Compliance Lead

1 day ago


Clearwater, United States EMERGE Full time

We are partnered with the fastest-growing health insurance marketplace, leveraging advanced technology and personalized service to simplify the enrollment process for ACA and Medicare enrollees. Backed by the industry's top carriers and investment partners, their passionate and innovative teams are dedicated to transforming the healthcare experience.


The Medicare Compliance Lead will play a pivotal role in ensuring the adherence of FMO activities to all regulatory and compliance requirements. This position will report directly to the Compliance Manager and Director of Compliance and be responsible for overseeing the day-to-day of 5 Compliance Analysts.


REWARDS

  • Competitive base salary of $80k+
  • Comprehensive Medical, Dental, and Vision coverage
  • PTO and holiday pay
  • 401(k) matching
  • Advancement Opportunities


REQUIREMENTS

  • Bachelor's degree in healthcare administration, business administration, or related field
  • Minimum of 2-3 years of experience in healthcare compliance, with a focus on Medicare
  • Minimum of 2-3 years of experience with a strong understanding of Medicare Advantage regulations and compliance.
  • Excellent analytical and problem-solving skills
  • Strong communication and interpersonal skills
  • Experience working with and leading teams


RESPONSIBILITIES

  • Manage the day-to-day of 5 Compliance Analyst
  • Train employees on compliance requirements, ethical standards, and best practices.
  • Ensure all staff are aware of the company’s compliance program and understand their roles in maintaining compliance.
  • Develop a compliance roadmap that aligns with regulatory requirements and business objectives
  • Stay up to date with changes in Medicare Advantage regulations or industry standards
  • Establish a robust auditing and monitoring program to assess compliance with regulatory requirements
  • Maintain comprehensive records and documentation of compliance activities


Emerge is committed to being an equal-opportunity employer. We prohibit discrimination and harassment based on race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other protected characteristic. In compliance with the Job Application Fairness Act, we ensure a fair and equitable recruitment process and provide necessary and reasonable accommodations. We value diversity and encourage individuals from all backgrounds and experiences to apply.


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