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Government Programs Compliance Specialist

Wellmark, Inc.

Government Programs Compliance Specialist

Des moines, IA
Full Time
Paid
  • Responsibilities

    Job Description

    USE YOUR STRENGTHS AT WELLMARK AS A GOVERNMENT PROGRAMS COMPLIANCE SPECIALIST! 

    Reporting to the VP Chief Compliance & Privacy Officer, our Government Programs Compliance Analyst Provide day-to-day support to the corporate ethics and compliance team/program by supporting various tasks/initiatives assigned to the corporate ethics and compliance program with specific emphasis on compliance and operational oversight duties for government programs, namely Wellmark's Medicare Advantage business. May support or assist with compliance responsibilities related to other government programs such as Wellmark’s current Medicare Part D and Exchange (QHP) business. 

    Ideal candidates are eager to learn, highly organized, and possess exceptional time management capabilities. You have experience documenting processes, can synthesize complex information and deliver it in a way your stakeholders understand. You approach your work collaboratively and have a demonstrated history of building successful relationships across the business. Ambiguity intrigues you and you are comfortable working in a space that is not always black and white. You are self-motivated, have an eye for detail, and can work in an environment with consistently shifting priorities. If this sounds like you, apply today! 

  • Qualifications

    Qualifications

    REQUIRED:

    • Associate's degree or direct and applicable work experience.
    • 1+ years’ experience in a compliance, legal, risk management or similar role.
    • Effective verbal and written communication skills with appreciation for confidentiality and sensitivity to the nature of the work. Strong documentation skills.
    • Self starter with the ability to work independently and proactively; ability to work collaboratively as a team to achieve defined goals, projects and/or objectives.
    • Analytical skills and careful attention to detail.
    • Ability to help facilitate and participate in informal and/or formal training sessions.
    • Proficiency with MS Office software applications.
    • Aptitude to learn and stay current on compliance best practices and industry regulations.

    PREFERRED:

    • Experience working with one or more government programs or compliance operations from within insurance, financial services or related industry. Medicare Advantage or Medicare Part D experience is a plus.​

    Additional Information

    a. Provide support for tasks and initiatives in support of the the compliance team/program; includes various administrative tasks such as keeping meeting notes, creating meeting agendas, providing audit support to include organizing repsonses and tracking deliverables, tracking Medicare Advantage procedure tracker resonses, etc. Ensure activities are on track for completion. b. Maintain data and create routine reports for Medicare Part D and Medicare Advantage. c. Support the maintenance of the Compliance Oversight Activities (COA) tool, including follow-up with business owners related to outstanding Compliance Assurance Process (CAP) items/information. d. Support day-to-day activities for the company’s ethics and compliance program and works to achieve the goals of the annual Compliance Program Plan as approved by the Compliance Committee of the Board of Directors and supported by the compliance office staff and the inter- departmental Compliance Team. e. Provide support in the creation of ethics and compliance related training and may participate in deliverings to employees through presentations, training classes, attendance at staff meetings, etc., as well as periodically to external audiences including, customers, non-employees, brokers and agents and providers. f. Provide support with executing the compliance monitoring plan and compliance risk assessment designed to maintain all elements required of an effective compliance program. g. Assist in the development and maintenance of policies and procedures in compliance with corporate policy governance rules. h. Assist with compliance monitoring and reporting for the Association’s Medicare Advantage Delegate Oversight Program. i. Assist in the preparation and development of materials that support the Compliance Officer’s Board communications and presentations or reporting to other corporate entities. j. Participate as needed in inter-departmental project teams, work groups and process improvement initiatives. k. Help ensure the company’s ethics and compliance program is proactive and consultative by interaction and partnering with all areas and individuals as needed. l. Other duties as assigned.

    AN EQUAL OPPORTUNITY EMPLOYER

    The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

    Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com