PAR - Compliance Analyst II

2 months ago

Charleston, United States Medical Mutual Full time

Job Description - PAR - Compliance Analyst II (2400314) PAR - Compliance Analyst II

-

(

2400314

) Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual’ s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life. Reviews, evaluates, and monitors business compliance activities.Assists with product filings, gathers documentation, compiles, and reports compliance data. Supports regulatory change management, product development, market conduct exams, and compliance review. Responsibilities ·

Gathers applicable statutes, regulations and documentation and compiles and reports compliance data for product filings to regulatory agencies. ·

Supports workflow associated with statutory and regulatory changes. Follows new or enhanced processes based on research. ·

Assists with responding to state product filing objections.Administers standard regulatory change management, including issue identification, collaboration with the business on requirements, and documentation. Maintains relationship with assigned business unit stakeholders. ·

Conducts quality assurance and monitors compliance of business procedures and products including the development, enhancement, and documentation of processes. ·

Supports oversight and management of identified non-compliance, including the development, enhancement, and documentation of processes. ·

Supports review of forms and processes including research, analysis, and collaboration with business and legal partners. Recommends updates and/or process improvements. ·

Performs other duties as assigned. Qualifications Education and Experience ·

Bachelor’s degree in business or healthcare administration, audit, law, or related field. ·

In lieu of degree, may consider equivalent combination of education/training and experience. ·

2 years of experience as a Compliance Analyst or equivalent experience in financial services, preferably health insurance. Professional Certification ·

Certified Compliance Management Professional (CCEP) coursework is a plus. Technical Skills and Knowledge ·

Understanding of regulatory frameworks and insurance regulations. ·

Knowledge of due diligence and audit processes. ·

Knowledge of industry-standard programs of insurance, including coverage concepts, rating procedures, and underwriting philosophies. ·

Intermediate Microsoft Office and compliance software (OneSumX) skills. ·

Proficiency with System for Electronic Rate & Form Filing (SERFF) or similar software. Medical Mutual is looking to grow our team We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes: A Great Place to Work: We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset. Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more. On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters. Discounts at many places in and around town, just for being a Medical Mutual team member. The opportunity to earn cash rewards for shopping with our customers. Excellent Benefits and Compensation: Employee bonus program. 401(k) with company match up to 4% and an additional company contribution. Health Savings Account with a company matching contribution. Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority. Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits. Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time. After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption. An Investment in You: Career development programs and classes. Mentoring and coaching to help you advance in your career. Tuition reimbursement up to $5,250 per year, the IRS maximum. Diverse, inclusive and welcoming culture with Business Resource Groups. About Medical Mutual: Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us. There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans. We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work. At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status. We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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