Compliance Analyst II

Medical Mutual of OhioBrooklyn, OH
393dRemote

About The Position

The Compliance Analyst II position at Medical Mutual of Ohio is a remote role focused on ensuring compliance with regulatory standards within the healthcare insurance sector. The analyst will review, evaluate, and monitor business compliance activities, assist with product filings, and support regulatory change management. This role is essential for maintaining the integrity of the company's operations and ensuring adherence to applicable laws and regulations.

Requirements

  • Bachelor's degree in business or healthcare administration, audit, law, or related field.
  • 2 years of experience as a Compliance Analyst or equivalent experience in financial services, preferably health insurance.
  • Understanding of regulatory frameworks and insurance regulations.
  • Knowledge of due diligence and audit processes.
  • Knowledge of industry-standard programs of insurance, including coverage concepts, rating procedures, and underwriting philosophies.
  • Intermediate Microsoft Office and compliance software (OneSumX) skills.
  • Proficiency with System for Electronic Rate & Form Filing (SERFF) or similar software.

Nice To Haves

  • Certified Compliance Management Professional (CCEP) coursework is a plus.

Responsibilities

  • Gathers applicable statutes, regulations, and documentation and compiles and reports compliance data for product filings to regulatory agencies.
  • Supports workflow associated with statutory and regulatory changes.
  • Follows new or enhanced processes based on research.
  • Assists with responding to state product filing objections.
  • Administers standard regulatory change management, including issue identification, collaboration with the business on requirements, and documentation.
  • Maintains relationship with assigned business unit stakeholders.
  • Conducts quality assurance and monitors compliance of business procedures and products including the development, enhancement, and documentation of processes.
  • Supports oversight and management of identified non-compliance, including the development, enhancement, and documentation of processes.
  • Supports review of forms and processes including research, analysis, and collaboration with business and legal partners.
  • Recommends updates and/or process improvements.
  • Performs other duties as assigned.

Benefits

  • Health savings account
  • Disability insurance
  • Health insurance
  • Dental insurance
  • Tuition reimbursement
  • Paid time off
  • Parental leave
  • Employee assistance program
  • Vision insurance
  • 401(k) matching
  • Gym membership

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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