Healthcare Compliance Manager (Remote, U.S.)

Position: Compliance Manager

Location: Remote or Hybrid with office located in Fort Lauderdale, FL

Status: Full Time

Dress code: Business Casual, Casual Fridays

Hi, my name is George Papadakis, COO at Health Insurance Alliance (HIA), and I am looking for a highly experienced Compliance Manager to join our dynamic team. We are a rapidly growing technology focused Insurance sales company whose employees maintain a competitive nature and a desire to succeed above all.

Our philosophy is to provide a quality service to our clients, offering an easy and seamless experience from start to finish. We compassionately strive to take all of our client’s needs into consideration, which helps lead us to having a well-rounded understanding of who they are and what they want, so we can offer them the highest level of quality healthcare products out there.

At HIA, we recognize that our most valuable asset is our people. We prioritize creating an inclusive and diverse workforce, where every individual feels valued, respected, and empowered.

As our Compliance Manager, you will be overseeing the strategy of our Quality Assurance department, and Compliance across cross functional teams. You will be developing and continuously analyzing a strategy that our Sales Agents and CSR team can implement to evaluate and improve overall performance and compliance in each respective department.

The Opportunity

• You will oversee and evolve the Compliance strategy across the company, by auditing and analyzing our procedures.
• You will support the Quality Assurance Manager by providing guidance and assistance to the department on program and staff development.
• You will provide guidance on developing staff training and evaluating programs for regulatory compliance across departments.
• You will identify areas for process improvement to enhance compliance controls throughout the organization.
• You will respond to carrier, consumer and regulatory inquiries received either directly or through third party organizations like the Better Business Bureau.
• You will assist in assessing vendors and potential partners for compliant practices by sending and reviewing due diligence documents.
• You will be responsible for reviewing OIG/SAM exclusion lists and evaluating background check requirements for ability to meet licensing and appointment standards for a variety of insurance programs.
• You will prepare customized reports for management on key performance metrics and quality assurance findings.
• You will analyze data to provide insights and recommendations to support strategic decision-making.
• You will create ad-hoc reports as needed to address specific concerns or opportunities for improvement.
• You will conduct regular assessments of the Compliance department's overall performance and adherence to quality standards.
• You will collaborate with department managers to develop and implement strategies for continuous improvement.

What you bring to the table

• You have demonstrated experience in building strategic compliance protocols within Health Insurance Agency/ Call Center, or similar.
• You are a subject matter expert in regulatory requirements of a Health Insurance Agency (including product knowledge of ACA, Medicare & Private Health Insurance).
• You have experience in guiding and mentoring department managers to improve Compliance protocols and processes.
• You have effective written and verbal communication skills to convey complex information in a clear and concise manner.
• You have strong analytical and problem-solving skills to assess processes, identify areas for improvement, and make data-driven decisions.
• You have demonstrated knowledge of insurance regulations and compliance requirements to ensure that our team transactions adhere to industry standards.
• You are detail oriented and diligent in overseeing regular compliance reports to senior management, detailing the status of compliance efforts and any identified issues.
• You are a resourceful, problem solver who is self motivated.
• You are an active listener and have strong organization and multitasking skills.
• You are tech savvy and able to leverage tools and systems to enhance compliance and tracking efficiency.
• You are a continuous learner and interested in staying informed about industry best practices, emerging trends, and technological advancements.

Location & Hours

• Our office is located in Fort Lauderdale, Florida. We are looking for someone who can work remotely or hybrid within Florida.
• Hours of operation will be from 9 AM-5 PM Monday-Friday.
• Mandatory Department meetings on Monday & Friday at 12:30PM.

Compensation

Salary Range: $95K-120K

Benefits

• Competitive Compensation
• 20 PTO days accrued per calendar year after 3 months of employment.
• Health, Dental, Vision Group Insurance after 3 month Probationary Period (Optional)
• 401K + Matching program after 3 month Probationary Period (Optional)
• Great Career development opportunities
• Monthly Team Lunches

The Interview Process

Round 1: Phone screen with Jade Hugh (HR/ Talent)

Round 2: Video interview with Hiring Panel

Round 3: In Person (or Remote) Interview with Leadership Team

> Conduct references and background check

> Offer

Deadline To Apply

How We Hire

HIA is committed to a fair and equitable hiring process for all candidates. To ensure that each candidate’s journey is consistent and the selection process is unbiased, the team at HIA will not be responding to any personal messages regarding this role or other opportunities.

HIA is a proud equal opportunity workplace that is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

HIA is committed to developing an inclusive, barrier-free recruitment process and work environment. Should you require any accommodation, please inform us and we will work with you to meet your accessibility needs. For any accessibility-related assistance, requests for information in accessible alternative formats or to report any accessibility problems, please share in your application.