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Compliance Analyst jobs at Brokers International

- 12 jobs
  • Senior Compliance Analyst (Risk Assessment and Oversight) - Remote

    Prime Therapeutics 4.8company rating

    Des Moines, IA jobs

    At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute assigned Compliance Oversight activities, which may include validating compliance gap closures throughout the business, partnering to facilitate company-wide Compliance Risk Assessment, and conducting new and ongoing compliance oversight activities to ensure alignment with regulatory expectations. **Responsibilities** + Conduct Compliance Oversight activities in effort to prevent, detect, and correct compliance concerns. + Lead project management efforts for highly sensitive Compliance initiatives + Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions + May collect, prepare and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports + Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary + May execute and enhance Prime's compliance programs by developing, maintaining and delivering compliance documentation and training, administering the annual conflict of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies + Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance programs document requirements or disciplinary actions and escalate findings as appropriate + Respond to requests for information and proposals, develop/revise/maintain departmental SOPs and other supporting documentation + Other duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** + Exceptional written and oral communication skills + Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations + Complete understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards and programs to support an organization's compliance priorities + Ability to effectively present complex information to a wide variety of audiences + Ability to establish rapport and effectively influence at all levels within an organization + Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously + Strong analytical skills **Preferred Qualifications** + PBM/health care experience related to Medicare, Medicaid, Commercial, HIM + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) + Advanced degree in related area of study, such as Juris Doctor **Physical Demands** + Ability to travel up to 10% of the time + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _ _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
    $74k-118k yearly 60d+ ago
  • CAT Modeling Analyst III

    UFG Insurance 4.7company rating

    Cedar Rapids, IA jobs

    UFG has an exciting opportunity for a Catastrophe Modeling Analyst III to work with our growing team where this individual will be analyzing property data to determine UFG's view of the catastrophe risk. The major responsibilities will include preparing catastrophe modeling data from various data sources, modeling the data by utilizing catastrophe model/(s), communicating the outcomes and providing recommendations to the senior management team to quantify the risk. The candidate will collaborate with internal customers (direct and assumed businesses) to develop adequate pricing, ratemaking, and exposure management strategies that drive towards profitable growth of the company. Responsibilities: * Collaborate with data engineers and underwriters in gathering the data needed for catastrophe modeling as well as improving data accuracy and completeness; organize, scrub and prepare the data for model ready import files using valuation tools including SQL/Excel. * Analyze the risks for data quality, accuracy, and completeness; provide recommendations to management to enhance decision-making. * Run analyses using proprietary catastrophe model such as RMS, generate outputs to analyze the loss results and help determine the degree of risks of various perils. * Support the underwriting and actuarial teams by interpreting the modeling outputs for growth and rate-making. * Prepare analytical reports to understand the portfolio as well as concentration of risks. * Assess catastrophe risk arising from direct and assumed business. * Perform scenario modeling to analyze the impact of growth or reduction within the existing book. * Support improvements efforts to increase consistency, efficiency, and compliance with internal standards. * Stay well versed with the continuously changing catastrophe modeling industry and the models. * Respond to real-time catastrophic events, prioritizing over all else by computing potential losses as soon as the data is received, and inform the outcome to senior management once computed. * Effectively communicate information and results to a variety of technical and non-technical audiences across the organization. Qualifications: Education: * Bachelor's degree. * Bachelor of Science degree in Mathematics, Data Science, Statistics, Computer Science, or related field preferred. * Either a minor concentration or additional degree in Meteorology preferred. Certifications/Designations: * Employees are expected to participate in continuing education throughout their careers. * Possess, or working towards, an CCRA, CEEM, and/or ARe certification preferred. Experience: * 6+ years of catastrophe modeling experience. Working Conditions: * General Office Environment. * Up to 10% travel for quarterly office visit and occasional conferences. Skills & Knowledge: Skills: * Advanced proficiency with Excel, Power Point, SQL, Tableau. * Advanced analytical, technical, problem solving, time management, critical thinking, and project execution skills * Strong verbal and written communication skills including the ability to effectively collaborate with multi-disciplinary groups and all organizational levels. * Able to work independently and in a team environment Knowledge: * Strong Knowledge of catastrophe modeling software such as RMS and AIR. Pay Transparency Statement: UFG Insurance is committed to fair and equitable compensation practices. The base salary range for this position is $103,222 - $136,105 annually, which represents the typical range for new hires in this role. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data. In addition to base salary, UFG Insurance offers a comprehensive total rewards package that includes: * Annual incentive compensation * Medical, dental, vision & life insurance * Accident, critical Illness & short-term disability insurance * Retirement plans with employer contributions * Generous time-off program * Programs designed to support the employee well-being and financial security. This pay range disclosure is provided in accordance with applicable state and local pay transparency laws.
    $103.2k-136.1k yearly 49d ago
  • Director of Compliance

    Integrity Marketing Group 3.7company rating

    Urbandale, IA jobs

    This position will work directly with the Chief Compliance Officer (CCO)/ Chief Operating Officer (COO) and will manage and oversee compliance related functions for Brokers International Financial Services, LLC. The Director will direct programs, policies, and practices to ensure that all business units are in compliance with rules and regulations and tracks changes in regulations that might affect the organization's policies and implements necessary changes. Essential Job Functions * Assist CCO in development and maintenance of firm policies, procedures, and guidelines. Manage day-to-day operation of the firm's compliance and AML programs. * Contribute to the development of an effective compliance training program, including appropriate introductory training for new employees and registered representatives as well as ongoing training. * Manage a team of compliance professionals, including supervision, task assignment, training, evaluation, coaching, and employee development. * Lead annual audits, reviews, and testing of compliance programs to identify any gaps and/or areas of improvement. * Assist in the preparation of responses to regulatory inquiries and examinations, and customer complaints. Assist with internal reviews, investigations, and disciplinary process of supervised persons. Oversee regulatory filings for the organization's entities. * Proactively review business activities to identify potential regulatory, compliance, and reputational risk. Develop/initiate corrective action for the identified risks. * Provide regulatory and compliance guidance to business on ongoing basis. Partner with other departments to collaborate and promote compliance efforts. Participate in organization committees on behalf of compliance. * Monitor and evaluate industry trends, regulatory changes, and best practices and make recommendations for improvements to internal processes and procedures. * Other duties as assigned. * Travel up to 10%. Knowledge, Skills, and Abilities * Must display Core Values * Advanced technical knowledge and advanced understanding of broker-dealer and RIA business processes. * Thorough understanding of rules, regulations and legal requirements of the SEC, FINRA, MSRB, AML and state securities regulators. * Proficiency with examination principles and practices for the securities industry. * Must be able to learn use of internal and third-party systems. * Ability to identify, weigh and convey potential risks. * Ability to communicate effectively with all levels of management. * Ability to develop and implement effective strategies and short/long term planning. * Maintains high standards of confidentiality of all information. Experience and Education * Financial Services Industry experience required. Prior Broker Dealer and RIA experience preferred. Product knowledge in variable life, variable annuities, mutual funds, managed accounts, financial planning and securities a plus. * Four-year college or university program and six to eight years related experience and/or training; or equivalent combination of education and experience. * FINRA Series 7 and 24 required, Series 66, Series 65, Series 53, and Series 4 preferred or required within 6 months; Insurance and state securities license(s) in state(s) of operation for life, health, and variable annuity may be required. About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.
    $66k-91k yearly est. Auto-Apply 60d+ ago
  • Compliance Analyst, BD and Advertising Compliance

    Fidelity & Guaranty Life Insurance Company 4.0company rating

    Des Moines, IA jobs

    Job Description This position serves as a critical compliance resource and will work closely with the Chief Compliance Officer on oversight of Fidelity & Guaranty Securities Corp., a registered broker dealer ensuring strict adherence to federal and state securities and insurance regulations, including SEC and FINRA. This positions will also be responsible for ensuring advertising compliance with all state advertising laws and regulations for all F&G products. This position reports to Director, Product and Advertising Compliance Duties and Responsibilities Broker Dealer Compliance (60%) Ensure compliance with FINRA, SEC and state insurance department regulations Maintain all policies and procedures for Fidelity & Guaranty Securities Corp., a registered broker dealer. Review and monitor correspondence. Identify potential compliance risks, and apply regulatory requirements to the broker dealer's structure. Prepare and submit all FINRA required filings and reports. Maintain accurate documentation for regulatory examinations. Assist with various exams and audits both internal and external relating to broker dealer. Ad Review Process Support (40%) Review and approve all assigned advertising material to ensure adherence with applicable FINRA, SEC, and state insurance regulations. Research and review applicable FINRA, SEC, and state insurance advertising regulations ensuring continued compliance and addressing any changes impacting F&G business lines. Partner with stakeholders to provide guidance on advertising laws, regulations, and compliance issues. Build and maintain strong working relationships with stakeholders to understand business needs. Assist with preparation and presentation of periodic advertising training to internal stakeholders. Other Responsibilities Acts as a company resource with respect to broker dealer, advertising and other related issues through special assignments and committees. Represents Compliance and F&G at various internal and external meetings. Experience and Education Requirements Bachelor's degree in business, English or related field or equivalent relevant work experience required. ALMI, FLMI or AIRC preferred. Series 6, 26, and 63 required Minimum of three years of experience in the insurance industry with a concentration on life insurance and annuity products. Experience with compliance, controls and auditing processes. Experience in FINRA and SEC supervision and best practices Knowledge of life insurance and securities industry rules, regulations, and best practices Knowledge of variable products and services Knowledge, Skills & Abilities Strong verbal and written communication skills. Detail oriented with strong organizational skills. Strong analytical skills and critical thinking abilities. Ability to work independently and collaborate across multiple departments. Aptitude to perform in a fast-paced production environment while addressing multiple projects and responsibilities. Other Requirements Perform other functions, duties and projects as assigned Regular and punctual attendance Some travel may be required (less than 10%) #LI-JB1 #LI-Remote Additional Information Work Environments F&G believes in an employee-centric flexible environment, which is why we offer the ability for in-office, hybrid and remote work arrangements. During the hiring process, you'll work with your leader to decide what works best for your role. F&G complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities, unless such accommodation would cause an undue hardship for F&G. If reasonable accommodation is needed to participate in the job application or interview process, please contact ****************************. Join our employee-centric hybrid work environment: F&G Careers About F&G Since 1959, Fidelity & Guaranty Life Insurance Company (F&G) has offered annuity and life insurance products to those who are seeking security in retirement and protection during life's unexpected events. As a national Top Workplace1, an Iowa Top Workplace2 and a proud equal opportunity employer, F&G team members are empowered, collaborative, dynamic and authentic. We believe that by embracing these values, we will continue to build and strengthen the company while continuing to be a great place to work. 1Top Workplaces USA 2022 - 2023 2Des Moines Register Top Workplaces 2018 - 2022 Notice for all Applicants who are California residents under the California Privacy Rights Act. Please click here to review the policy.
    $49k-66k yearly est. 20d ago
  • Compliance Analyst II, DentaQuest (Iowa Resident)

    Sun Life of Canada 4.3company rating

    Des Moines, IA jobs

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities. How you will contribute: Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients. Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans. Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies. Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints. Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams. Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals. What you will bring with you: Bachelor's degree is required 3+ years of experience in compliance, legal or regulatory functions 1+ years of health care or insurance benefits experience Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. Ability to attend additional training as requested/deemed necessary Ability to attend in-person regulatory meetings with Agency personnel Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures Ability to interpret laws and regulations and communicate that information to management and line personnel Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses Ability to discern risks and recommend controls to mitigate regulatory compliance Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts Strong writing skills, with extensive policy and procedure writing experience required Strong verbal communication skills Strong collaborative skills, as well as analytical, problem-solving and decision-making skills Meticulous organizational skills and attention to detail Strong PowerPoint and advanced Excel capabilities preferred Must reside in the state of Iowa, USA Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 14/01/2026
    $53k-71k yearly est. Auto-Apply 7d ago
  • Compliance Analyst II, DentaQuest (Iowa Resident)

    Sun Life Financial 4.6company rating

    Des Moines, IA jobs

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities. How you will contribute: * Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients. * Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans. * Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies. * Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints. * Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams. * Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals. What you will bring with you: * Bachelor's degree is required * 3+ years of experience in compliance, legal or regulatory functions * 1+ years of health care or insurance benefits experience * Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. * Ability to attend additional training as requested/deemed necessary * Ability to attend in-person regulatory meetings with Agency personnel * Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures * Ability to interpret laws and regulations and communicate that information to management and line personnel * Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses * Ability to discern risks and recommend controls to mitigate regulatory compliance * Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure * Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts * Strong writing skills, with extensive policy and procedure writing experience required * Strong verbal communication skills * Strong collaborative skills, as well as analytical, problem-solving and decision-making skills * Meticulous organizational skills and attention to detail * Strong PowerPoint and advanced Excel capabilities preferred * Must reside in the state of Iowa, USA Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 14/01/2026
    $46k-64k yearly est. Auto-Apply 6d ago
  • Senior Compliance Analyst - Retirement Solutions

    Transamerica 4.1company rating

    Cedar Rapids, IA jobs

    Job Family Regulatory Compliance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Supports Transamerica's retirement compliance program for record-keeping and fiduciary administration services provided to our qualified retirement plan clients. Helps to mitigate legal exposure/risk to the organization by enforcing company policies, procedures and applicable regulatory requirements. Possesses and applies broad knowledge of business and regulatory concepts and principles; works with minimal instruction or guidance with applicable latitude for unreviewed action or decisions; performs more complex assignments with minimal direction and guidance from management. Responsibilities: Perform risk-based independent compliance testing for the record-keeping and fiduciary administration affiliates. Maintain and update assigned compliance risk assessments, as part of the team's annual compliance monitoring plan. Monitor federal/state laws and regulations, as well as applicable rulings, notices and guidance, as they pertain to qualified retirement plan administration and record-keeping services, and advise senior leadership of impact to current processes. Evaluate process workflows/maps to identify potential areas of risk (e.g. - regulatory, legal, operational, reputational, etc.) and effectiveness of key controls. Act as a trusted advisor to the record-keeping and fiduciary administration affiliates regarding best practices and remediation of regulatory compliance concerns. Contribute to the development of new and/or enhanced compliance programs and enterprise-wide initiatives. Update and maintain complete and accurate compliance logs or files. Assist team members with research and assigned tasks. Create and present compliance training, as necessary. May assist management with highly complex projects and coaching/development of staff. Maintain open communication with business process owners on testing scope, objectives and progress. Coordinate and conduct meetings and interviews with business process owners and staff; gather data, procedures and other documentation necessary for performing assigned compliance testing. Propose testing scope, review internal controls and compare records, operating practices, and documentation with test attributes applicable to assigned audits. Document tests and findings; appraise adequacy of internal compliance controls, propose recommendations and coordinate/document corrective action plans. Draft compliance reports and present/discuss findings with business process owners and senior management. Active participation in the periodic compliance risk assessment process, development of annual testing plans, scheduling/assignment of testing, and design of compliance testing programs. Qualifications: Bachelor's degree or equivalent education and experience. Four years of qualified retirement plan administration experience. Working knowledge and oversight experience in the following regulatory compliance areas as applicable to qualified retirement plans: ERISA/DOL/IRS regulatory and qualification requirements for single employer and MEP/PEP retirement programs, EPCRS guidelines, and applicable plan/participant reporting and disclosure requirements. Written and verbal communication skills. Successfully present complex technical information to non-technical audiences. Analytical and research skills. Proficiency using MS Office tools. Preferred Qualifications: Industry certifications preferred (e.g. - QPA, QKA, QKC) Working Conditions: Hybrid working environment: Baltimore, Cedar Rapids, Philadelphia, Denver Compensation: The Salary for this position generally ranges between $82,000 - $90,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. #LI-BD1 Applicants must possess legal authorization to work for our company in the U.S. without the need for immigration sponsorship or otherwise serving as an employer of record for immigration employment purposes. At this time, this role is not eligible for immigration-related employment authorization sponsorship. This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation in order to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits Competitive Pay Bonus for Eligible Employees Benefits Package Pension Plan 401k Match Employee Stock Purchase Plan Tuition Reimbursement Disability Insurance Medical Insurance Dental Insurance Vision Insurance Employee Discounts Career Training & Development Opportunities Health and Work/Life Balance Benefits Paid Time Off starting at 160 hours annually for employees in their first year of service. Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. Adoption Assistance Employee Assistance Program College Coach Program Back-Up Care Program PTO for Volunteer Hours Employee Matching Gifts Program Employee Resource Groups Inclusion and Diversity Programs Employee Recognition Program Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $82k-90k yearly Auto-Apply 46d ago
  • Compliance Analyst - WFG & TFA

    Aegon 4.4company rating

    Cedar Rapids, IA jobs

    Job Family Regulatory Compliance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Assist in mitigating legal exposure/risk to the WFG & TFA organizations by enforcing company policies, procedures, and regulatory requirements, by using basic knowledge of compliance concepts and principles. Work with instruction or guidance with applicable latitude for un-reviewed action or decisions; perform general assignments with direction and guidance from management. Responsibilities * Review WFG & TFA policies and procedures; identify and help to implement new and/or enhanced practices. * Analyze processes, services, and products and provide ongoing guidance to ensure compliance with regulatory and statutory requirements. * Compile information for completion of reporting, including reports for management and state/federal regulators. Based on the complexity of requests, perform analysis, identify trends, and follow up on opportunities for enhancement. * Update and maintain complete and accurate policies, procedures, compliance logs, and files. * Analyze company responses to regulatory complaints and assist with completion. * Coordinate regulatory examinations. * Gather information for regulatory (e.g., state insurance department, FINRA, SEC) and internal examinations. * Review provided information for completeness and accuracy. * Assist in identifying root causes of adverse findings and suggesting opportunities for enhancements. * Support the review and response to customer complaints and regulatory inquiries (e.g. FINRA, SEC) with direction from senior levels by gathering information. Qualifications * Bachelor's degree in business, marketing, pre-law or other relevant field, or equivalent education and experience * A basic knowledge of the securities laws, regulations, and rules * Written and verbal communication skills * Analytical and research skills * Proficiency using MS Office tools Preferred Qualifications * Series 7 & 24 or Series 6 & 26, as applicable * Regulatory, securities, or advertising compliance experience Working Conditions * This is a hybrid position requiring three days (Tuesday-Thursday) in office per week in one of our hub locations (Cedar Rapids, Baltimore, Philadelphia, or Denver). * Relocation assistance will not be provided for this position Compensation The salary for this position generally ranges between $50,000 - $60,000annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 6% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. #LI-HR1 This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * College Coach Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $50k-60k yearly Auto-Apply 33d ago
  • Compliance Analyst Principal (Performance and Oversight) - Remote

    Prime Therapeutics 4.8company rating

    Des Moines, IA jobs

    Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance Principal is responsible for supporting Oversight and Monitoring of Compliance Programs by directing and assisting leaders in the implementation, monitoring, and maintenance of regulatory requirements throughout the enterprise. This position acts as the subject matter expert on applicable regulations, training, and awareness programs, and for responding to compliance-related inquiries. **Responsibilities** + Successfully manage Riskonnect Compliance module. As a technical SME for the Riskonnect Compliance module, provide expert guidance on compliance-related matters within the platform. + Guiding a product from ideation to launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas and other subject matter experts to identify compliance requirements, assess risks, and recommend compliant solutions that support enterprise goals + Conducts analysis to create written reports, process flows, and other documentation. Represent AVP of compliance and managers in work groups, committees, and special meetings when needed + Leads and supervise employees on assigned tasks, project risk assessments and manage relationships to help ensure efficient and effective solutions are implemented + Perform and review detail plans to address complex compliance issues by identifying goals, objectives, and risks to achieving compliance outcomes. Coordinate with business owners to implement corrective action plans + Develops compliance communication for risk assessment and corrective action plans for the Chief Compliance Officer's reporting to the Corporate Compliance Committee (CCC) and Finance, Compliance & Audit Committee (FCA) meeting materials. + Act as a liaison between technical and non-technical staff, communicating business requirements in a clear and understandable way. + Collaborate with internal and external vendor IT teams to ensure systems are configured and maintained properly. + Oversee the implementation and maintenance of Compliance system modules + Monitor system performance and make recommendations for improvements. + Other duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) + Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship. **Additional Qualifications** + Exceptional written and oral communication skills + Demonstrated ability to apply critical thinking skills to proactively identify issues and problem solve through the most complex compliance and ethics situations + Extensive experience assessing training requirements and developing, delivering and assessing effective enterprise compliance and ethics training programs through a variety of channels + Expert level understanding of effective compliance and ethics program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges and experience developing new concepts, techniques, standards and programs to support an organization's compliance and ethics priorities + Extensive experience establishing rapport and effectively influencing all levels within an organization + Advanced organizational skills with the ability to effectively work on multiple projects simultaneously **Preferred Qualifications** + Previous leadership/people management experience + PBM/health care experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience **Physical Demands** + Ability to travel up to 20% of the time + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _ _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
    $47k-64k yearly est. 60d+ ago
  • Sr. Compliance Analyst, DentaQuest (Iowa)

    Sun Life of Canada 4.3company rating

    Des Moines, IA jobs

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: The Senior Compliance Analyst (SCA) will provide a broad range of compliance services in support of the business of DentaQuest and its affiliates (the “Company”). Their primary responsibility is for the end-to-end servicing of state and health plan contract work, from generating the initial client contract draft, coordinating approvals and execution, tracking implementation, and preparing submission of all client audits of those contracts. How you will contribute: Manage approval process for new contracts and amendments, including scheduling meetings with subject matter experts, legal and clients as required. Capture internal and external revisions throughout the drafting process. Prepare final contracts/amendments for execution. Quality check and ensure appropriate SME approvals are captured for all amendments and contracts prior to obtaining signature(s). Identify any inconsistencies in SME approvals and amendment changes and escalate. Maintain database or other storage solution for executed contracts Intake client audit requests, including audit tools, from clients and disseminate deliverable requirements with appropriate background and context to internal subject matter experts Review and ensure complete and accurate audit responses prior to client submission Host onsite and desktop audits with clients, including the coordination of SME interviews with the clients Audit contract compliance and metric requirements Cultivate and maintain professional relationships with DentaQuest clients Intake or generate new contracts and amendments to analyze and assign sections to appropriate departments. Other duties as needed or required What you will bring with you: Bachelor's degree is required 3 + years of experience in compliance, legal or regulatory functions 1+years of health care or insurance benefits experience Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. Ability to attend additional training as requested/deemed necessary Ability to analyze laws and regulations and identify and prioritize relevant content for updating policies and procedures Ability to interpret contract provisions, laws and regulations and communicate that information to management and line personnel Ability to analyze contract risks and recommend controls to solution for risk Ability to assume a reasonable level of individual responsibility, to handle multiple projects and responsibilities at the same time and to work collaboratively in a nonhierarchical department structure Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts Strong writing skills, with extensive policy and procedure writing experience required Strong verbal communication skills Strong interpersonal and collaborative skills, as well as analytical, problem-solving and decision-making skills Meticulous organizational skills and attention to detail Strong PowerPoint and advanced Excel capabilities preferred Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 29/01/2026
    $59k-78k yearly est. Auto-Apply 1d ago
  • Compliance Analyst II, DentaQuest (Iowa Resident)

    Sun Life 4.6company rating

    Des Moines, IA jobs

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must reside in Iowa The opportunity: Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities. How you will contribute: Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients. Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans. Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies. Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints. Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams. Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals. What you will bring with you: Bachelor's degree is required 3+ years of experience in compliance, legal or regulatory functions 1+ years of health care or insurance benefits experience Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations. Ability to attend additional training as requested/deemed necessary Ability to attend in-person regulatory meetings with Agency personnel Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures Ability to interpret laws and regulations and communicate that information to management and line personnel Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses Ability to discern risks and recommend controls to mitigate regulatory compliance Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts Strong writing skills, with extensive policy and procedure writing experience required Strong verbal communication skills Strong collaborative skills, as well as analytical, problem-solving and decision-making skills Meticulous organizational skills and attention to detail Strong PowerPoint and advanced Excel capabilities preferred Must reside in the state of Iowa, USA Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Compliance Posting End Date: 14/01/2026
    $46k-64k yearly est. Auto-Apply 5d ago
  • Senior Compliance Analyst - Remote

    Prime Therapeutics 4.8company rating

    Des Moines, IA jobs

    At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance hotline inquiry management and investigations, compliance education and communications, governance reporting, as well as executing program effectiveness self-assessments and data-driven reporting or dashboards. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance. + Lead project management efforts for highly sensitive Compliance initiatives. + Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions. + May collect, prepare, and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports. + Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies, and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary. + Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance; document requirements or disciplinary actions and escalate findings as appropriate. + Other duties as assigned. **Education & Experience** + Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required. + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) + Must be eligible to work in the United States without need for work visa or residency sponsorship. + Must be eligible to work in the United States without the need for work visa or residency sponsorship. **Additional Qualifications** + Experience with managing compliance investigations or incident response, supporting compliance education and communication activities, and/or compliance program effectiveness assessments and reporting, including experience with Microsoft SharePoint and 365 apps (i.e., Teams, Forms, Lists, Power BI). + Exceptional written and oral communication skills + Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations. + Complete understanding of effective compliance program principles, concepts, practices, and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards, and programs to support an organization's compliance priorities + Ability to effectively present complex information to a wide variety of audiences + Ability to establish rapport and effectively influence at all levels within an organization. + Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously. + Strong analytical skills **Preferred Qualifications** + Pharmacy services, PBM, managed care or health care industry experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) + Advanced degree in related area of study, such as Juris Doctor **Physical Demands** + Ability to travel up to 10% of the time. + Constantly required to sit, use hands to handle or feel, talk, and hear. + Frequently required to reach with hands and arms + Occasionally required to stand, walk, and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _ _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
    $74k-118k yearly 12d ago

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