Associate Compliance Specialist

rhsc; Okemos (MI); Hybride; USD 60 000 - 80 000; Plein temps

Résumé du poste

Delta Dental of Michigan, Ohio, and Indiana is seeking an Associate Compliance Specialist in Okemos, MI. This hybrid role supports the daily operations of the Compliance Program across affiliates.

You will assist in education and training, coordinate with departments to ensure policy implementation, and help communicate regulatory changes. The position requires a bachelor’s degree in business administration, health administration, or related fields and at least one year of compliance or auditing

Qualifications

• Bachelor's degree in business administration, health administration, public health/public policy or related field and 1 year experience related to compliance, auditing, quality monitoring, risk management, or operations.
• Compliance experience within the Medicare Advantage or Medicaid industry preferred.
• Ability to process large quantities of detailed information with high levels of accuracy; multitask and work on multiple projects.
• Excellent interpersonal skills; effective verbal and written communication; attention to detail; ability to meet deadlines and adapt to changing priorities.

Responsabilités

• Assist in the implementation of education and training activities related to compliance.
• Serve as liaison for the compliance department, coordinating with key departments to ensure policies and procedures meet contract provisions and regulatory requirements.
• Support the Compliance Officer and management in communicating regulatory changes and implementing compliance strategies.
• Facilitate coordination between the compliance department and operations on new compliance efforts and initiatives.
• Assist in the annual compliance risk assessment and ensure proper auditing and management of identified risks.
• Maintain and analyze the company's monitored compliance efforts and identify gaps.
• Coordinate client reporting and manage contractual requirements and related documentation.
• Coordinate audits or inquiries from clients, DDPA, Medicare Advantage, Medicaid, or ACA-related requests by collecting and verifying materials.

Connaissances

Analytical skills

Attention to detail

Multitasking

Communication skills

Interpersonal skills

Formation

Bachelor's degree in business administration, health administration, public health/public policy or related field

Description du poste

Job Title: Associate Compliance Specialist

Number of Positions: 1

Location: Okemos, MI

Location Specifics: Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

To provide support for the day-to-day operations and management of the Compliance Program with respect to Delta Dental of Michigan and its affiliates and/or subsidiaries.

Primary Job Responsibilities:

• Assists in the implementation of initiatives to raise awareness of Company's Compliance Program including planning, developing and conducting education and training activities related to compliance.
• Acts as a liaison for the compliance department, collaborating with key departments to support compliance staff to confirm policies and procedures are developed and implemented to ensure compliance with applicable contract provisions, rules and regulations, including assisting the team in the assessment, interpretation and drafting of policy, procedure or job aids.
• Support Compliance Officer and Compliance Management in communicating regulatory changes and working with the business on implementation of compliance strategies to meet them.
• Facilitate and manage coordination between compliance department and operations on new compliance efforts and initiatives.
• Assist in the facilitation of the annual compliance risk assessment and collaborate to ensure proper auditing is conducted and management of identified risks is appropriate.
• Maintains and analyzes company's monitored compliance efforts and identify and assess gaps.
• Tracking and monitoring contractual requirements to ensure and assess company's compliance. Assist in client reporting related to required performance guarantees or documented reports.
• Coordination of various committees and task forces related to company's compliance, including management of assignments.
• Support the facilitation and coordination of all aspects of any client/customer, Delta Dental Plans Association (DDPA), Medicare Advantage, Medicaid, or Affordable Care Act audit, request, or inquiry by collecting, reviewing, analyzing and verifying all requested materials prior to submission, including any collaborating with the applicable operational subject matter expert that may be required as a result of the request.
• Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Minimum Requirements:

Position requires a bachelor's degree in business administration, health administration, public health/public policy or a related field and one year experience related to compliance, auditing, quality monitoring, risk management, or operations. Compliance experience within the Medicare Advantage or Medicaid industry preferred. Will accept any suitable combination of education, training, or experience.

Position requires the ability to process large quantities of detailed information with high levels of accuracy; ability to multitask and work on multiple projects at any given time; ability to analyze information and provide alternative solutions for problem solving; excellent interpersonal skills; effective verbal and written communication skills; attention to detail; ability to work under deadlines and change priorities on short notice.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.