Associate Compliance Specialist

Delta Dental of Michigan; Okemos (MI); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Delta Dental of Michigan is seeking an Associate Compliance Specialist in Okemos, MI. The role supports the Compliance Program for the Michigan, Ohio, and Indiana affiliates, with duties including policy interpretation, training, and regulatory coordination.

A bachelor’s degree and one year of relevant experience are required. Hybrid work arrangement; the department focuses on monitoring, auditing, and reporting to ensure compliance with contracts and regulations.

Qualifications

• Bachelor’s degree in business administration, health administration, public health/public policy or related field.
• 1 year experience related to compliance, auditing, quality monitoring, risk management, or operations.
• Medicare Advantage or Medicaid experience preferred.

Responsibilities

• Assist in implementing initiatives to raise awareness of the Compliance Program through education and training.
• Liaise with key departments to ensure policies and procedures support compliance with contracts and regulations.
• Support Compliance Officer in communicating regulatory changes and implementing strategies.
• Coordinate between compliance and operations on new compliance efforts and initiatives.
• Assist in annual compliance risk assessment and risk management activities.
• Monitor and analyze company-wide compliance efforts and identify gaps.
• Track contractual requirements and assist in client reporting of performance guarantees.
• Coordinate committees and task forces related to compliance.

Skills

Compliance knowledge

Auditing

Risk management

Policy interpretation

Education

Bachelor's degree in related field

Job description

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.

Job Title

Associate Compliance Specialist

Number of Positions

1

Location

Okemos, MI

Location Specifics

Hybrid Position

Position Description

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.

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.