Medicare ACA Compliance Associate | Risk & Training

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

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.