Compliance Associate - Medicare/ACA

Alliant Insurance Services; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Alliant Insurance Services is seeking a compliance-focused professional to provide governance and guidance across the organization, ensuring adherence to policies, procedures, and legal requirements.

Responsibilities include investigations, trend analysis, audits, and reviewing marketing materials to ensure regulatory compliance, with collaboration across departments and ongoing compliance training for employees and downstream agents.

Qualifications

• Bachelor's Degree in Business or a related field.
• One or more years of compliance experience.
• Insurance industry experience.
• Carrier certification MA/PDP.

Responsibilities

• Manage carrier compliance investigations of alleged violations, rules, regulations, policies and conduct; record notifications and track timely responses.
• Identify compliance trends through monitoring reports and assist in developing guidelines and tools. Assist in call center oversight.
• Coordinate, record, maintain and monitor compliance records, reports and analysis ensuring data accuracy and regulatory compliance.
• Assist with internal and external audits; work with other departments on compliance matters; review agent-created advertisements and provide guidance.
• Assist with submission of marketing materials to carriers for approval and regulatory approvals if necessary.
• Assist Compliance Officer with administering and improving the Company's Compliance Program and responses to alleged violations.
• Assist with reporting of violations to enforcement agencies as appropriate.
• Assist with regulatory monitoring and communication of updates; help develop an effective compliance training program for the Company and downstream agents.
• Assist with monitoring the compliance activities of all business units, tracking and reporting key metrics.
• Identify potential areas of compliance vulnerability and implement corrective action plans.

Skills

Compliance knowledge

Regulatory reporting

Communication skills

Training & mentorship

Education

Bachelor's Degree in Business or related field

Tools

Microsoft Office Suite

Audit software

Job description

SUMMARY

Responsible for providing support, practical management and guidance to ensure the Company's operations are conducted in compliance with ethical business practices, Company policies and legal/regulatory requirements. Advise business units and protect the Company's interests in all corporate, legal and regulatory matters.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Compliance Department Administration: Manage carrier compliance investigations of alleged violations or rules, regulations, policies, procedures, and standard of conduct; including recording notifications, proper internal and external communication, and tracking to ensure timely responses.

Identify compliance trends through monitoring internal and external reporting and assisting in the development of compliance guidelines and tools. Assist in call center oversight.

Coordinate, record, maintain and monitor compliance records, reports and analysis ensuring that all data records are complete and accurate to ensure compliance with applicable federal and state laws and regulations.

Assist with internal and external audits; and working with other departments on designated compliance matters. Review agent-created advertisements, social media and websites; Directly provide guidance to internal and external parties.

Assist with submission of marketing materials to carriers for approval and regulatory approval if necessary.

Assist Compliance Officer with administering and improving the Company's Compliance Program. Assist with responses to alleged violations of rules, regulations, policies, procedures, and standards of conduct.

Assist with proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.

Assist with statutory and regulatory monitoring and communication of updates throughout the Company and its downstream agents. Assist with the development and oversight of an effective compliance training program for the Company and its downstream agents, which includes appropriate training for new employees as well as ongoing training for all employees.

Assist with monitoring and coordinating the compliance activities of all business units, which includes tracking and reporting of key compliance metrics.

Assist with identifying potential areas of compliance vulnerability and risk; Assist with development and implementation of corrective action plans for resolution of problematic issues.

Special Projects: Work collaboratively with fellow staff to advance the values and mission of Senior Market Sales by serving on relevant internal and external committees; Assists with special projects/assignments as requested by members of management.

Performs other duties as assigned by management. *

QUALIFICATIONS

EDUCATION / EXPERIENCE

• Bachelor's Degree in Business or a related field
• One (1) or more years of compliance experience
• Insurance industry or related field (financial services or marketing) experience
• Carrier certification with MA/PDP

SKILLS

• Working knowledge of federal, state and local laws, as well as industry regulations.
• Working knowledge of insurance services industries.
• Knowledge of the general industry procedures, practices and terminology.
• Knowledge of systems management.
• Knowledge of general office forms, processes and procedures.
• Knowledge of program and project management including outcomes, quality assurance, and satisfaction measurement and interpretation.
• Knowledge of supervisory techniques to accomplish instruction, motivation and training.
• Skill to supervise, motivate and train.
• Skill in working effectively with inbound and outbound callers/customers.
• Skill in negotiating and problem solving to resolve internal and external conflicts.
• Skill in the use of office equipment including computer, fax, printer, telephone system, etc.
• Skill in the use of time management.
• Skill in maintaining effective working relationships with all customers, employees and the general public.
• Proficient computer skills (Microsoft/Word, Excel, PowerPoint, Adobe Acrobat, MS Outlook software
• preferred).
• Ability to communicate effectively, both orally and in writing, in a constructive manner.
• Ability to approach and communicate with a wide range of personalities in a professional and courteous manner.
• Ability to be patient under frustrating circumstances and demonstrate controlled emotional affect in difficult situations.
• Ability to engage in effective interpersonal interaction, verbal communication and written communication.
• Ability to maintain a high level of organization and attention to detail while remaining flexible and responsive when faced with multiple urgent requests.
• Ability to read, write and communicate English effectively.
• Ability to maintain all company policies, including all confidentiality and safety policies.
• Ability to actively contribute to team effort.
• Ability to work independently, exercise independent judgment, make and execute decisions.
• Ability to develop and foster trusting relationships.
• Strong verbal and written proficiencies of the English language is required and bilingual (Spanish and English) preferred.

We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package.

Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.

Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to [e-mail]

For more information on Alliant Insurance Service's benefits, please visit www.alliant.com/about/careers/benefits