Compliance Analyst

About This Role

This role supports the company's compliance program by executing, monitoring, and overseeing assigned compliance activities across the organization. The Compliance Analyst ensures continuous adherence to compliance policies, processes, contractual obligations, and regulatory requirements related to Medicare Advantage supplemental fitness benefits and associated operations. This position has a moderate impact on departmental productivity through timely completion of assigned responsibilities within the Compliance Workplan.

Responsibilities

• Perform timely annual review of the organization
• Partner with the Compliance Lead as a secondary subject matter expert in One Pass Compliance, providing leadership in owning operational compliance functions
• Manage end-to-end compliance training distribution via One Pass
• Address compliance hotline reports, ensuring thorough investigation, documentation of issue resolution, and client reporting in partnership with the Account Management team
• Perform internal monitoring and quality assurance reviews of exclusions screening processes and controls to ensure audit-ready screening records, including completeness and timely execution
• Respond to health plan clients
• Analyze submitted conflicts of interest surveys from new and existing employees, assessing for potential conflicts and identifying responses that warrant further follow up
• Partner in the development of the annual compliance workplan, identifying opportunities for auditing and monitoring for the advancement of the compliance program and risk management
• Collaborate with Product, Technology and Security teams in review of cross-departmental projects, including the review of offshore vendors, controls for improved application usability in accordance with Privacy standards, and development of new products in compliance with applicable regulations, laws, and risk mitigation best practices
• Support Growth in providing timely compliance responses to RFPs while upholding company policy on confidentiality
• Participate in regular meetings with the One Pass Marketing team, reviewing proposed disclaimers and providing guidance on marketing collateral to ensure organization
• Report weekly to the Compliance Lead and Chief Compliance Officer on the status of compliance projects, including wins, challenges, and areas where support may be needed to ensure timely delivery of compliance workplan areas
• Uphold the Compliance Program and Code of Conduct, exemplifying the highest standards of compliance and ethics

Requirements

• Bachelor
• 2 to 4 years of related work experience in healthcare compliance, regulatory affairs, auditing, risk management, or a related healthcare operational role, with demonstrated knowledge and experience supporting compliance programs, audit support, investigations, training administration, and regulatory oversight