Compliance Coordinator jobs at Centene - 301 jobs

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Oversees contractual and regulatory requirements necessary to service Medica's contracts with the Department of Human Services. Includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and contract adherence activities in accordance with Medica standards. Submits regulatory reports to DHS, responds to internal inquiries and DHS inquiries following Medica Regulatory Adherence team process. Performs other duties as assigned. Key Accountabilities Track State Medicaid Regulatory Requirements Communicate regulatory changes to internal teams, track adherence to new requirements Review and submit materials to State Medicaid agency Conduct quality check and submit reports as assigned Required Qualifications Bachelor's degree or equivalent experience in related field 3 years of work experience beyond degree This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Symetra has an exciting opportunity to join our AML Compliance team as aCompliance Consultant! About the role As a Compliance Consultant, you will support the execution, maintenance, and continuous improvement of Symetra's Anti-Money Laundering (AML) and OFAC compliance programs to include its subsidiaries. You will play a key role in identifying, assessing, and mitigating financial crimes risks across the organization and partners closely with business and operational teams to ensure compliance with regulatory requirements applicable to a life insurance company. This role is well suited for an experienced AML professional with an insurance background, exposure to high-net-worth and foreign national risks, and the ability to analyze large data sets and leverage technology to drive risk-based outcomes. What you will do Support the development, maintenance, and implementation of AML and OFAC compliance policies, procedures, and controls in accordance with regulatory requirements and life insurance industry best practices. Perform monitoring, investigation, and documentation of suspicious activity, including alert review, case investigations, customer due diligence, sanctions screening results, and preparation of suspicious activity reports or referrals. Provide support to the periodic AML and OFAC risk assessments and controls testing, including analysis of high-risk customer segments such as high-net-worth individuals and foreign national policyholders. Analyze large volumes of data from multiple sources to identify trends, anomalies, and potential financial crimes risks, using technology and system tools to support efficient and effective reviews. Support the ongoing administration and optimization of the LexisNexis Bridger platform and related financial crimes systems, including screening logic, alert analysis, data quality reviews, and issue resolution. Partner with cross-functional stakeholders such as New Business, Operations, Technology, Legal, Risk Management, Special Investigations, Investments, and Finance to provide AML and OFAC guidance and ensure compliance considerations are embedded into business processes and system design. Provide subject matter guidance to first-line teams on AML, OFAC, and financial crimes requirements, red flags, and escalation expectations, with particular focus on insurance-specific and high-risk customer activity. Support the development and delivery of AML and OFAC training materials, including content related to high-net-worth and foreign national risks. Participate in enterprise and compliance-led initiatives related to financial crimes, regulatory change management, data and technology enhancements, and program effectiveness. Escalate identified risks, issues, or potential violations in a timely and well-documented manner, providing clear analysis and recommended actions. Why work at Symetra " If you want to work for a company that is always considering its employees while working towards sustainable growth this is that company. Within Symetra, there is always innovation, empowerment, and growth opportunities, all while providing us with a great work/life balance and incredible benefits for a very reasonable cost! " - Cindy G., Program Manager "If you're looking for a company that amplifies your talents, values your voice, and encourages continuous growth, Symetra is the place. I feel incredibly lucky to have found this opportunity-and I've never been happier in my career!" - Gina B., Medical Risk Manager What we offer you We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home. Flexible full-time or hybrid telecommuting arrangements Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6% Paid time away including vacation and sick time, flex days and ten paid holidays Give back to your community and double your impact through our company matching Want more details? Check out our Symetra Benefits Overview Compensation $87,900 - $146,500 annually plus eligibility for Company Annual Bonus Who you are High school diploma required College degree or equivalent experience required Eight or more years of experience in AML, OFAC, or financial crimes compliance, preferably within the insurance industry or a similarly regulated financial services environment. Experience supporting AML and OFAC compliance for life insurance products, including exposure to high-net-worth individuals, foreign national customers, enhanced due diligence considerations and data review and analysis. Strong working knowledge of financial crimes regulatory requirements applicable to life insurance companies, including the Bank Secrecy Act, USA PATRIOT Act, FinCEN guidance, OFAC regulations, and relevant state insurance fraud and financial exploitation requirements. Demonstrated experience analyzing large data sets and using technology-enabled tools to identify, assess, and document financial crimes risks. Hands-on experience performing AML investigations, sanctions screening reviews, risk assessments, controls testing, quality assurance activities and SAR filings. Strong analytical, organizational, and problem-solving skills, with the ability to manage complex information and exercise sound judgment. Excellent written and verbal communication skills, including the ability to articulate complex or sensitive issues in a clear and constructive manner. High level of personal integrity, professionalism, and commitment to confidentiality and ethical decision-making. Proficiency with Microsoft Office applications, including Excel, PowerPoint, Word, Teams, OneDrive, and SharePoint; experience with AML or sanctions screening systems (such as LexisNexis Bridger) preferred. We empower inclusion At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here. Creating a world where more people have access to financial freedom Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products--and operate our company--to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom. For more information about our careers visit: careers Work Authorization Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company. Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization committed to providing a positive experience for both employees and customers, Symetra has the following standards for employees' internet connection: Minimum Internet Speed:100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband." Internet Type:Fiber, Cable (e.g., Comcast, Spectrum), or DSL. Not Permissible:Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up. When applying to jobs at Symetra you'll be asked to test your internet speed and confirm that your internet connection meets or exceeds Symetra's standard as outlined above. Identity Verification Symetra is committed to fair and secure hiring practices. For all roles, candidates will be required (after the initial phone screen) to be on video for all interviews. Symetra will take affirmative steps at key points in the process to verify that a candidate is not seeking employment fraudulently, e.g. through use of a false identity. Failure to comply with verification procedures may result in: Disqualification from the recruitment process Withdrawal of a job offer Termination of employment and other criminal and/or civil remedies, if fraud is discovered

BBB National Programs BBB National Programs is where businesses turn to enhance consumer trust and consumers are heard. Privacy Coordinator WHO WE ARE We are a non-profit organization dedicated to fostering a more accountable and trustworthy marketplace. As the foremost thought leader on industry self-regulation, we are shaping the way that businesses and consumers interact with one another. As the home of U.S. independent industry self-regulation, we are currently operating more than twenty globally recognized programs that have been helping enhance consumer trust in business for more than 50 years. Our programs provide third-party accountability and dispute resolution services that address existing and emerging industry issues, create a fairer playing field for businesses, and a better experience for consumers. We continue to evolve our work and grow our impact by providing business guidance and fostering best practices in areas such as advertising, child-and-teen-directed marketing, data privacy, dispute resolution, automobile warranty, technology, and emerging areas. ABOUT OUR PRIVACY INITIATIVES BBB National Programs works with individual companies, industry groups, and regulators to develop, monitor, and enforce robust privacy standards. Our trusted privacy programs deliver independent accountability for privacy commitments, whether built on self-regulatory principles or legal requirements, tailored to respond to the unique privacy challenges presented by specific data types, like children's data, or use cases, such as emerging technologies and cross-border transfers. Together our programs drive the adoption of unified privacy practices, facilitate consumer education and choice, and offer consumers accessible, no-cost privacy dispute resolution. YOUR IMPACT The Privacy Coordinator provides day-to-day administrative, customer service, and billing support, assisting the lead(s), including the Deputy Director, Privacy Operations and Vice President, Global Privacy Division and Privacy Initiatives Operations, in administering the BBB EU-US Data Privacy Framework (DPF) Program and in implementing other related privacy initiatives, as needed, within the purview of the Privacy Initiatives team. The Privacy Coordinator assists with daily BBB National Programs DPF Program operations, including responding to applicant and participant inquiries, creating and maintaining accurate participant records, processing payments and issuing invoices. The Privacy Coordinator also supports the Program's compliance monitoring functions. ESSENTIAL DUTIES AND RESPONSIBILITIES Primary responsibility for screening new applications to the BBB EU-US DPF program, conducting initial reviews of posted privacy policies and other materials to check for eligibility. Maintains accurate records of applicants and participating businesses by updating company data in appropriate spreadsheets and databases. Serves as primary point of contact for new and renewing applicants, providing resources and general guidance, maintaining an open line of communication and responding professionally to inquiries, directing questions to management as needed. Provides guidance to participating businesses on the renewal process for both the Department of Commerce and DPF program as well as insights on other procedures such as company restructuring Monitors pending applicants, alerting management to red flags that may cause their application to be rejected. Coordinates execution and transmission of administrative documents (e.g., contracts, invoices) to new participants. Conducts reviews of all new applicant privacy policies, assisting applicants in meeting all DPF and BBB National Programs' requirements, reporting to the Deputy Director for final review. Conducts reviews of participating business compliance with DPF and Program administrative requirements during the annual account renewal process and follows up on deficiencies with participants as needed. As needed, assists Deputy Director with supporting participants as they pursue approval or re-certification from the Department of Commerce. Reports regularly to team on observed trends in the application process Provide thought leadership on trends, observations, and developments to support a forward-looking outlook for the program. Provide support to the Deputy Director and Vice President with identifying participants for the DPF verification program. WHAT YOU WILL BRING Must Have: Bachelor's degree (B. A.) degree from four-year College or university 2+ years of Privacy experience Attention to detail, organizational, and analytical skills Excellent written and verbal communication skills Proficiency in MS Office, including PowerPoint, Outlook, and Excel, and ability to work with Customer Relationship databases Self-starter with ability to multi-task on several projects Ability to create charts, graphs and tables to convey complicated information and sophisticated PowerPoint presentations about the program is highly desirable Let us know if you have: IAPP or other applicable certification (e.g. CIPP) Knowledge of international data privacy compliance, including DPF, CBPR, GDPR, or other frameworks, strongly preferred Public speaking skills, e.g. participation at industry conferences, webinar presentations, etc. WHAT WE OFFER: At BBB National Programs, we bring a growth mindset as we advance our mission and strive to foster trust, innovation, and competition in the marketplace, while cultivating a team of talented and engaged professionals who seek out new challenges and opportunities to catalyze our progress. We are an inclusive organization, bringing a dynamic environment that supports our employees and the meaningful work we do. Health & Welfare Benefits : You will be offered a comprehensive plan offering health, dental and vision plans, paid short-term disability insurance, and life insurance. Financial Well-Being : Build your retirement savings with our 401k plan matching up to 7% of your contributions. Time Off : You will have flexibility for the time you need off from work. We offer a variety of plans including vacation, personal, and sick leave. Wellness : We promote physical and mental wellness by providing a fully equipped on-site fitness center in our offices and an employee assistance program. Environment : Our modern headquarters in McLean, VA provides the space for creativity and collaboration, and the technology resources so you can be at your best. We believe that an inclusive workforce is a strength in fulfilling our mission. BBB National Programs is Great Place to Work Certified and has been named as a Best Place to Work for Working Daughters. BBB National Programs is proud to be an equal employment opportunity employer.

Salary Range: $66,273 - $99,409 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Grievance and Appeals Reports To:Supervisor, Grievance and Appeals GENERAL DESCRIPTION OF POSITION The Grievance and Appeals Coordinator is responsible for the beginning-to-end process of receiving, researching and resolving of new and existing member and provider grievance and appeals cases for all lines-of-business including any escalated step of the grievance and appeals process in accordance with state and federal regulatory requirements and SCFHP policies and procedures as set forth for each line of business. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Act as a back-up to the Grievance and Appeals Intake Specialist during times of high volume work and/or staffing shortages to ensure appropriate intake of new and existing grievance and appeal cases, assessing the priority of each case and routing to the appropriate staff. Ensure grievance and appeals cases are accurate and include the necessary elements for processing and resolving, giving special attention to those identified as "Expedite". Create clear and concise documentation in applicable system(s). Use good judgment and department resources to identify all issues and required actions within a case, appropriately categorize cases and identify required actions in accordance with state and federal regulations. Produce and manage outbound documents, correspondence and reports in a manner that meets required timeframes. Ensure adherence with state and federal regulatory timeframes for handling cases including acknowledging cases, resolving cases, monitoring effectuation of resolution, completing resolution letters and communicating with members and providers within required timeframes. Prepare case files for State Fair Hearings, Independent Review Entities or other escalated types of cases, including documentation of the Statement of Position and case narratives. Represent SCFHP in any hearing proceedings. Develop effective and professional working relationships with internal and external stakeholders and partners. Communicate effectively with members and providers orally and in writing. Contact members and providers to seek additional information or clarification regarding grievance and appeals cases and review and resolve issues by requesting medical records, notice of action, or any other pertinent information related to grievances and appeals from medical groups, delegated entities and/or providers. Perform complete, accurate and consistent data entry into system software applications in accordance with policies, procedures and instruction from the Manager of Grievance and Appeals Operations. Maintain case files by ensuring that they are documented in accordance with state and federal requirements and organized in a manner that adheres to SCFHP standards and audit requirements. Participate in retrospective audit and review of cases and complete and correct gaps or errors in data. Identify operational issues and trends with SCFHP, delegates and other external stakeholders. Communicate these issues internally and externally and assist in formulating appropriate remediation plans. Assist the Manager of Grievance and Appeals Operations and peers with special projects. Work collaboratively and cross-functionally with other departments to facilitate appropriate resolutions. Work as a team to complete departmental tasks to meet deadlines and accomplish department objectives. Attend and actively participate in Grievance and Appeals Committee meetings, operational meetings and department meetings, trainings and coaching sessions. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. High School diploma or GED. (R) Associate's degree or equivalent experience, training or coursework. (D) Minimum two years of experience in customer service, provider service, health service, or pharmacy in a managed care or health care environment handling escalated or complex issues. (R) Knowledge of health plan benefits, processes and operations. (R) Prior experience with commercial, Medi-Cal and/or Medicare programs and working with the underserved populations. (R) Work weekends and company holidays as needed based on business regulatory requirements. (R) Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D) Detail-oriented with the ability to conduct research and identify steps required to resolve issues and follow through to effectuation.(R) Proficient in adapting to changing situations and efficiently alternating focus between tasks to support the Grievance and Appeals Department operations as dictated by business needs (R) Ability to consistently meet grievance and appeals accuracy and timeline requirements by achieving regulatory standards. (R) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word and Excel. (R) Ability to use keyboard with moderate speed and a high level of accuracy. (R) Excellent communications skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, Members, Providers and outside entities over the telephone, in person or in writing. The ability to remain calm and de-escalate tense situations. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely with respect to others, to property and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment; (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office and call center conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

Position Title: Insurance License and Compliance Coordinator Location: Chicagoland area preferred; remote candidates encouraged to apply Employment Type: Full-Time Salary Range: $76,000-$95,000 annually, eligible for annual bonus for meeting performance goals Company Background: Highstreet Insurance Partners (Highstreet) is one of the fastest-growing insurance agencies in the U.S. Founded with the mindset of putting people first, Highstreet brings technical and industry experience together to serve and protect customers while providing its internal teams with the tools and resources to grow. We love to help people pursue life's opportunities with tenacity and confidence to create stronger, more resilient communities. We do it for all our futures. The Insurance License and Compliance Coordinator will be an integral member of the Highstreet legal team, meaningfully impacting one of Highstreet's most significant stated goals - providing consistent and delightful experiences to its employees. Day-to-day, this role will collaborate extensively with Highstreet's in-house legal team, third-party service providers and Highstreet business units in need of advice and support relating to insurance licenses and other industry compliance matters. This is an opportunity to join a growing company and legal team in a role with potential for development and advancement. We provide a competitive compensation and benefit package, including medical insurance, phone stipend, and a 401(k) match of up to 4% of salary. Key Areas of Responsibility: The following is a listing of initial key areas of responsibility: Administering Highstreet's enterprise-wide business entity and insurance producer license program (through the use of a recognized cloud-based industry licensing platform) Supporting (and, where appropriate, defining) other industry compliance activities of the company Working with other members of the Highstreet team on special projects and initiatives Desired Competencies, Attributes: 3-5 years minimum of experience of demonstrated success in any of the following: the insurance agency/brokerage industry; a paralegal position; or any other business or function in which an aptitude for rapid learning and admirable communication is/was a requirement Strong organizational skills and time management High proficiency with Microsoft Excel, as well as Outlook and Word Chicagoland candidates preferred; Remote workers welcome to apply Key Personal Attributes: Treats people with respect and dignity Keeps commitments and demonstrates exceptional follow-through Team-first orientation; high integrity, and mature character Positive, “get-it-done” personality Sense of urgency Exhibits confidence in self and others Comfortable expressing vulnerability Effectively influences outcomes and gives appropriate recognition to others Work Environment: Will report to a member of the Highstreet legal team Flexible remote work schedules are supported Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position as described above.

Objective, Typical Duties and Responsibilities We're currently seeking a Compliance Specialist to support the firm's Compliance Program. You will report to Manager-Compliance Operations Develop and manage a Compliance Department activity reporting system. Represent the compliance department in resolving issues involving new accounts set up with Operations and Accounting departments. Monitor general department email inboxes and/or department ticketing system reports to assure timely response or escalation if necessary to inquiries and information received. Provide support, education, and guidance to Financial Representatives and their staff as it relates to business processes, firm policies and procedures, industry rules, and other general inquiries. Assist management and other compliance personnel with the completion of various projects and testing. Other duties as assigned. Position Requirements Bachelor's degree (B.A./B.S.) in a related discipline required. Minimum two (2) years of Compliance and/or regulatory experience within both RIA and broker-dealer business segments., Series 7, 24 (or 26), 63, 65 (or 66), Series 53 (or 51), and Life, Health, & Variable Annuity Insurance Licenses (or the ability to obtain within 120 days of hire). Strong working knowledge of both brokerage and investment advisory business concerning the regulatory framework in which they operate. A deep understanding of industry rules governing supervision, suitability, and registrations. Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Preference Given to Candidates with the Following Qualifications: Have previous experience with and a thorough understanding of regulatory requirements under Reg-BI and PTE 2020-02. Already hold a Life, Health, & Variable Annuity license. Compensation The salary for this position generally ranges between $75,000-90,000. This range is an estimate, based on candidate qualifications and operational needs. The firm also has a bonus program. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Perks & Benefits (continued) Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity About World Investment Advisors As part of World Insurance Associates, LLC World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier wealth management and retirement plan investment advisory services to individuals, high net worth families and employers. Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GP1 #LI-REMOTE

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you\. **As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting** \. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders\. We're seeking individuals who excel in problem\-solving through critical thinking, and who are adept at time management and prioritizing daily tasks\. You should be self\-motivated, flexible, and thrive in a fast\-paced environment\. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities\. **You will be a great match for this role if you have:** - 3 years of experience in a clinical setting - Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. - Exceptional customer service skills - Must live within the following counties: Maury, Marshall, Giles, Lawrence Counties - Available for an 8:00am - 5:00pm EST\(no on call\) schedule, with the option \(upon management approval\) to work a compressed work week after 1 year\. **Job Responsibilities** + Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living\. + Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member\. + Conduct thorough and objective face\-to\-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho\-social, financial, and employment and independent living expectations\. + Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met\. + Valid Driver's License\. + TB Skin Test \(applies to coordinators that work in the field\)\. + Position requires 24 months in role before eligible to post for other internal positions\. + Various immunizations and/or associated medical tests may be required for this position\. **Job Qualifications** _Experience_ + 2 years \- Clinical experience required _Skills\\Certifications_ + PC Skills required \(Basic Microsoft Office and E\-Mail\) + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal and organizational skills _License_ + Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. This position will cover members that live in Maury, Marshall and Bedford Counties\. Preference will be given to candidates who reside less than 50 miles to those areas\. Employees who are required to operate either a BCBST\-owned vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST\-Owned Vehicle" Policy \(for employees driving personal or rental vehicles only\); and maintaining an acceptable motor vehicle record \(MVR\)\. \*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

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: 12/02/2026

About PHOENIX PHOENIX Retail, LLC is a retail platform operating the Express and Bonobos brands worldwide. Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern, confident and effortless style whether dressing for work, everyday or special occasions. Bonobos is a menswear brand known for being pioneers of exceptional fit and a personalized, innovative retail model. Customers can experience our brands in over 400 Express retail and Express Factory Outlet stores, 50 Bonobos Guideshops, and online at *************** and **************** About Express Express is a multichannel apparel brand dedicated to creating confidence and inspiring self-expression. Since its launch in 1980, the brand has embraced a design philosophy rooted in modern, confident and effortless style. Whether dressing for work, everyday or special occasions, Express ensures you look and feel your best, wherever life takes you. The Company operates over 400 retail and outlet stores in the United States and Puerto Rico, the express.com online store and the Express mobile app. Responsibilities The Trade Compliance Auditor/Data Analyst is a dual-function role that provides critical audit and analytical support to the trade compliance department. This role combines compliance auditing with data analytics to ensure data integrity across all trade systems and using analytics to drive compliance and identify cost recovery opportunities. This position conducts regular internal audits of customs entries, FTZ entries, HTS classification records and balances to verify accuracy and compliance. The analyst manages data reconciliation between the ERP/FTZ systems and leverages analytics to transform complex data into actionable insights, helping the company maintain compliance, optimize duty savings, and continuously improve processes. In addition, the analyst will assist in development of tools needed to track performance of supplier related auto-classification. KEY RESPONSIBILITIES * Perform comprehensive internal audits of customs entries, verifying the accuracy of HTS classification, declared value, country of origin, and partner government agency (PGA) data.• Conduct regular audits of FTZ inventory and transactions, reconciling physical and digital records to ensure adherence to CBP's Inventory Control and Recordkeeping System (ICRS) requirements.• Analyze inventory data, including balances, adjustments, and movements, to identify discrepancies, investigate root causes, and recommend corrective actions.• Develop, track, and report on key performance indicators (KPIs) for compliance and FTZ operations.• Utilize data analysis to proactively identify duty savings opportunities, such as duty drawback eligibility, free trade agreement (FTA) applicability, and inverted tariff benefits.• Automate compliance reporting where possible and support the Trade Compliance Manager in preparing all data-driven reports for management and CBP.• Serve as the data expert during internal and external audits, providing a clean and organized audit trail to demonstrate "reasonable care." • Collaborate with the Trade Compliance Senior Specialist to audit supplier performance on the auto-classification process, ensuring data is entered accurately and timely.• Develop and implement data tracking tools to monitor supplier compliance metrics (i.e. on-time submission), providing data-driven feedback to the internal team.• Assist in the development of audit procedures * Support special projects as assigned REQUIRED EXPERIENCE & QUALIFICATIONS Education: * Bachelor's degree in Business, Data Analytics, or a related field. Experience: * 3-5 years of experience in data analysis, inventory control, internal auditing, or trade compliance roles. 2+ years in trade compliance or supply chain preferred Knowledge: * Knowledge of FTZ systems preferred * Proficient in systemic inventory reconciliation * Strong understanding of U.S. Customs regulations and FTZ record-keeping and import processes * Exposure to vendor management desired * Experience in vendor performance tracking is a plus * Experience with ACE (Automated Commercial Environment) data and reporting is preferred * Proficiency in Excel and data analysis tools * Knowledge of audit sampling techniques * Understanding of internal controls * Familiarity with compliance frameworks CRITICAL SKILLS & ATTRIBUTES Analytical Capabilities: * Ability to manage large datasets• Advanced problem-solving and root cause analysis• Data Analysis and reporting skills • Variance detection and reconciliation• Process mapping and optimization• Vendor performance tracking and reporting Technical Competencies: * Advanced Excel including pivot tables and formulas * Data visualization capabilities * Documentation and workpaper skills * Report writing and presentation * Basic understanding of systems integration Leadership Abilities: * Ability to work independently and build processes from the ground up * Change management capabilities Communication: * Ability to translate complex data into actionable insights for management * Clear and concise documentation and reporting * Ability to present findings effectively * Diplomatic approach to sensitive issues * Collaboration with multiple stakeholders * Ability to explain technical concepts simply Personal Attributes: * Exceptional attention to detail * Self-directed and proactive * Strong organizational skills * Continuous improvement mindset * Ability to manage multiple priorities Closing If you would like to know more about the California Consumer Privacy Act click here. An equal opportunity employer, PHOENIX does not discriminate in recruiting, hiring or any other terms and conditions of employment hiring on the basis of any federal, state, or locally protected characteristic. PHOENIX only hires individuals authorized for employment in the United States. PHOENIX is committed to providing reasonable accommodation to individuals with disabilities. If you need an accommodation to search and apply for a job position due to a disability, please call ************** and say 'Associate Relations' or send an e-mail to ****************************** and let us know the nature of your request and your contact information. Notification to Agencies: Please note that PHOENIX does not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, PHOENIX will not consider or approve payment to any third-parties for hires made.

Definition: The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing and monitoring activities, assists in ensuring compliance to state and federal laws, statutes, and regulations related to home health care services and billing processes within NHC HomeCare. Qualifications: Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience; Minimum five (5) years' experience in Medicare-reimbursed home health care; Experience in auditing and analyzing clinical records; Deep working knowledge of the home health industry and of applicable state and federal laws, statutes and regulations, including reimbursement and compliance regulations; Demonstrated ability to engage, motivate, and train clinical and operations staff; Strong oral and written communication, interpersonal, and organizational skills; Strong analytical and critical thinking skills; Self-directed with ability to work effectively alone or as part of a collaborative team; Computer literacy to the extent required to competently perform job duties; Commitment to best practice patient care with optimum patient outcomes and satisfaction provided in compliance with regulations; Maintains current Driver's License, car insurance, and safe driving record; and Able to meet Background Screening requirements. Specific responsibilities: Serve as a subject matter expert with deep working knowledge of applicable laws, statutes and regulations; Serve as a knowledgeable resource regarding NHC policies and procedures; Perform detailed audits of documents, including medical records, to ensure compliance to government regulations. Related audits include but may not be limited to RCDs, ADRs, CERTs, RACs, ZPICs, TPE audits, and Reopening Process reviews; Compose professionally formatted letters submission to the government contractors; Submit records and appeals in a timely manner with accurate tracking and status reports; Prepare for and participate in Administrative Law Judge (ALJ) hearings; Initiate and track follow-up and resolution to investigations, document requests and audit findings with agency staff and Regional/corporate partners as needed; Maintain the confidentiality of protected health information and NHC business practices; Competently navigate the EMR system to access needed documents; Participate in conference calls, webinars, and on-site meetings/training as assigned or requested; Collaborate on developing and providing targeted teaching and training programs via appropriate instructional methods including instructor-led group trainings, on-line learning, videos/webinars, over-the-phone training, or workshops; Contribute to the development of written processes to ensure compliance. Perform other functions as required for position-related activities. Contributes to the achievement of company goals, by Assuring efficient and effective management of related human and material resources; Maintaining a strong working knowledge of federal and state Home Health regulations, company policies and procedures, professional clinical standards and evidence-based best practices; Organizing, prioritizing, and completing projects independently in a timely and goal-oriented manner; Contributing meaningfully to the success of the NHC HomeCare team; Supporting and contributing to Quality Assessment Performance Improvement (QAPI) activities as indicated; Modeling the company's ‘Better Way Promises' and Standards of Code of Conduct and Compliance; and Representing and promoting NHC HomeCare positively in the community.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Maury, Marshall, Giles, Lawrence Counties • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). This position will cover members that live in Maury, Marshall and Bedford Counties. Preference will be given to candidates who reside less than 50 miles to those areas. Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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: 12/02/2026

Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team. At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do - for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity. We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities. The pay range for this position In Western Washington varies between $40,905.00 - $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location. Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice. * Evaluate claim quality for Operations. Maintain audit performance statistics and error trends. * Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand. * Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers. * Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes. * Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing. * Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development. * Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy. * Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team's relationship with all groups. The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role. * One year call center, claims processing, Provider Services and/or Group Administration experience required. * Effective communication skills (both written and oral) * Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving * Proficient PC skills, experience with Excel and Access * A high degree of impartiality and confidentiality when reviewing work to insure objective reporting * A strong desire to perform well and continue to learn * High School diploma or equivalent required. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.

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: 12/02/2026

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: 12/02/2026

File documents with Securities and Exchange Commission (“SEC”) for variable life and annuity products. This position performs various regulatory compliance duties and utilizes basic subject matter knowledge to complete tasks within required deadlines. The incumbent contributes to customer loyalty and retention by adhering to and assessing established processes while making recommendations for process enhancements. This position is responsible for preparing regulatory filings and legal documents. Utilize regulatory knowledge to review or research processes and provide recommendations while working both independently and within a team to resolve moderately complex problems. This position will also be the primary support for the Legal Department's management of contracts. This is a hybrid role working partially in-office (Lincoln, NE) and partially from home. What you do: Work within a team setting to make required SEC filings within required timeframes. These SEC filings are highly detailed and are prepared with multiple levels of review by other team members and the managing attorney. The incumbent in this role must be able to work with a high degree of accuracy and be comfortable having their work reviewed. The busy season for filing work is January-May 1 st . Work on Legal Department initiatives and projects as assigned. Be the primary support for the Legal Department management of contracts. On a daily basis the incumbent will use software to track, assign, and store agreements. This will be an ongoing responsibility in addition to SEC filings. This role will also support other attorneys (outside of primary) working with agreements including, finding past agreements, gathering information, initial review, tracking of progress and deadlines, populating templates, and coordination of contract edits. Collaborate with manager to ensure awareness, assess applicability, and make timely and adequate documentation updates to meet regulatory requirements. Evaluate and update processes and procedures to assure compliance and efficiency. This role will create procedures for new processes and maintain and update existing procedures as needed. Conduct regulatory research and analysis. Assist with internal and external regulatory requests or requirements by gathering documents, information, and preparing responses for internal or external requests. Communicate with internal and external business partners to promote their understanding and compliance with regulatory requirements, policies, and procedures. Assemble information for various periodic reports; assist attorney to develop standardized forms for standard legal documents and requests, records management, and offsite storage/retrieval coordination. What you bring: Associate degree or equivalent combination of education and experience required. 0-2 years of experience required. Insurance industry or compliance related experience desired. Proficiency within Microsoft Office suite, with an emphasis on Microsoft Excel required. Ability to learn role specific online filing system software and contract management system software required. What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: • 401(k) Retirement Plan with company match and quarterly contribution. • Tuition Reimbursement and Assistance. • Incentive Program Bonuses. • Competitive Pay. For your time: • Flexible Hybrid work. • Thrive Days - Personal time off. • Paid time off (PTO). For your health and well-being: • Health Benefits: Medical, Dental, Vision. • Health Savings Account (HSA) with employer contribution. • Well-being programs with financial rewards. • Employee assistance program (EAP). For your professional growth: • Professional development programs. • Leadership development programs. • Employee resource groups. • StrengthsFinder Program. For your community: • Matching donations program. • Paid volunteer time- 8 hours per month. For your family: • Generous paid maternity leave and paternity leave. • Fertility, surrogacy, and adoption assistance. • Backup child, elder and pet care support. An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. Application Deadline This position will be open for a minimum of 3 business days or until filled. This position is not open to individuals who are temporarily authorized to work in the U.S.

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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: The position is responsible for supporting the compliance risk management programs relevant to one or more Business Units. It is considered an individual contributor role within the Sun Life U.S. Compliance Department. The position is responsible for day-to-day compliance program activities under the supervision of an Associate Director, Director and/or AVP. The primary focus of this position is to provide direct support for the Financial Crimes Program and the Privacy Program operating within the Regulatory Compliance Management Program. This includes performing control activities related to AML (e.g. transaction monitoring) and Privacy (e.g. privacy incident and privacy impact assessment review and analysis), among other tasks. These activities directly impact the health of the respective Programs, and internal and external reporting. Support for regulatory examinations, Internal Audits or other regulatory matters may be required as appropriate. How you will contribute : Provides direct support of compliance controls within the Financial Crimes Program and the Privacy Program Maintains required documentation in support of control performance, including as relates to escalation, review, and challenge Conducts routine transactional activities and administration of Compliance Programs (e.g., AML alert monitoring, privacy incident review, privacy impact assessments, etc.) Participates, under supervision, in annual compliance risk assessments and monitoring and testing of existing procedures and controls Maintains familiarity with company risk management policies and procedures Participates in compliance projects as needed Encourage, promote and enhance a culture that supports the Code of Conduct, encourages ethical behavior and a commitment to compliance with applicable laws and regulations Adhere to Sun Life policies and procedures to maintain effective compliance with legal and regulatory standards What you will bring with you: Sun Life is a hybrid work company currently requiring weekly in-office presence The candidate must be able to commute to our offices in Wellesley, Portland, Kansas City or Hartford Some travel may be required Bachelor's Degree, professional certificate, or equivalent work experience Understanding of compliance practices in Financial Crime and/or Privacy preferred Demonstrated ability to work independently and within a team-oriented setting Solid logic, problem solving, and analytical skills required Agility to adapt to new demands and changes in business priorities and manage time efficiently to meet objectives. Efficiency mindset for identifying areas of improvement in current processes, procedures, and systems Can clearly and concisely express opinions, conclusions, and recommendations in writing and verbally Strong computer and database skills, including proficiency with Microsoft Office's suite of tools (Outlook, PowerPoint, Word, Excel, Forms, etc.) Demonstrated digital, analytics/technology capabilities, including prompt engineering to support use of AI Salary Range: $62,200 - $93,300 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. 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: 27/01/2026

Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team. At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do - for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity. We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities. The pay range for this position In Western Washington varies between $40,905.00 - $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location. Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice. * Evaluate claim quality for Operations. Maintain audit performance statistics and error trends. * Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand. * Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers. * Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes. * Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing. * Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development. * Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy. * Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team's relationship with all groups. The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role. * One year call center, claims processing, Provider Services and/or Group Administration experience required. * Effective communication skills (both written and oral) * Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving * Proficient PC skills, experience with Excel and Access * A high degree of impartiality and confidentiality when reviewing work to insure objective reporting * A strong desire to perform well and continue to learn * High School diploma or equivalent required. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.

Job Description MobilityWorks, serves the disabled community with wheelchair accessible minivans, full-size vans with lifts, as well as commercial fleet vehicles. Our mission is to provide wheelchair users with the mobility, independence, and personal freedom they desire. Keep reading to see how you can join the team leading this effort! MobilityWorks is seeking a Compliance Analyst. We provide a great work-life balance with regular business hours so you can be home spending time with family or doing what you love most! BE THERE- MobilityWorks believes that every team member is an important part of the MobilityWorks team, and we value the skills, efforts, and contributions made by each member of our team. We believe in our mission and make every effort to live our core values. Hybrid Role out of our Richfield, OH office. 2 days in office, 3 days remote! What you get to accomplish: • Serve as primary point of contact for all licensing requirements including research, filing of applications and renewals as necessary. • Support the department and assist with the continued development and implementation of compliance standards in support of the Organization's objectives. • Communicate with State and Local agencies, manage filings and provide input on compliance matters. • Maintain accurate records of licenses, certifications and compliance activities. • Direct the flow of communications (email, telephone, mail) to relevant staff members within and without the department to ensure timely action and adherence to regulatory deadlines. • With the assistance and direction of the Compliance Manager, complete various 3rd party payor renewals and filings as assigned. • Update and organize compliance related external login credentials to maintain uninterrupted team access to websites and related systems. • Coordinate regular communications with operations partners on licensing requirements and status updates to include the setting up of Teams calls, participation tracking and timely follow up. What you should possess: • Bachelor's degree in business, legal or equivalent field preferred. • At least 3 years of Compliance-related experience is preferred. • Analytical skills for reviewing data, records and identifying discrepancies. • Knowledge of motor vehicle dealer licensing and/or construction industry licensing a plus. • Knowledge about regulatory compliance issues around organizational liability, contracts, compliance, insurance trends and claims management preferred. • Strong written, organizational and communication skills. Ability to listen, facilitate, and communicate in a diplomatic, and solution-oriented manner. What We offer you: • Work/Life Balance • Competitive Compensation Packages • Medical, Dental & Vision Insurance plan(s). • Flexible Spending Account(s) • 8 paid holidays, Personal Time Off, Social Responsibility Time. • Employer Paid Benefits such as Tuition Reimbursement Program, Employee Assistance Program, Life and Disability insurance. • Employee Wellness Program • 401(k) Retirement Plan options with generous company match. • An incredibly rewarding experience in a team-centered environment. Military Veterans are highly encouraged to apply! We embrace diversity! Be part of an organization that invests in YOU!