Healthcare Compliance Analyst

Job Summary: Reporting to, the Head of Corporate Compliance, the Healthcare Compliance Analyst is responsible for the building, implementation, and execution (by business segment) of Wellfleet’s Corporate Compliance program and all compliance activities. They will review and evaluate compliance issues/concerns within the assigned business segment as well as assessing compliance risks and controls, which includes issue escalation. In addition, the incumbent will communicate and promote compliance and adherence to the standards of conduct, laws, regulations and applicable policies and procedures. They will provide compliance related guidance to business segments assigned and facilitate communication on compliance related matters.
Minimum Qualifications:
• Minimum of 4+ years health care regulatory compliance related experience preferred
• Bachelor’s degree in related field preferred or 6+ years of relevant work experience or equivalent combination of education and experience
• Strong understanding of healthcare laws and regulations. Ability to interpret healthcare laws and regulations
• Solid risk assessment capabilities.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication skills.
• Excellent presentation and interpersonal skills.
• Ability to work in a fast-paced environment, think quickly, meet deadlines and adapt to various situations.
• Ability to understand complex problems, identify root causes, and remain goal-oriented within a dynamic environment.
• Ability to prioritize multiple work assignments simultaneously.
• Exhibits strong work ethic.
• Excellent analytical skills, with the ability to effectively identify, communicate, and address potential issues.
• Ability to work independently and as a team player.
• Ability to work effectively with peers, as well as business areas at all levels of the organization.
• Strong commitment to compliance & ethics.
Essential Job Duties and Responsibilities:
• Assist Legal and Business Areas with implementing new and/or existing regulations utilizing regulatory system
• Assist with the development and execution of Corporate Compliance Program (e.g., risk assessment, internal customer satisfaction survey, testing & monitoring of key regulations, internal complaints, policies & procedures, exam oversight, vendor oversight, compliance reporting (internal/external), issue reporting and escalation, training program, corrective action plans)
• Implementation and monitoring of business area compliance self-assessments
• Assist with testing & monitoring of key regulations, issues reporting and escalation, and corrective actions
• Research different laws, rules, and regulations by reviewing regulatory bulletins, federal updates, news briefs, and other sources of information
• Build/Maintain database of key fed/state regulations (e.g., Accident & Health, Voluntary Benefits)
• Assistance/coordination of market conduct exams
• Assist with the documentation of compliance guidelines and key compliance controls
• Assist with the automation of key compliance testing/monitoring/risk assessment.
• Development of Corporate Compliance job aids
• Participate in recurring compliance meetings with business areas
• Assists with reported complaints as necessary
• Assists privacy officer as needed in Investigating reported privacy concerns
• Assist with peer review of regulatory filings as needed
• Coordinates with Delegation Oversight Committee for oversight and reporting requirements of vendors, as needed
• Coordinates with License & Appointment Team, as needed
• Ability to travel up to 10%
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.
Creating and maintaining a work environment that promotes respect, dignity and diversity is important to us. Our mission is more than a piece of paper, it is a way of doing business. “We deliver customer centric insurance solutions with quality service and uncompromising ethics.” We have six pillars that we deliver through, all of which promotes positive employee practices.
Candidates requiring accommodation during any stage of our selection process should advise us of this; we will strive to work with individuals to find a suitable means to meet their needs.
Reporting to: Head of Corporate Compliance

• Minimum of 4+ years health care regulatory compliance related experience preferred
• Bachelor’s degree in related field preferred or 6+ years of relevant work experience or equivalent combination of education and experience
• Strong understanding of healthcare laws and regulations. Ability to interpret healthcare laws and regulations
• Solid risk assessment capabilities.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication skills.
• Excellent presentation and interpersonal skills.
• Ability to work in a fast-paced environment, think quickly, meet deadlines and adapt to various situations.
• Ability to understand complex problems, identify root causes, and remain goal-oriented within a dynamic environment.
• Ability to prioritize multiple work assignments simultaneously.
• Exhibits strong work ethic.
• Excellent analytical skills, with the ability to effectively identify, communicate, and address potential issues.
• Ability to work independently and as a team player.
• Ability to work effectively with peers, as well as business areas at all levels of the organization.
• Strong commitment to compliance & ethics.