Position Summary: The Regulatory Filing and Compliance Analyst will be a member of the Compliance Department and will work closely with cross-functional teams, including Sales, Marketing, and Operations to support existing business and implementations of new group sponsored and individual dental and vision benefit products.
Essential Functions:
- Research regulatory and compliance requirements needed to sell new and maintain existing dental and vision benefit products; or to sell products to new market segments
- Create and file new product form filings and amend existing forms to comply with state regulatory requirements or to create product enhancements
- Track status of filings and respond to objections by state regulators
- Communicate regulatory approval of new products and changes to existing products, and respond to any internal inquiries
- Organize and maintain a system to track product filings, including maintaining a record of all approved forms
- Prepare, submit, and track other required regulatory filings and license renewals
- Assist in the administration of the Company's privacy program by investigating alleged privacy breaches and performing risk assessments. Assist with the preparation and submission of reports.
- Assist in the administration of business associate and other contractual agreements
- Ensure company policies are routinely reviewed, accurate, current, and in compliance with federal and state regulations. Review and update policies as laws change.
- Conduct and monitor compliance testing, audits, and investigations as needed
- Perform continual audit procedures with a high degree of accuracy and confidentiality
- Assist in other regulatory and/or compliance matters and projects as needed
Requirements:
- Bachelor's Degree required
- Minimum 5 years experience working in health insurance or in a regulatory environment or healthcare related field - dental and vision strongly preferred
- SERFF product filing experience helpful
- Exceptional research skills with the ability to research, read, and interpret insurance regulations, bulletins, and forms
- Ability to communicate regulatory and compliance requirements clearly and concisely to both technical and non-technical team members
- Results oriented self-starter with the ability to multi-task and work under tight deadlines
- Strong project management and organizational skills and meticulous attention to detail and accuracy
- Ability to be flexible and adapt to changing demands and different projects
- Excellent written and verbal and communication skills
- Ability to learn new technology and tools
- Proficient with Adobe Acrobat Pro and Microsoft Office tools, including Word, Excel, Outlook, and PowerPoint
Work Environment/Physical Demands:
- Typical office environment
- 40-hour workweek (M-F) as assigned and additional hours as required