Compliance Specialist-Employee Benefits

Compliance SpecialistPosition Summary: The Compliance Specialist ensures that organizations comply with all federal, state, and local regulations related to health insurance, including but not limited to HIPAA, ACA, ERISA, and CMS requirements. This role involves monitoring regulatory changes, conducting audits, analyzing compliance data, and supporting internal teams with policy development and training to reduce risk and maintain adherence to applicable laws.Essential Tasks:Monitor and interpret regulatory and legislative developments affecting health insurance and communicate impacts to relevant stakeholdersAssist in the implementation of compliance policies and proceduresConduct audits and risk assessments to evaluate adherence to compliance standardsAnalyze and report on compliance data, trends, and metrics to identify areas of risk or improvementMaintain up-to-date documentation of compliance policies, training materials, and regulatory affairsProvide compliance training and support to internal teams on relevant laws and policiesTrack and manage corrective action plans for identified compliance issuesMaintain applicable client databases (Compliance Dashboard, Zywave, etc.)Core Competencies:Ability to Analyze and Solve ProblemsAttention to DetailCommunication SkillsTimely Task CompletionTeam CollaborationClient FocusDependabilityCreative ThinkingOrganizational SkillsAdaptabilityExperience and Education:2+ years of experience in health insurance, managed care, or healthcare regulatory complianceFamiliarity with key regulations such as HIPAA, ACA, CMS rules, and state insurance lawsActive Life and Health license requiredSystems: Proficient with Microsoft Excel, Word, PowerPoint, and OutlookApplied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptablePhysical Requirements:Ability to lift 25 poundsRepeated use of sight to read documents and computer screensRepeated use of hearing and speech to communicate on telephone and in personRepetitive hand movements, such as keyboarding, writing, 10-keyWalking, bending, sitting, reaching and stretching in all directionsBenefits and Compensation:Higginbotham offers medical, dental, vision, and prescription drug coverageMultiple supplemental benefits for physical, emotional, and financial wellbeing401(k) and an equity incentive planEmployee Wellness ProgramCompany paid holidays, plus PTO