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Regulatory Compliance Administrator
2 months ago
Position: Government Compliance Clerk
The Government Compliance Clerk plays a vital role in ensuring adherence to legal standards and regulations. This position involves the meticulous review of case law and regulatory frameworks to guarantee that the organization operates within the bounds of the law.
Key Responsibilities- Preparation of Summary of Benefits and Coverage (SBC): This is a mandatory requirement under healthcare reform.
- Plan Testing: Conduct evaluations of plans under the Affordable Care Act (ACA) to ensure minimum value compliance.
- Prescription Plan Analysis: Assess prescription plans for Medicare Modernization and report findings to the Centers for Medicare & Medicaid Services (CMS).
- State Reporting: Compile and submit reports to various states on behalf of our client groups.
- Procedure Development: Learn, create, and document processes for reporting necessary information to government entities as mandated by healthcare reform.
- Independent Work: Demonstrate the ability to perform tasks effectively without direct supervision.
- Team Collaboration: Work harmoniously with colleagues and management.
- Client Interaction: Engage with clients in a professional manner, maintaining a balance of friendliness and assertiveness.
- Multitasking: Manage multiple tasks efficiently, particularly under pressure.
- Technical Proficiency: Possess advanced knowledge of Word and Excel, with the capability to draft business correspondence.
- Document Interpretation: Read and comprehend plan documents or insurance certificates accurately.
- Computer Literacy: Be reasonably adept with computer systems and willing to undergo training.
- Flexibility: Be prepared to work overtime during peak periods to ensure all tasks are completed.
- Strong customer service skills.
- Effective verbal and written communication abilities.
- Proficient in computer operations and data entry.
- Self-motivated with the ability to follow both written and verbal instructions.
- High school diploma or equivalent (GED).
Benefits include medical, dental, vision, and supplemental insurance options. Weekly pay is available through direct deposit. We prioritize compliance with federal, state, and local guidelines, especially concerning health and safety measures. Accommodations for remote application and interview processes are in place to facilitate a smooth hiring experience.
