You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Drives and coordinate the end‑-to‑-end external audit lifecycle. This role is responsible for leading cross‑-functional initiatives, serving as the primary liaison between internal partners and delivery teams to ensure external audits are executed effectively, on time, and in accordance with regulatory and quality standards.
Drive and coordinate the end‑-to‑-end external audit process from planning through closure
Serve as the primary point of contact between internal partners, delivery teams, and external auditors
Lead calls and working sessions with internal stakeholders to gather, clarify, and document audit and business requirements
Present audit requirements, status updates, risks, issues, and recommendations clearly and concisely to leadership and stakeholders
Manage multiple external audits simultaneously, effectively balancing competing priorities, timelines, and stakeholder needs
Coordinate activities across cross‑-functional teams to ensure alignment, timely execution, and resolution of issues
Track audit progress, dependencies, milestones, and deliverables; proactively identify, escalate, and mitigate risks and blockers
Ensure audit deliverables meet agreed‑-upon requirements, regulatory expectations, and quality standards
Maintain thorough documentation, audit evidence, and communication throughout the full audit lifecycle
Education/Experience:
Bachelor's degree in related legal field or equivalent experience.
Master's or Juris Doctorate degree preferred and maybe considered in lieu of experience.
3+ years of related experience in compliance privacy and/or regulatory affairs.
Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.
Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$70.1k-126.2k yearly Auto-Apply 7d ago
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Compliance Specialist
Hays 4.8
Houston, TX jobs
Your new company
Hays is partnered with a well-known Real Estate firm, who are looking to add a ComplianceSpecialist to their team the greater Houston area. This is a great opportunity to join a rapidly growing company.
Your new role
Process initial, annual, and interim recertifications and calculate retroactive rent while conforming to HUD regulations.
Calculate rent for annual and interim recertifications
Review applicants & determine eligibility
Follow LIHTC & Section 8 guidelines
What you'll need to succeed
Strong people/communication skills
COS Certification
Experience with MOR
Experience with EIV reports
Knowledge of HUD/Public Housing & Tax credit policies & procedures
Proficient with Yardi, Microsoft Programs and more
What you'll get in return
Very competitive salary
Medical, dental, vision, and life insurance
401(k) with a generous match
What you need to do now
If you're interested in this ComplianceSpecialist role, click 'apply now' to forward an up-to-date copy of your CV, or call us now. If this job isn't quite right for you but you are looking for a new position, please contact us for a confidential discussion on your career.
$55k-79k yearly est. 3d ago
AI Compliance & Governance Director (Hybrid)
CNA 4.6
Chicago, IL jobs
A leading insurance company is seeking an AI Compliance Director in Chicago. This strategic role involves overseeing AI governance, monitoring regulatory frameworks, and conducting compliance-focused risk assessments. Applicants should have 10+ years of experience in compliance or AI governance, a relevant degree, and strong leadership skills. Competitive compensation is offered, with a pay range of $97,000 to $189,000 annually based on experience and location. The position also provides opportunities for growth within a hybrid work environment.
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$97k-189k yearly 1d ago
Remote Market VP Pharmacy Compliance & Practice
Humana Inc. 4.8
Washington, DC jobs
A leading healthcare organization is seeking a Market Vice President of Pharmacy Professional Practice to oversee pharmacy compliance across various settings. This role requires a Bachelor's degree in Pharmacy and at least 5 years of relevant experience. The candidate will ensure regulatory compliance and lead a high-performing team. Candidates should possess extensive pharmacy knowledge and significant management experience. This position offers competitive compensation and requires occasional travel for meetings and training.
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$96k-120k yearly est. 3d ago
Remote Market VP Pharmacy Compliance & Practice
Humana Inc. 4.8
Boston, MA jobs
A leading healthcare company in the United States seeks a Market Vice President of Pharmacy Professional Practice to oversee compliance across pharmacies. This role involves ensuring adherence to regulations while leading a team of professionals. The ideal candidate will possess a Bachelor's degree in Pharmacy, an active pharmacist license, and have substantial experience in pharmacy compliance. Competitive compensation includes a salary range of $223,800 - $313,100 per year with bonus eligibility and comprehensive benefits.
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$99k-123k yearly est. 1d ago
Compliance Consultant, AML Compliance
Symetra 4.6
Bellevue, WA jobs
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
$87.9k-146.5k yearly 1d ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
Boston, MA jobs
Become a part of our caring community and help us put health first
The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
Key Responsibilities
Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
Required Qualifications
Bachelor's degree in Pharmacy or PharmD.
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact Preferred Qualifications
Master's degree
Additional Information
Travel
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
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$99k-123k yearly est. 1d ago
Remote Market VP Pharmacy Compliance & Practice
Humana Inc. 4.8
Urban Honolulu, HI jobs
A leading healthcare company seeks a Market Vice President of Pharmacy Professional Practice to ensure compliance with pharmacy regulations across various locations. This role requires a licensed pharmacist with over 5 years of leadership experience in pharmacy compliance environments. Responsibilities include overseeing regulatory compliance, providing strategic guidance, and leading a high-performing team in a remote work setting. This position allows travel as needed, with competitive compensation and benefits.
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$66k-80k yearly est. 1d ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
Urban Honolulu, HI jobs
Become a part of our caring community and help us put health first
The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
Key Responsibilities
Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
Required Qualifications
Bachelor's degree in Pharmacy or PharmD.
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact Preferred Qualifications
Master's degree
Additional Information
Travel
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
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$66k-80k yearly est. 1d ago
Premium Audit Specialist
Amtrust Financial 4.9
Fresno, CA jobs
Requisition ID JR1005357 Category Operations - Premium Audit Type Regular Full-Time
The Premium Audit Specialist is responsible for conducting both physical and virtual audits on high-complexity accounts, ensuring the accuracy of exposure development. This role focuses on AmTrust's larger accounts and involves managing the most complex and high-profile audits. The specialist verifies premium base exposures in accordance with policy terms, regulatory guidelines, and company procedures, while upholding AmTrust's mission, vision, and values.
Candidates residing within 50 miles of an AmTrust office location may be required to abide by a hybrid in-office schedule.
The expected salary range for this role is $84,300 - 100,000.00.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
Responsibilities
* Independently perform audits on complex Workers' Compensation and General Liability policies, analyzing financial and operational records and conducting interviews.
* Manage audits within an assigned territory, primarily large accounts; overnight travel may be required.
* Act as the primary contact for assigned accounts, collaborating with insureds, underwriters, and producers.
* Address and resolve complex audit disputes, ensuring compliance and coordinating with internal teams.
* Confirm classification accuracy according to the governing rules; assist with test audits and bureau inquiries.
* Report findings to producers, underwriters, insureds, and leadership.
* Deliver exceptional service throughout the audit process.
* Stay informed on industry trends and regulatory changes.
* Support departmental goals as assigned.
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
Qualifications
* 7+ years of premium audit experience with large accounts ($1M+ in premium).
* Bachelor's degree in accounting, Finance, Business, or equivalent experience.
* Strong written, verbal, and interpersonal communication skills.
* Advanced Microsoft Excel skills (Pivot Tables, XLOOKUP); proficiency in Office Suite.
* Excellent analytical, organizational, and multitasking abilities.
Preferred: APA certification or progress toward certification.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$84.3k-100k yearly 3d ago
ITM Specialist
Windsor Federal Bank 4.0
Windsor, CT jobs
Under the direction of the Customer Care Center/ITM Manager, the ITM Specialist plays an integral role in ensuring that an exceptional customer experience is achieved in each banking interaction. In this role, the ITM Specialist assists customers and processes transactions via video, through our Customer Care Center and Interactive Teller Machines (ITMs). The ITM Specialist enhances customer relationships by providing tailored and accurate service through multiple delivery channels. The ITM Specialist is responsible for engaging with current customers, providing exceptional service and addressing inquiries professionally via the telephone and online. Flexibility to work extended hours and Saturdays is required.
ESSENTIAL FUNCTIONS:
Facilitates routine transactions using an ITM. Processes allowable financial transactions for customers which may include deposits, withdrawals, loan payments, and cashing checks. Verifies customer deposit requests, including proper payee and endorsement of checks. May provide certain transaction exceptions, within policy or procedural guidelines.
Effectively communicates with and assists internal and external customers in a professional, positive, and composed manner while using effective listening abilities to resolve customer inquiries and requests. Provides resolutions and creative solutions to non-traditional banking inquiries.
Services all banking inquiry types, including customer accounts and ATM/debit card research and maintenance, navigation and technical support for electronic services, fraud research and disputes.
Has extensive knowledge of all products and is proficient in navigating required electronic product delivery systems. Aids internal and external customers with electronic delivery inquiries and demonstrates research, problem resolution and technical expertise for electronic products and services. Assists customers in navigating and troubleshooting our electronic products.
Identifies and pursues opportunities to build and deepen consumer and business customer relationships by actively listening and engaging with the customer to cross-sell products and services and understand their current and future financial needs and priorities. Offers needs-based solutions and educates customers on products, promotions, and digital services to assist the customer in reaching their financial goals.
Maintains a discerning ability to strongly authenticate callers over the phone and mitigate risk by recognizing and reacting to covert and overt attempts of illicit activity. Makes sound judgements balancing customer service and risk to the Bank and provides first-level approval authority for certain transaction exceptions, within policy or procedural guidelines. Provides service escalation to management, as necessary.
Maintains knowledge of and compliance with applicable federal, state, and local laws and regulations governing the activities of the Bank, as well as a well-rounded knowledge of both front end and back-office operations. Understands when to escalate a problem or situation to management or another department/branch. Owns any customer issues from beginning until resolution while making sure to keep customer informed throughout the process.
Is cross trained in all basic Customer Care Center procedures and all verbal and written delivery channels, including phone system, chat, email, and ITM.
Directs calls to appropriate Bank departments and associates.
Adheres to all Bank, security, and regulatory policies and procedures, including but not limited to, Bank Secrecy Act requirements, currency reporting requirements, check processing and funds availability guidelines, and all other position-related regulations, policies, and best practices. Reports any discrepancies to the supervisor. Adheres to all operational policies and procedures.
Participates in Bank promotions and community events to increase outreach and foster new business opportunities.
Applies new technology, serves as a subject matter expert on ITMs and stays up to date on process improvements and technology enhancements.
Performs other related duties as required.
REQUIRED EDUCATION / EXPERIENCE / SKILLS:
High school diploma or equivalent is required, along with a minimum of one (1) to three (3) years of banking experience. Call center or retail banking experience is preferred.
Strong critical thinking skills - ability to assist others, sound decision making skills.
Strong customer service and sales skills, as well as strong written communication skills are required.
Proficient verbal and numerical aptitudes are required.
Must be able to work in a high-volume setting and must demonstrate an ability to quickly learn and adapt to changing systems, applications, policies, and procedures.
Maintains a professional appearance while communicating effectively through on-screen technology.
Possesses working knowledge of financial institution policies, procedures, services, and products.
Detail oriented and able to assist customers through the ITM process.
Ability to prioritize several daily responsibilities; must be highly organized and possess the ability to meet deadlines as required.
Ability to perform a variety of duties, often changing from one desk to another of a different nature without loss of efficiency or composure. It is required that the employee in this position can work independently and as part of a team, with the ability to easily transition between jobs based on Bank and department needs.
Ability to work flexible/extended hours including Saturdays.
Ability to receive guidance and supervision, follow work rules and work procedures; meet deadlines, punctuality, and attendance standards.
Ability to interpret ideas and facts, while also analyzing and interpreting federal and state laws and/or regulations.
Windsor Federal Bank, an Equal Opportunity Employer, offers a competitive compensation and benefits package including vacation, personal days, paid sick time, holidays, participation in a 401(k) plan, and profit sharing.
For consideration for this position, send resume to: *********************************
Windsor Federal Bank, 270 Broad Street Windsor, CT 06095
An Equal Opportunity Employer
$45k-86k yearly est. 4d ago
Compliance Specialist
World Insurance Associates 4.0
Santa Barbara, CA jobs
Objective, Typical Duties and Responsibilities We're currently seeking a ComplianceSpecialist 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
$75k-90k yearly Auto-Apply 60d+ ago
Compliance Support Specialist, Global Compliance
Chubb 4.3
New York, NY jobs
The Compliance Support Specialist plays a critical role in supporting the Global Compliance team by providing administrative, operational, and project coordination support. This role ensures the smooth execution of compliance-related activities, including preparation of reports and analysis, scheduling and project coordination, budget and payment management, coordinating with internal and external stakeholders, and assisting with compliance projects and events.
The ideal candidate is detail-oriented, highly organized, and capable of managing multiple priorities in a fast-paced environment while maintaining confidentiality and professionalism.
The level of the position may be flexible and will be determined based on the candidate's relevant experience and other qualifications.
Responsibilities
The role will report to the Global Chief Compliance Officer (CCO) and will cover:
Compliance Administration and Coordination:
Assist in tracking and monitoring compliance deadlines, regulatory requirements, and key deliverables.
Maintain and organize compliance-related documentation, ensuring accuracy and confidentiality.
Support the preparation and submission of compliance reports, filings, and other regulatory documentation.
Coordinate with internal teams to gather necessary information for compliance audits and assessments.
Assist in maintaining compliance databases and systems, and monitoring dashboards, ensuring data integrity and timely updates.
Calendar and Meeting Management:
Manage and organize calendars for the Global Compliance team, scheduling and coordinating meetings, appointments, and events.
Liaise with internal and external stakeholders to schedule meetings, resolve conflicts, and ensure timely communication.
Prepare meeting materials, agendas, and minutes, ensuring accurate and timely distribution to participants.
Communication and Correspondence:
Handle and prioritize incoming and outgoing communications, including emails, phone calls, and correspondence related to compliance matters.
Draft, proofread, and format compliance-related documents, reports, and presentations.
Act as a liaison between the Global Compliance team and other departments, ensuring effective communication and information flow.
Administrative, Operational and Project Support:
Process and track expense reports, invoices, and other financial documents for the Global Compliance team.
Organize and maintain files, records, and confidential documents in compliance with organizational policies.
Assist in the development and implementation of compliance-related policies, procedures, and training materials.
Coordinate logistics for compliance-related events, workshops, and training sessions.
Bachelor's degree in Business Administration, Compliance, Legal Studies, or a related field (or equivalent experience) preferred, although relevant work experience may be considered.
2-3+ years of experience in administrative, compliance, or business support roles, preferably in a corporate or regulated environment.
Excellent communication skills, both written and verbal, with strong attention to detail.
Proficient in using office productivity tools such as Microsoft Office (Word, Excel, PowerPoint, Outlook) and other relevant software including AI and ability to produce reports of a high quality.
Superior organizational and time management skills, with the ability to prioritize and multitask effectively.
Demonstrated ability to maintain confidentiality and handle sensitive information with discretion.
Strong problem-solving skills, taking initiative and anticipating the needs of the executives.
Familiarity with compliance processes, regulatory requirements, or legal documentation is a plus.
The pay range for the role is $85,200-$144,800. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
$85.2k-144.8k yearly Auto-Apply 43d ago
Integrated Products Compliance Specialist
Metroplus Health Plan Inc. 4.7
New York, NY jobs
Department: MHP CORPORATE COMPLIANCE Job Type: Regular Employment Type: Full-Time Work Arrangement: Remote Salary Range: $93,000.00 - $103,000.00
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come
to work being proud of what you do every day.
The Federal and Integrated Products ComplianceSpecialist reports to the Director of Federal and Integrated Product Compliance. This position will serve as the lead in the oversight and management of regulatory compliance
activities for integrated products, such as Medicaid Advantage Plus (MAP), and support for federal products such as Medicare Advantage. This position will ensure operational compliance with state and federal regulations,
contractual obligations, and new policy guidance. This position will also identify compliance risks through audits and monitoring driving corrective actions and remediation where necessary and ensure compliance plans and related
compliance training for products under the department are accurate and updated.
Duties and Responsibilities
* Contribute to the Annual Compliance Risk Assessment and Work Plan.
* Work cross functionally with operational departments to ensure the implementation of new regulatory guidance, updated contractual requirements, rules and regulations. Tracks related due dates and guidance
and support to business areas completing deliverables.
* Conduct auditing and monitoring activities as outlined in Compliance Work Plan, and as potential risks are identified.
* Contributes quality and timely data for the materials prepared for both the Internal Compliance Committee and Audit and Compliance Committee of the Board of Directors.
* Plays a critical role in driving the progress for corrective actions throughout the organization. Upon identification of non-compliance, provide support to business areas in conducting a root cause analysis
and developing corrective actions.
* Conducts auditing and monitoring to ensure compliance with requirements.
* Coordinates the support for business areas in creating and updating monitoring metrics to assess continued compliance with regulatory requirements.
* Ensures proper investigation of regulatory compliance related issues.
* Collaborates with other ComplianceSpecialists to support oversight of regulatory implementation across internal and external business areas for integrated product lines, ensuring alignment with applicable
requirements.
* Reviewing and contributing to compliance training updates as needed.
* Assists Compliance division leadership in managing regulatory audits and audit deliverables. May be asked to take a lead role in sub-assignments ensuring timely and quality deliverables to State and Federal agencies.
* Review policies and procedures for adherence to regulatory and contractual requirements.
Minimum Qualifications
* Certified Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP) certificates are preferred
* Bachelor's degree required; and
* 3 years' experience in compliance, product, or operational areas; or
* High school diploma/GED with 8 or more years' experience in integrated and/or federal products; or
* A satisfactory equivalent combination of education, training, and experience.
* Advanced degree in public health, public policy, or public administration is preferred.
* Experience with integrated and federal products and services highly preferred.
* High-level of skill in leading interdepartmental and cross-functional strategy development and project management.
* Experience leading multiple projects to ensure corporate deadlines and objectives are met.
* Experience in Microsoft Office suite products including Outlook, Excel, SharePoint, and MS Teams a plus.
Professional Competencies
* Integrity and Trust
* Customer Focus
* Functional/Technical skills
* Excellent oral, written, analytical, and critical thinking skills.
* Must have the utmost integrity in the handling of discreet and confidential materials.
* Ability to manage multiple projects simultaneously.
#LI-REMOTE
#MPH50
$93k-103k yearly 22d ago
ESIS Claims Compliance Specialist, WC
Chubb 4.3
Fremont, CA jobs
The ESIS Claims ComplianceSpecialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self-insured accounts, responding to the Self-Insured Audit Committee, supporting special projects, preparing files for carrier and state audits, and providing general office support. The specialist implements quality plans, monitors results, and recommends corrective actions as needed.
This position reports to and receives direction from the Claims Manager.
Duties & Responsibilities include, but are not limited to:
Prepare annual reports for self-insured accounts, including claims data and financial information, for submission to California's DIR Office of Self-Insurance Plans (OSIP) by March 1st each year. This includes the annual report, actuarial study, and audited financials.
Review and prepare files for PAR Audits to ensure timely and accurate payments, proper documentation, and correct wage calculations.
Review and prepare files for Carrier Audits to ensure compliance with carrier guidelines.
Collaborate with the Claims Manager to improve overall Quality Review (QR) scores, including auditing individual files for compliance with QR guidelines.
Participate in special projects as assigned.
Assist in the preparation of Claims Loss Reports (CLR).
Complete Executive Loss Summary (ELS) reports, maintain a log of all reports due, and ensure timely compliance.
Support the training of new hires and provide ongoing training for existing employees, working with the Learning & Development team and in-house trainers to develop training schedules.
Review the progress and status of claims with the Team Leader, discuss issues, and recommend remedial actions.
Prepare and submit reports on unusual or potentially undesirable exposures to the Team Leader.
Assist in penalty reduction initiatives.
Support the Team Leader in developing methods and improvements for claims handling.
Assist the Claims Vice President, Claims Manager, Team Leaders, and Claims Handlers with special projects, including reserve analysis, account-specific projects, closing projects, and audits.
Minimum of five years' experience managing workers' compensation claims, with demonstrated career progression in a similar role or organization.
Proven ability to work independently with minimal supervision.
Strong organizational skills with a demonstrated ability to meet deadlines.
Advanced technical knowledge of claims handling processes and related terminology.
Excellent communication and interpersonal skills, with the ability to interact effectively with claimants, customers, insureds, brokers, and attorneys.
Solid understanding of company products, services, coverages, policy limits, and claims best practices.
Comprehensive knowledge of applicable state and local laws relevant to workers' compensation.
Commitment to delivering high-quality customer service.
California Certified Self-Insurance Plan (SIP) certification preferred.
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
The pay range for the role is $71,000 to $114,400. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
$71k-114.4k yearly Auto-Apply 1d ago
ESIS Claims Compliance Specialist, WC
Chubb 4.3
California jobs
The ESIS Claims ComplianceSpecialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self-insured accounts, responding to the Self-Insured Audit Committee, supporting special projects, preparing files for carrier and state audits, and providing general office support. The specialist implements quality plans, monitors results, and recommends corrective actions as needed.
This position reports to and receives direction from the Claims Manager.
Duties & Responsibilities include, but are not limited to:
Prepare annual reports for self-insured accounts, including claims data and financial information, for submission to California's DIR Office of Self-Insurance Plans (OSIP) by March 1st each year. This includes the annual report, actuarial study, and audited financials.
Review and prepare files for PAR Audits to ensure timely and accurate payments, proper documentation, and correct wage calculations.
Review and prepare files for Carrier Audits to ensure compliance with carrier guidelines.
Collaborate with the Claims Manager to improve overall Quality Review (QR) scores, including auditing individual files for compliance with QR guidelines.
Participate in special projects as assigned.
Assist in the preparation of Claims Loss Reports (CLR).
Complete Executive Loss Summary (ELS) reports, maintain a log of all reports due, and ensure timely compliance.
Support the training of new hires and provide ongoing training for existing employees, working with the Learning & Development team and in-house trainers to develop training schedules.
Review the progress and status of claims with the Team Leader, discuss issues, and recommend remedial actions.
Prepare and submit reports on unusual or potentially undesirable exposures to the Team Leader.
Assist in penalty reduction initiatives.
Support the Team Leader in developing methods and improvements for claims handling.
Assist the Claims Vice President, Claims Manager, Team Leaders, and Claims Handlers with special projects, including reserve analysis, account-specific projects, closing projects, and audits.
Minimum of five years' experience managing workers' compensation claims, with demonstrated career progression in a similar role or organization.
Proven ability to work independently with minimal supervision.
Strong organizational skills with a demonstrated ability to meet deadlines.
Advanced technical knowledge of claims handling processes and related terminology.
Excellent communication and interpersonal skills, with the ability to interact effectively with claimants, customers, insureds, brokers, and attorneys.
Solid understanding of company products, services, coverages, policy limits, and claims best practices.
Comprehensive knowledge of applicable state and local laws relevant to workers' compensation.
Commitment to delivering high-quality customer service.
California Certified Self-Insurance Plan (SIP) certification preferred.
An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
The pay range for the role is $71,000 to $114,400. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
ESIS, a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
$71k-114.4k yearly Auto-Apply 1d ago
Compliance Analyst II, DentaQuest (Iowa Resident)
Sun Life 4.6
Des Moines, IA jobs
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
Job Description:
Location: Must reside in Iowa
The opportunity:
Reporting to the Director of Program Integrity & Regulatory Compliance, the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program, which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately, the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters, specific to our Iowa market, which may include additional Program Integrity Compliance activities.
How you will contribute:
Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients.
Partner with Fraud Prevention and Recovery (Special Investigations Unit - SIU) to develop content for Program Integrity Compliance Plans.
Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies.
Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints.
Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams.
Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals.
What you will bring with you:
Bachelor's degree is required
3+ years of experience in compliance, legal or regulatory functions
1+ years of health care or insurance benefits experience
Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations.
Ability to attend additional training as requested/deemed necessary
Ability to attend in-person regulatory meetings with Agency personnel
Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures
Ability to interpret laws and regulations and communicate that information to management and line personnel
Ability to research and investigate regulatory issues as they relate to the company's operating subsidiaries and businesses
Ability to discern risks and recommend controls to mitigate regulatory compliance
Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure
Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts
Strong writing skills, with extensive policy and procedure writing experience required
Strong verbal communication skills
Strong collaborative skills, as well as analytical, problem-solving and decision-making skills
Meticulous organizational skills and attention to detail
Strong PowerPoint and advanced Excel capabilities preferred
Must reside in the state of Iowa, USA
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.
Life is brighter when you work at Sun Life
At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Category:
Compliance
Posting End Date:
12/02/2026
$46k-64k yearly est. Auto-Apply 42d ago
Compliance Analyst
Ameritas 4.7
Lincoln, NE jobs
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 1st.
* 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.
$54k-71k yearly est. 16d ago
Compliance Analyst
Mobility Works 3.5
Richfield, OH jobs
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!
$48k-69k yearly est. 16d ago
Compliance Analyst
Mobility Works 3.5
Richfield, OH jobs
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!