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About the position
Supports day-to-day activities required to maintain an effective organizational compliance program. Duties may include responding to regulatory inquiries and regulator interaction, assisting with issue resolution and implementations, and/or assisting with audits/assessments to identify compliance risks. Supports the corporate compliance team in implementing corrective action plans as well as compliance reviews to monitor ongoing compliance. Assist Corporate Compliance team members with ensuring overall compliance with new and existing laws, regulations, obligations, Medicare guidance and/or bid requirements. With some supervision, research, investigate and evaluate compliance implementation initiatives and required remediation initiatives. Assist team in providing support to business areas by analyzing regulatory compliance issues and addressing related questions and problems. Participate in risk assessments and/or audits and support efforts to monitor business systems for compliance to assure appropriate corrective action is taken to address risks/issues. Support compliance team project work by executing assigned tasks within required timeframes. Assist compliance team with training and communications programming. May develop reports and presentations as needed. May help design, develop and deliver benefit booklets and contracts to meet enterprise-wide project deliverables and initiatives. Triage, research, and respond in a timely and accurate manner to NCDOI complaints, Smart NC requests, and escalated HICS cases from CMS. May help perform compliance reviews of marketing materials for commercial and/or Medicare lines of business. When working with Medicare products, assist team with oversight of compliance programs and activities of delegated entities and contractors supporting Medicare programs.
Responsibilities
- Respond to regulatory inquiries and regulator interaction.
- Assist with issue resolution and implementations.
- Assist with audits/assessments to identify compliance risks.
- Support the corporate compliance team in implementing corrective action plans.
- Conduct compliance reviews to monitor ongoing compliance.
- Research, investigate, and evaluate compliance implementation initiatives.
- Provide support to business areas by analyzing regulatory compliance issues.
- Participate in risk assessments and/or audits.
- Monitor business systems for compliance.
- Execute assigned tasks within required timeframes.
- Assist with training and communications programming.
- Develop reports and presentations as needed.
- Design, develop and deliver benefit booklets and contracts.
- Triage, research, and respond to NCDOI complaints and Smart NC requests.
- Perform compliance reviews of marketing materials for commercial and/or Medicare lines of business.
- Assist with oversight of compliance programs and activities of delegated entities and contractors supporting Medicare programs.
Requirements
- Bachelor's degree or advanced degree (where required).
- 0-2 years of experience in related field.
- In lieu of degree, 3+ years of experience in related field.
Benefits
- Annual Incentive Bonus based on corporate goal achievement and individual performance.
- 401(k) with employer match.
- Paid Time Off (PTO).
- Competitive health benefits and wellness programs.
