Regulatory Compliance Specialist

Delta Dental Plan of Michigan, Inc.; Okemos (MI); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) savings plan

Tuition reimbursement

Volunteer time off

Health coach and personal trainer

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking a Compliance Program professional to support the day-to-day operations of the Compliance Program across the organization and its affiliates. You will help implement training, monitor policies, and coordinate with internal stakeholders to ensure regulatory alignment.

The role requires a bachelor's degree and 3+ years of compliance or auditing experience, with Medicare/Medicaid familiarity preferred.

Qualifications

• Bachelor's degree in business administration, health administration, public health/public policy or related field.
• Three years of compliance/regulatory experience; Medicare/Medicaid preferred.
• Strong analytical, communication, and multitasking abilities; detail-oriented.

Responsibilities

• Implements initiatives to raise awareness of the Company's Compliance Program including planning, developing and conducting education and training activities related to compliance.
• Develops training materials, implementation of training calendar, monitoring and auditing employee training records.
• Monitors and evaluates documents to determine the relevance of regulatory updates that may affect member materials.
• Maintains and verifies accuracy of final production and document revision processes.
• Provides updates to management on status of implementation and risks related to timely adherence.
• Coordinates with internal and external stakeholders to ensure work is prioritized and completed by deadlines.
• Advises Compliance Officer on regulatory changes and strategy implementation.
• Facilitates Medicare Advantage, Medicaid, or ACA audits by collecting and verifying required materials.
• Performs related duties to support the Primary Job Responsibilities.

Skills

Analytical skills

Communication

Organizational skills

Education

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

Job description

Delta Dental of Michigan, Ohio, and Indiana is seeking a Compliance Program professional to support the day-to-day operations of the Compliance Program across the organization and its affiliates. You will help implement training, monitor policies, and coordinate with internal stakeholders to ensure regulatory alignment.

The role requires a bachelor's degree and 3+ years of compliance or auditing experience, with Medicare/Medicaid familiarity preferred.