Compliance Manager Regulatory Affairs Specialist

4 weeks ago

Des Moines, Iowa, United States Wellmark Full time
Job Description

Wellmark is seeking a highly skilled Compliance Manager – Regulatory Affairs to join our team. As a key member of our Regulatory Compliance Management Team, you will play a critical role in ensuring the organization's compliance with regulatory requirements.

Key Responsibilities:

  • Develop and build collaborative partnerships with internal teams to ensure compliance with regulatory requirements.
  • Analyze, interpret, present, and communicate new and revised laws and regulations to internal stakeholders.
  • Provide regulatory guidance and support to business areas on compliance matters.
  • Coordinate and facilitate cross-functional meetings with stakeholders across the organization on regulatory compliance topics.
  • Compile and maintain compliance documentation in appropriate files, sites, and systems.
  • Participate in and support other components of the organization's compliance program, including Privacy, Data Security, Code of Business Conduct and Ethics, Fraud Waste & Abuse, etc.
  • Create and maintain compliance program policies that apply across the organization or specific divisions/business units.
  • Write and disseminate compliance communications to all levels of the organization to ensure support, awareness, and effectiveness of the compliance program.
  • Maintain and continually improve understanding of Wellmark's business and business environment, including compliance with laws and regulations, new products and services offered by Wellmark, organization structure, corporate policies, and Wellmark's strategic direction.
  • Provide guidance to business areas on issues and projects as needed.
  • Monitor external regulatory environment to identify items impacting Wellmark and provide initial impact assessments.
  • Represent Wellmark on external regulatory calls and compile and distribute content of regulatory calls to impacted business areas.
  • Monitor business unit compliance performance and provide oversight to corporate-wide regulatory task matrix and validate business unit self-audits.
  • Initiate investigation of potential compliance issues in accordance with department procedures and lead initial discussions to clearly identify concern, understand potential scope, harm, impact, and complexities, identify root cause, and make determination whether a compliance issue is present in accordance with department procedures.
  • Manage intermediate-to-complex compliance issues, including identifying, elevating, and guiding the development of corrective action plans.
  • Validate long-term effectiveness of remedial measures by providing oversight of 6-month monitoring plans and support of 1-year internal audits.

Requirements:

  • Bachelor's Degree in related field or direct and applicable work experience.
  • Minimum 4 years experience in the healthcare industry.
  • Minimum 2 years of experience in a compliance role reading, interpreting, understanding, and communicating regulations.
  • Ability to comprehend complex federal regulations and articulate to internal stakeholders.
  • Attention to detail, critical thinking, and problem-solving skills.
  • Excellent verbal and written communication skills with the ability to understand and articulate complex information to a variety of stakeholders, both internally and externally.
  • Ability to consult with stakeholders on subject matter expertise and influence decisions appropriately.
  • Ability to assist a group or individual to accomplish specific goals; manages change by providing the needed structure and environment for interactions to be effective.
  • Strong presentation skills, with the ability to disseminate information clearly and effectively.
  • Strong interpersonal skills with the ability to develop strong relationships of collaboration and trust.
  • Proficiency with Microsoft Office with the technical aptitude to learn new systems quickly.
  • Travel required up to 5%.

Additional Information:

Wellmark is an equal opportunity employer and welcomes applications from diverse candidates. If you meet the definition of a Covered DoD official, please inform us. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com.

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