbal and written communication skills.
Attention to detail.
Ability to work under deadlines and adjust priorities on short notice.
The employer will accept a suitable combination of education, training, or experience.

Nice To Haves

Compliance experience within the Medicare Advantage or Medicaid industry.

Responsibilities

Assist with implementing initiatives to raise awareness of the Compliance Program, including planning, developing, and conducting compliance education and training.
Serve as a liaison for the compliance department and collaborate with key departments to support the development and implementation of policies and procedures that address applicable contract provisions, rules, and regulations.
Assist with assessing and interpreting compliance requirements and drafting policies, procedures, or job aids.
Support the Compliance Officer and Compliance Management in communicating regulatory changes and working with the business to implement compliance strategies.
Coordinate compliance efforts and initiatives between the compliance department and operations.
Assist with the annual compliance risk assessment and collaborate to ensure appropriate auditing and management of identified risks.
Maintain and analyze monitored compliance efforts and identify and assess gaps.
Track and monitor contractual requirements to assess and ensure company compliance.
Assist with client reporting related to required performance guarantees or documented reports.
Coordinate compliance-related committees and task forces, including managing assignments.
Support all aspects of client/customer, DDPA, Medicare Advantage, Medicaid, or Affordable Care Act audits, requests, and inquiries by collecting, reviewing, analyzing, and verifying materials before submission, working with operational subject matter experts as needed.
Perform other related assigned duties necessary to complete the primary responsibilities.