Associate, Risk/Compliance

Bachelor's Degree or equivalent work experience 1+ year experience in health plan compliance 2+ years experience with State DOI health insurance rules and regulations, CMS ACA rules and requirements, CMS requirements 2+ years experience managing high-volume and complicated projects, keeping track of details, and staging work to complete projects on time

Communicate with departments to ensure current compliance levels. Provide training to team members regarding regulatory compliance. Ensure team members are aware of compliance procedures. Develop and implement compliance improvement plans. Delegate tasks to departments to improve compliance levels. Develop reports for the governing body. Assist Regulatory Authorities with site visits and external audits. Prepare for and conduct audits with external authorities. Conduct regular audits in required areas to ensure compliance levels. Ensure compliance with all applicable laws and regulations.