Compliance Program Manager

Compliance Program Manager

Requirements

• Bachelor’s degree or direct and applicable work experience.
• 4+ years’ experience in a regulatory, risk, or compliance role, including 4+ years’ experience reading, interpreting, understanding and communicating regulations. Ability to comprehend complex federal regulations and articulate to internal stakeholders.
• OR Juris Doctor (JD) and 2+ years’ experience in a regulatory, risk, or compliance role, including 2+ years’ experience reading, interpreting, understanding and communicating regulations.
• Ability to comprehend complex federal regulations and articulate to internal stakeholders.
• Experience developing and maintaining effective relationships and building trust with others in order to encourage and support communication and teamwork.
• Excellent communication and interpersonal skills to effectively interact with, and articulate complex information to a variety of stakeholders, both internally and externally.
• Demonstrated analytical skills to recognize inconsistencies, research and come to a conclusion, and the ability to identify and approach complex problems from different angles.
• Self-starter with strong attention to detail, critical thinking skills, and ability to multi-task.
• Naturally curious, inquisitive, and willing to ask questions to achieve goals focused on the desired outcomes.
• Demonstrated ability to navigate and thrive in ambiguous situations, effectively adapting to changing priorities and making informed decisions with limited information. Ability and willingness to approach complex problems from different angles and to produce creative, innovative solutions all while ensuring compliance with laws.
• Proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint.
• Less than 5% travel, as needed.

Responsibilities

• Manage Wellmark’s nondiscrimination program as the designated Civil Rights Coordinator.
• Serve as a subject matter expert and coordinate compliance with provisions of the Affordable Care Act’s (ACA) Section 1557, Section 504, and other federal and state nondiscrimination laws.
• Receive and respond to nondiscrimination grievances, maintain recordkeeping, and manage Notices of Nondiscrimination and Accessibility.
• Coordinate compliance with Wellmark’s language access procedures, effective communication procedures, and reasonable modification procedures.
• Coordinate required employee trainings related to nondiscrimination and mental health parity requirements.
• Provide compliance support in designing and maintaining compliant policies and procedures.
• Represent Wellmark on internal and external audits of nondiscrimination and mental health parity requirements.
• Actively participate in BCBSA workgroups and build relationships throughout the organization.

Preferred Qualifications

• Strong understanding of Section 1557 of the Affordable Care Act and other federal nondiscrimination laws is preferred.
• Juris Doctor (JD).
• Regulatory, Compliance, Risk, Audit experience in healthcare industry.
• Demonstrated experience implementing and maintaining cross-functional processes to comply with federal laws.
• Strong understanding of Mental Health Parity laws is preferred.

Benefits

No information provided on Benefits.