Compliance Analyst jobs at Jackson National Life Distributors LLC - 39 jobs
Manager, Compliance, Suitability
Jackson National Life Distributors 4.3
Compliance analyst job at Jackson National Life Distributors LLC
If you are an internal associate, please login to Workday and apply through Jobs Hub.
Job PurposeThe Manager, Compliance, Suitability is responsible for the oversight, implementation, and monitoring of policies and procedures associated with Jackson's Suitability and Best Interest Program. The Manager ensures the Company's compliance with regulatory requirements and corporate compliance initiatives and provides support for Jackson's Compliance Program. The Manager, Compliance, Suitability completes assigned tasks, oversees their direct reports' responsibilities, leads and participates in various projects, and provides training and education for associates as requested by management.Essential Responsibilities
Manages a team of Compliance associates; responsible for performance management and development of direct reports.
Oversees suitability and best interest reviews completed by ComplianceAnalysts and/or Consultants to ensure compliance with relevant financial industry regulations.
Oversees surveillance-related monitoring to ensure financial professional and firm compliance with suitability and best interest standards.
Communicates review outcomes with firms and financial professionals.
Escalates instances of non-compliance.
Monitors the effectiveness of the suitability program, including the development of and dissemination of reports demonstrating the program's effectiveness.
Responds to questions from various internal stakeholders and provides guidance.
Responds to inquiries from internal or external stakeholders about regulatory requirements.
Remains current on relevant suitability and best interest regulatory matters.
Directs one or more processes and manages cross-functional projects/initiatives (i.e. Compliance Plan activities); identifies relevant connections and areas of opportunity within the broader compliance function and designs solutions.
Demonstrates superior characteristics in terms of quality work product, dependability, attitude, and overall willingness to contribute to team goals.
Acts as a Subject Matter Expert and may train other associates.
Attends stakeholder meetings and other regular touchpoints with Jackson departments as a representative of Compliance; may act as decision-maker for delegated areas.
Supports management in the implementation of the Compliance Program; independently recommends and implements continuous improvement of the suitability and best interest program in response to industry and regulatory developments.
Participates in regular meetings with the Compliance management team.
Assists with reporting, as required, to department and senior management and board/committees.
Manages technological improvements and upskilling within team.
Attends industry meetings and assists with implementing industry's best practices.
Presents on compliance topics and/or provides training to internal stakeholders.
Other Duties
Performs other duties and/or projects as assigned.
Knowledge, Skills and Abilities
Ability to read and interpret rules and regulations applicable to Jackson, including state and federal regulations.
Strong knowledge of relevant laws and regulations.
Excellent knowledge of annuity and insurance products, including Jackson's products.
Excellent project management skills.
Excellent organization and time management skills.
Excellent written and verbal communication skills with an ability to effectively communicate complex information to both internal and external parties at a variety of organizational levels.
Ability to establish and maintain effective working relationships with superiors, colleagues, and external contacts.
Ability to work independently and make decisions with limited supervision.
Must demonstrate flexibility and a willingness to embrace change with an ability to adapt to a continually evolving environment.
Strong knowledge of Microsoft Office tools (Word, Excel, PowerPoint, Access).
Ability to work effectively in a team environment.
Strong ability to manage conflict.
Ability to maintain a high degree of confidentiality and professionalism.
Ability to effectively analyze and resolve problems independently and exhibit good judgment in escalating to management as needed.
Ability to weigh the pros and cons of options against an established risk tolerance.
Ability to use software and information technology to collect, organize, retrieve, maintain, and disseminate information; demonstrates utilization of technology in new or complex ways to perform team functions.
Qualifications
Bachelor's Degree required.
5+ years of relevant professional experience (insurance, financial services, compliance, legal, etc.) required.
Prior management experience required.
Securities Industry Essentials (SIE) required.
FINRA Series 6 or 7 required.
FINRA Series 24 or 26 required. If required registration is not held by the applicant, the individual will have 90 days to obtain the required registration but will be limited in job function until complete registration is obtained.
Jackson is proud to be an equal opportunity workplace. The Company subscribes to and endorses federal and state laws and regulations relating to equal employment opportunity for all persons without regard to race, color, religion, gender, age, national origin, legally-recognized disability, marital status, legally-protected medical condition, citizenship, ancestry, height, weight, sexual orientation, veteran status, or any other factor not related to the needs of the job. The Company is committed to a policy of equal opportunity. Company facilities and campuses are tobacco-free environments.
$77k-115k yearly est. Auto-Apply 8d ago
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Regulatory Compliance Coordinator
Jackson National Life Distributors 4.3
Compliance analyst job at Jackson National Life Distributors LLC
If you are an internal associate, please login to Workday and apply through Jobs Hub.
Overview of JNAM
Jackson National Life Insurance Company (Jackson) offers products, tools, and support designed to help Americans plan for a retirement with purpose. Jackson National Asset Management, LLC (JNAM) is the investment manager responsible for selecting and monitoring the asset managers of the JNL Funds - a series of proprietary mutual funds that facilitates investment freedom for contract owners within the Jackson variable annuity platform. JNAM is also responsible for providing accounting and administrative services for the JNL Funds. In addition, JNAM directly manages several risk-based multi-strategy fund-of-fund offerings available exclusively through Jackson products.
Working in JNAM
JNAM is one of Chicago's largest asset managers and pursues individuals who exhibit dedication and willingness to learn in a high performing culture. We encourage collaboration and give our associates and leaders the freedom to speak openly and share new ideas. Our values guide our internal conduct and help define meaningful internal and external relationships. We attract and retain talent who believe in our culture and take ownership in delivering results.
JNAM provides associates with a collegial and collaborative work environment and the opportunity to work the with other prominent investment management firms. Our investment partners are selected and monitored through a rigorous due diligence process focused on performance, repeatability, operations, oversight, and fit.
We value our people:
Fair pay, pay-for-performance, and competitive benefits
Talent development
Inclusion and Engagement: Business Resource Associate Groups (BRAGs)
Emotional well-being
Financial wellness
We value our community:
Charitable giving to communities
Financial education
Associate volunteerism and giving
Job Purpose
The Regulatory Compliance Coordinator is an integral member of JNAM's Compliance team and has an important role in facilitating the oversight and testing of the firm's Code of Ethics. This role is responsible for updating compliance policies and procedures and other tasks established to ensure the Company's compliance with regulatory requirements. The Coordinator generates quarterly Board reporting, assists management with reporting required by JNAM's parent company, Jackson Financial Inc., and provides support for the JNAM and JNL Funds' Compliance Program. The Coordinator also completes assigned tasks and participates in various projects as requested by management.
Essential Responsibilities
Supports management in the implementation of the JNAM Compliance Program.
Assists with managing one or more processes and may manage cross functional projects as requested by the JNAM' Chief Compliance Officer and JNAM Compliance team.
Updates compliance policies and procedures and reference material.
Assists with the Code of Ethics process and new hire and annual Compliance training.
Assists with regulatory filings, under the direction of superiors (e.g., Form ADV, Form N-CSR).
Assists with monitoring regulatory developments.
Provides administrative support in preparing memoranda on compliance related issues for management and JNL Funds' Board.
Demonstrates superior characteristics in terms of quality work product, dependability, attitude, and overall willingness to contribute to team goals.
Creates and maintains department metrics and performance indicators.
Establishes, maintains and updates files and records.
Designs presentation slides with original graphic content for a variety of audiences.
Sends company-wide announcements and/or informational emails.
Manages visitors and incoming mail.
Schedules and maintains calendar of appointments, meetings, travel itineraries and coordinates related arrangements.
Provides administrative support including creation and maintenance of reports, charts, spreadsheets, documents and presentations.
Processes financial documents including department invoices and executive expense reports.
Performs other duties and/or projects as assigned.
Knowledge, Skills and Abilities
Ability to understand regulations applicable to JNAM, including Investment Company Act of 1940, as amended, the Investment Advisers Act of 1940, as amended, and other Federal Securities law.
Knowledge of financial industry regulations.
Detail-oriented, organized, thorough, and persistent.
Ability to prioritize and meet deadlines.
Effective written and verbal communication skills.
Ability to establish and maintain effective working relationships with superiors and colleagues.
Ability to work independently with limited supervision.
Ability to multi-task and be flexible.
Working knowledge of Microsoft Office tools (Word, Access, Outlook, Excel).
Ability to work effectively in a team environment.
Ability to maintain a high degree of confidentiality and professionalism.
Qualifications
Associate's Degree required.
Bachelor's Degree or equivalent experience preferred.
1+ years of relevant professional experience (financial services, compliance, legal, regulatory, risk, etc.) required.
Jackson is proud to be an equal opportunity workplace. The Company subscribes to and endorses federal and state laws and regulations relating to equal employment opportunity for all persons without regard to race, color, religion, gender, age, national origin, legally-recognized disability, marital status, legally-protected medical condition, citizenship, ancestry, height, weight, sexual orientation, veteran status, or any other factor not related to the needs of the job. The Company is committed to a policy of equal opportunity. Company facilities and campuses are tobacco-free environments.
Base Pay:
$28.65 - $32.10. The hourly wage for this position may vary depending on experience, job-related knowledge, skills, and abilities. In addition to the base salary, this role will be eligible to participate in our annual bonus program. This role will also be eligible for compensated personal time off and holidays, health benefits, 401(k) plan with generous matching and profit sharing contributions, and other benefit programs according to the Company's employment policies and subject to the formal terms of such plans and programs.
$28.7-32.1 hourly Auto-Apply 24d 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.
#J-18808-Ljbffr
$97k-189k yearly 4d ago
Compliance Analyst (Hybrid)
Trustmark Insurance 4.1
Lake Forest, IL jobs
Trustmark is seeking a ComplianceAnalyst to join our team.
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title**
Senior ComplianceAnalyst (Regulatory Change Management) - Remote
**Job Description**
The Senior ComplianceAnalyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained.
**Responsibilities**
+ Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance
+ Lead project management efforts for highly sensitive Compliance initiatives
+ Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions
+ May collect, prepare and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports
+ Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary
+ May execute and enhance Prime's compliance programs by developing, maintaining and delivering compliance documentation and training, administering the annual conflict of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies
+ Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate
+ If supporting licensing efforts, may manage regulatory submissions, filings, renewals, notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile required internal reports, perform research of licensing and reporting requirements, respond to requests for information and proposals, develop/revise/maintain departmental SOPs, Desk Top Procedures, and Licensing source documentation; manage the licensing IT application and conduct general maintenance of the licensing tools
+ Other duties as assigned
**Minimum Qualifications**
+ Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
+ 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)
Must be eligible to work in the United States without the need for work visa or residency sponsorship
**Additional Qualifications**
+ Exceptional written and oral communication skills
+ Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations
+ Complete understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards and programs to support an organization's compliance priorities
+ Ability to effectively present complex information to a wide variety of audiences
+ Ability to establish rapport and effectively influence at all levels within an organization
+ Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously
+ Strong analytical skills
+ If working within Licensing, experience maintaining, tracking, renewing and submitting applications for licensure
**Preferred Qualifications**
+ PBM/health care experience
+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
+ Certified Project Management Professional (PMP)
+ Advanced degree in related area of study, such as Juris Doctor
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$74k-118k yearly 28d ago
Senior Compliance Analyst - Remote
Prime Therapeutics 4.8
Springfield, IL jobs
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title**
Senior ComplianceAnalyst - Remote
**Job Description**
The Senior ComplianceAnalyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance hotline inquiry management and investigations, compliance education and communications, governance reporting, as well as executing program effectiveness self-assessments and data-driven reporting or dashboards.
**Responsibilities**
+ Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance.
+ Lead project management efforts for highly sensitive Compliance initiatives.
+ Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions.
+ May collect, prepare, and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports.
+ Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies, and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary.
+ Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance; document requirements or disciplinary actions and escalate findings as appropriate.
+ Other duties as assigned.
**Education & Experience**
+ Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required.
+ 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)
+ Must be eligible to work in the United States without need for work visa or residency sponsorship.
+ Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Experience with managing compliance investigations or incident response, supporting compliance education and communication activities, and/or compliance program effectiveness assessments and reporting, including experience with Microsoft SharePoint and 365 apps (i.e., Teams, Forms, Lists, Power BI).
+ Exceptional written and oral communication skills
+ Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations.
+ Complete understanding of effective compliance program principles, concepts, practices, and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards, and programs to support an organization's compliance priorities
+ Ability to effectively present complex information to a wide variety of audiences
+ Ability to establish rapport and effectively influence at all levels within an organization.
+ Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously.
+ Strong analytical skills
**Preferred Qualifications**
+ Pharmacy services, PBM, managed care or health care industry experience
+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
+ Certified Project Management Professional (PMP)
+ Advanced degree in related area of study, such as Juris Doctor
**Physical Demands**
+ Ability to travel up to 10% of the time.
+ Constantly required to sit, use hands to handle or feel, talk, and hear.
+ Frequently required to reach with hands and arms
+ Occasionally required to stand, walk, and stoop, kneel, and crouch
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title**
Senior ComplianceAnalyst (Regulatory Change Management) - Remote
**Job Description**
The Senior ComplianceAnalyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained.
**Responsibilities**
+ Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance
+ Lead project management efforts for highly sensitive Compliance initiatives
+ Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions
+ May collect, prepare and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports
+ Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary
+ May execute and enhance Prime's compliance programs by developing, maintaining and delivering compliance documentation and training, administering the annual conflict of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies
+ Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate
+ If supporting licensing efforts, may manage regulatory submissions, filings, renewals, notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile required internal reports, perform research of licensing and reporting requirements, respond to requests for information and proposals, develop/revise/maintain departmental SOPs, Desk Top Procedures, and Licensing source documentation; manage the licensing IT application and conduct general maintenance of the licensing tools
+ Other duties as assigned
**Minimum Qualifications**
+ Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
+ 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)
Must be eligible to work in the United States without the need for work visa or residency sponsorship
**Additional Qualifications**
+ Exceptional written and oral communication skills
+ Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations
+ Complete understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards and programs to support an organization's compliance priorities
+ Ability to effectively present complex information to a wide variety of audiences
+ Ability to establish rapport and effectively influence at all levels within an organization
+ Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously
+ Strong analytical skills
+ If working within Licensing, experience maintaining, tracking, renewing and submitting applications for licensure
**Preferred Qualifications**
+ PBM/health care experience
+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
+ Certified Project Management Professional (PMP)
+ Advanced degree in related area of study, such as Juris Doctor
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$74k-118k yearly 28d ago
Compliance Assurance Consultant
Zurich Na 4.8
Schaumburg, IL jobs
129829 Zurich North America is currently hiring a Compliance Assurance Consultant and this person will report to the AVP Director, Compliance Assurance. This person will be based in our Schaumburg, IL North America HQ. Accountabilities: + Provide assistance in implementing and executing on the organizational unit's Assurance obligations under the Zurich Compliance Program.
+ Assist the Assurance team in supporting business management in the identification and management of Compliance Risks.
+ Plan, execute and report outcomes of assurance activities of moderate complexity and support delivery of more complex monitoring activities.
+ Develop creative, sustainable recommendations to support business management's implementation of appropriate, risk-based internal controls.
+ Prepare adequate reporting materials for governance committees and business management as directed by the Team Lead.
+ Build relationships, and coordinate with, other Assurance Providers across the three lines of defense.
+ Contribute to the development of the cooperation and relationship building with other Assurance Providers to deliver truly integrated assurance.
+ Provide relevant input to the Compliance Risk assessment.
+ Contribute to the prioritization and development of a risk-based compliance (assurance) plan. Suggest plan changes when perceived to be necessary.
+ Assist in preparing adequate reporting regarding progress against assurance plan, significant results, and bring to the attention of team lead escalation of overdue issues.
+ Make recommendations to further increase the effectiveness of the assurance section of the Zurich Compliance Program applying to the organizational unit.
Basic Qualifications:
+ Bachelors Degree in Law or Business Degree in Related Field and 6 or more years of experience in the Financial Services area
OR
+ Zurich Certified Insurance Apprentice, including an Associate Degree and 6 or more years of experience in the Financial Services area
OR
+ High School Diploma or Equivalent and 8 or more years of experience in the Financial Services area
AND
+ Experience with professional writing such as company policies or other management reports.
+ Experience with evaluation, assessment, and/or implementation of internal controls.
+ Knowledge of Compliance topics such as Trade and Economic Sanctions, Anti-Money Laundering and Anti-Bribery / Anti-Corruption
Preferred Qualifications:
+ Internal audit (or public accounting) experience
+ Experience in working with internal control frameworks
+ Strong problem solving and analytical skills
+ Strong verbal and written communication skills
+ Financial Services industry experience
+ Experience collaborating in a team working environment across business units
+ Experience with using data analytics; proficiency with Excel
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed salary range for this position is $87,200 to $142,700, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code § 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
$87.2k-142.7k yearly 9d ago
Compliance Assurance Consultant
Zurich Insurance Company Ltd. 4.8
Schaumburg, IL jobs
Zurich North America is currently hiring a Compliance Assurance Consultant and this person will report to the AVP Director, Compliance Assurance. This person will be based in our Schaumburg, IL North America HQ. Accountabilities: * Provide assistance in implementing and executing on the organizational unit's Assurance obligations under the Zurich Compliance Program.
* Assist the Assurance team in supporting business management in the identification and management of Compliance Risks.
* Plan, execute and report outcomes of assurance activities of moderate complexity and support delivery of more complex monitoring activities.
* Develop creative, sustainable recommendations to support business management's implementation of appropriate, risk-based internal controls.
* Prepare adequate reporting materials for governance committees and business management as directed by the Team Lead.
* Build relationships, and coordinate with, other Assurance Providers across the three lines of defense.
* Contribute to the development of the cooperation and relationship building with other Assurance Providers to deliver truly integrated assurance.
* Provide relevant input to the Compliance Risk assessment.
* Contribute to the prioritization and development of a risk-based compliance (assurance) plan. Suggest plan changes when perceived to be necessary.
* Assist in preparing adequate reporting regarding progress against assurance plan, significant results, and bring to the attention of team lead escalation of overdue issues.
* Make recommendations to further increase the effectiveness of the assurance section of the Zurich Compliance Program applying to the organizational unit.
Basic Qualifications:
* Bachelors Degree in Law or Business Degree in Related Field and 6 or more years of experience in the Financial Services area
OR
* Zurich Certified Insurance Apprentice, including an Associate Degree and 6 or more years of experience in the Financial Services area
OR
* High School Diploma or Equivalent and 8 or more years of experience in the Financial Services area
AND
* Experience with professional writing such as company policies or other management reports.
* Experience with evaluation, assessment, and/or implementation of internal controls.
* Knowledge of Compliance topics such as Trade and Economic Sanctions, Anti-Money Laundering and Anti-Bribery / Anti-Corruption
Preferred Qualifications:
* Internal audit (or public accounting) experience
* Experience in working with internal control frameworks
* Strong problem solving and analytical skills
* Strong verbal and written communication skills
* Financial Services industry experience
* Experience collaborating in a team working environment across business units
* Experience with using data analytics; proficiency with Excel
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed salary range for this position is $87,200 to $142,700, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]
Why Zurich?
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500.
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code § 1033.
Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-REMOTE
Nearest Major Market: Chicago
$87.2k-142.7k yearly 9d ago
Insurance License and Compliance Coordinator
High Street Insurance Partners 3.6
Chicago, IL jobs
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.
$76k-95k yearly 60d+ ago
Risk and Compliance Analyst
Hub International 4.8
Chicago, IL jobs
ABOUT US At HUB International, we are a team of entrepreneurs. We believe in protecting and supporting the aspirations of individuals, families, and businesses. We help our clients evaluate their risks and develop solutions tailored to their needs. We believe in empowering our employees to learn, grow, and make a difference. Our structure enables our teams to maintain their own unique, regional culture while leveraging support and resources from our corporate centers of excellence.
HUB is a global insurance and employee benefits broker, providing a boundaryless array of business insurance, employee benefits, risk services, personal insurance, retirement, and private wealth management products and services. With over $5 billion in revenue and almost 20,000 employees in 600 offices throughout North America, HUB has grown substantially, in part due to our industry leading success in mergers and acquisitions.
About the Position
At HUB, our Governance and ComplianceAnalyst roles support the operational aspects of HUB's governance, risk and compliance program. HUB's Governance and Compliance team is seeking a new analyst to join our growing team! The Analyst will play a key role in executing HUB's Core Values in serving our customers and colleagues through responding to and completing client due diligence assessments and questionnaires in support of the client due diligence reviews that we receive.
Whether you are an early-career analyst or an experienced compliance professional, this position will allow you to grow and build a career in an exciting environment that delivers value to our clients and stakeholders. If you are a highly-motivated, detail-oriented individual who possesses strong communication and analytical skills, then this position is for you!
Responsibilities:
* Work directly with internal stakeholders to complete and respond to customer/client due diligence questionnaires including the preparation and submission of HUB's annual due diligence profile.
* Assist with the semi-annual user access review process on HUB's enterprise applications and infrastructure.
* Support of our internal audits that take place such as our ITGC and SOC-2 audits.
* Evaluate the design and test the operating effectiveness of key controls identified and provide control enhancement recommendations as appropriate.
* GRC data entry and data validation especially in the area of vendor risk.
* Contribute to other risk management activities, which may include exception monitoring and tracking, vendor viability assessments, and other special projects as needed
Required Experience:
* Minimum BA/BS or equivalent work experience in audit, compliance, communication and information systems, security or a related field preferred.
* Have a strong working knowledge of some or all of ISO 27001 and other information security standards, SSAE-18, GDPR, ITIL
* Experience with GRC software (e.g. Archer, ProcessUnity) and/or process expertise in GRC areas (e.g. risk management, compliance & regulation, continuous control monitoring, vendor risk, and security)
* Ability to provide polished, written responses and executive summaries.
* Excellent verbal and written communication and interpersonal skills.
* Excellent organizational, time management and prioritization skills.
* Able to develop and maintain effective relationships with associates at all levels of the organization.
* Ability to work independently, as well as collaboratively in a team environment
* Demonstrated knowledge of MS Office applications (Outlook, Word, Excel, PowerPoint, Project Visio)
* Basic knowledge of HUB customer types, products, and services preferred.
This position is hybrid to a local HUB office (Chicago preferred)
JOIN OUR TEAM
Do you believe in the power of innovation, collaboration, and transformation? Do you thrive in a supportive and client focused work environment? Are you looking for an opportunity to help build and drive change in a rapidly growing and evolving organization? When you join HUB International, you will be part of a community of learners and doers focused on our Core Values: entrepreneurship, teamwork, integrity, accountability, and service.
Disclosure required under applicable law in California, Colorado, Illinois, Maryland, Minnesota, New York, New Jersey, and Washington states: The expected salary range for this position is $70,000 to $80,000 and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level. If you believe that your qualifications and experience surpass the minimum requirements for this role, we encourage you to submit your application. By doing so, we will be able to keep your application on file for consideration for potential future positions within our organization. HUB International is proud to offer comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance, FSA, HSA and 401(k) accounts, paid-time-off benefits such as vacation, sick, and personal days, and eligible bonuses, equity and commissions for some positions.
Department Information Technology
Required Experience: 5-7 years of relevant experience
Required Travel: Negligible
Required Education: Bachelor's degree (4-year degree)
HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected by local, state or federal laws, rules or regulations.
E-Verify Program
We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the recruiting team **********************************. This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.
$70k-80k yearly Auto-Apply 30d ago
Insurance Compliance Director
Armstrong Insurance Services 4.0
Itasca, IL jobs
ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services.
Brown & Joseph is seeking a Compliance Director as we continue to grow our team! This leadership role is responsible for developing, implementing, and overseeing the company's compliance program, ensuring adherence to all relevant laws, regulations, and ethical standards. This involves creating policies, conducting audits, providing training, and managing compliance-related risks.
Job Responsibilities:
Regulatory Compliance:
Ensuring the organization complies with applicable laws, regulations, and industry standards.
Monitor regulatory developments and implement the necessary changes in compliance programs.
Develop and maintain an up-to-date knowledge of industry-specific regulations
Establish protocols for responding to regulatory inquiries, audits, and enforcement actions, and provide guidance to executive leadership on emerging regulatory developments, and their potential impact on business operations.
Tracking complaints, drafting responses, and using data in complaint management system to identify risks in compliance or repeated offenders.
Contract review and overseeing defense of litigation against ARMStrong companies.
Policy and Procedure Development:
Drafting, reviewing, and updating compliance policies and procedures to address current and emerging regulations.
Establish a framework for the development, approval, and dissemination of compliance policies across the organization, ensuring that policies are clear, accessible, and easily understood by employees at all levels, and periodically review policies to assess effectiveness and make necessary adjustments to address emerging risks and regulatory changes.
Risk Assessment and Management:
Identifying, assessing, and mitigating compliance risks across the organization.
Conduct regular risk assessments to identify vulnerabilities in compliance frameworks.
Implement risk mitigation strategies that balance business objectives with regulatory obligations, establish reporting mechanisms, and work closely with IT, HR, and finance teams to manage operational, reputational, and financial risks related to compliance.
Monitoring and Auditing:
Conducting regular audits and monitoring activities to ensure compliance with established policies and procedures.
Overseeing internal controls, audits, and compliance reporting.
Maintain internal monitoring systems to detect and prevent compliance violations.
Licensing, Renewals and Examinations:
Maintaining a comprehensive list of all licenses and their renewal dates.
Preparing and submitting renewal applications, ensuring accuracy and completeness.
Liaising with regulatory bodies and internal teams to facilitate the renewal process.
Reporting and Communication:
Preparing reports on compliance activities and communicating findings to senior management and relevant stakeholders.
Incident Management:
Investigating and responding to potential compliance violations or incidents.
Job Requirements:
Strong understanding of relevant laws, regulations, and industry standards.
Excellent leadership, communication, and interpersonal skills.
Strong analytical and problem-solving skills.
Experience in developing and implementing compliance programs.
Experience in a highly regulated field (collections industry experience highly preferred).
Ability to work independently and as part of a team.
Bachelor's degree in a related field: (e.g., law, business, finance or JD).
Relevant certifications: (e.g., Certified Compliance and Ethics Professional) are preferred.
Compensation and Benefits:
Full benefit package with health, dental, vision, life and disability coverage options
Generous paid time off policy and 9 paid holidays
$110,000 - $130,000 per year (DOE)
401(k) plan with company matching and immediate vesting
We look forward to you joining the team!
ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
$110k-130k yearly Auto-Apply 23d ago
Compliance Specialist
Delta Dental Plan of Michigan 4.7
Okemos, MI jobs
Job Title:
Compliance Specialist
Number of Positions:
1
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
To provide support for the day-to-day operations and management of the Compliance Program with respect to Delta Dental of Michigan and its affiliates and/or subsidiaries.
Primary Job Responsibilities:
Implements initiatives to raise awareness of Company's Compliance Program including planning, developing and conducting education and training activities related to compliance.
Responsible for the development of training materials, implementation of training calendar, monitoring and auditing employee training records.
Monitors and evaluates documents to determine the relevance of regulatory updates that may affect member materials. Responsible for monitoring document revision processes, ensuring that changes are implemented from initial request through approval by internal and external parties and verifying the accuracy of final production. Provides consistent updates to management and relevant stakeholders on the status of document implementation and highlights any risks related to timely and accurate implementation.
Manages and maintains a document repository of member and provider documents, to ensure that forms are consistent with company standards, and legal, contractual and regulatory requirements.
Responsible for working with internal and external stakeholders to ensure work is prioritized and implemented by the required deadline.
Acts as a liaison for the compliance department, collaborating with key departments to confirm policies and procedures are developed and implemented to ensure compliance with applicable contract provisions, rules and regulations, including the assessment, interpretation and drafting of policy, procedure or job aids.
Advises organization and support Compliance Officer in communicating regulatory changes and implementation of compliance strategies to meet them.
Facilitates and manages coordination between compliance department and operations on new compliance efforts and initiatives.
Plays a key role in the annual compliance risk assessment and collaborate to ensure proper auditing is conducted and management of identified risks is appropriate.
Maintains and analyzes company's monitored compliance efforts and identify and assess gaps.
Coordinates various committees and task forces related to company's compliance, including management of assignments.
Facilitates and coordinates all aspects of any Medicare Advantage, Medicaid or Affordable Care Act audit, request, or inquiry by collecting, reviewing, analyzing and verifying all requested materials prior to submission, including any collaborating with the applicable operational subject matter expert that may be required as a result of the request.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Hybrid
Minimum Requirements:
Position requires a bachelor's degree in business administration, health administration, public health/public policy or a related field and three years of compliance experience, preferably in the health insurance industry or five years' experience related to auditing, quality monitoring, risk management, or operations. Compliance experience within the Medicare or Medicaid industry preferred. A compliance certification is preferred. Will accept any suitable combination of education, training, or experience.
Position requires the capability to process substantial amounts of detailed information with a high degree of accuracy; ability demonstrate strong analytical skills, efficiently manage multiple projects and effectively analyze data to develop alternative solutions; excellent interpersonal, verbal, and written communication skills; strong attention to detail and adaptability to shifting priorities and deadlines; strong organizational skills and proficiency in handling competing demands; and the ability to work independently and collaboratively within a fast-paced team environment.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.
$48k-68k yearly est. Auto-Apply 55d ago
Benefits Compliance Specialist
The Jonus Group 4.3
Chicago, IL jobs
The Benefits Compliance Specialist is responsible for managing and supporting health and welfare benefits compliance across federal and regulatory requirements. This role partners internally and with clients to ensure accurate reporting, documentation, and ongoing compliance related to ACA, ERISA, Medicare, and other benefits-related regulations. The ideal candidate has strong technical knowledge, attention to detail, and the ability to provide consultative guidance.
Key Responsibilities
Own and manage Medicare Part D creditable coverage analysis, evaluation, and required notices
Provide Non-Discrimination Testing (NDT) support and coordination
Assist with and provide guidance on ACA compliance and reporting (Forms 1094/1095)
Support RxDC reporting requirements and submissions
Prepare and distribute PCORI filings (Form 720)
Prepare, review, and distribute Form 5500 filings
Generate and maintain Wrap Documents and Plan Documents
Update and distribute ACA and ERISA notices as regulations or plan changes require
Serve as a compliance resource to internal teams and/or clients, answering questions and providing guidance
Monitor regulatory changes impacting employee benefits and proactively communicate updates
Coordinate with carriers, vendors, and internal stakeholders to ensure accurate and timely compliance deliverables
Maintain organized compliance documentation and reporting records
Qualifications
Bachelor's degree in Business, Human Resources, Finance, or a related field (or equivalent experience)
3+ years of experience in employee benefits compliance, benefits administration, or a related role
Strong working knowledge of ACA, ERISA, IRS, DOL, and CMS requirements
Experience with 5500s, PCORI, RxDC, and Medicare Part D notices
Prior experience in an insurance agency, brokerage, or benefits consulting environment preferred
High attention to detail and ability to manage multiple deadlines
Strong communication skills and comfort working with internal teams and/or clients
Preferred Experience
Client-facing or consultative compliance experience
Familiarity with benefits administration platforms or compliance vendors
Experience supporting mid-to-large employer benefit plans
Compensation
Competitive salary based on experience (typically aligned with market ranges for benefits compliance professionals)
Benefits package including health, retirement, and paid time off
This would be a hybrid position in the Chicago office. 1-2x days in office per week.
#LI-ET1
$50k-73k yearly est. 5d ago
Compliance Specialist
Delta Dental Plan of Michigan 4.7
Detroit, MI jobs
Job Title:
Compliance Specialist
Number of Positions:
1
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
To provide support for the day-to-day operations and management of the Compliance Program with respect to Delta Dental of Michigan and its affiliates and/or subsidiaries.
Primary Job Responsibilities:
Implements initiatives to raise awareness of Company's Compliance Program including planning, developing and conducting education and training activities related to compliance.
Responsible for the development of training materials, implementation of training calendar, monitoring and auditing employee training records.
Monitors and evaluates documents to determine the relevance of regulatory updates that may affect member materials. Responsible for monitoring document revision processes, ensuring that changes are implemented from initial request through approval by internal and external parties and verifying the accuracy of final production. Provides consistent updates to management and relevant stakeholders on the status of document implementation and highlights any risks related to timely and accurate implementation.
Manages and maintains a document repository of member and provider documents, to ensure that forms are consistent with company standards, and legal, contractual and regulatory requirements.
Responsible for working with internal and external stakeholders to ensure work is prioritized and implemented by the required deadline.
Acts as a liaison for the compliance department, collaborating with key departments to confirm policies and procedures are developed and implemented to ensure compliance with applicable contract provisions, rules and regulations, including the assessment, interpretation and drafting of policy, procedure or job aids.
Advises organization and support Compliance Officer in communicating regulatory changes and implementation of compliance strategies to meet them.
Facilitates and manages coordination between compliance department and operations on new compliance efforts and initiatives.
Plays a key role in the annual compliance risk assessment and collaborate to ensure proper auditing is conducted and management of identified risks is appropriate.
Maintains and analyzes company's monitored compliance efforts and identify and assess gaps.
Coordinates various committees and task forces related to company's compliance, including management of assignments.
Facilitates and coordinates all aspects of any Medicare Advantage, Medicaid or Affordable Care Act audit, request, or inquiry by collecting, reviewing, analyzing and verifying all requested materials prior to submission, including any collaborating with the applicable operational subject matter expert that may be required as a result of the request.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Hybrid
Minimum Requirements:
Position requires a bachelor's degree in business administration, health administration, public health/public policy or a related field and three years of compliance experience, preferably in the health insurance industry or five years' experience related to auditing, quality monitoring, risk management, or operations. Compliance experience within the Medicare or Medicaid industry preferred. A compliance certification is preferred. Will accept any suitable combination of education, training, or experience.
Position requires the capability to process substantial amounts of detailed information with a high degree of accuracy; ability demonstrate strong analytical skills, efficiently manage multiple projects and effectively analyze data to develop alternative solutions; excellent interpersonal, verbal, and written communication skills; strong attention to detail and adaptability to shifting priorities and deadlines; strong organizational skills and proficiency in handling competing demands; and the ability to work independently and collaboratively within a fast-paced team environment.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.
$48k-68k yearly est. Auto-Apply 21d ago
NetSuite Analyst
Zoro 3.9
Chicago, IL jobs
Zoro.com is a leading eCommerce platform offering nearly 12 million tools, parts and supplies for our business customers. Launched in 2011, we brought a B2C-like experience to the B2B industry, and continue to be at the forefront of digital innovation at the intersection of technology and distribution. We have rapidly grown to over $1 billion in annual revenue and we're just getting started!
Primary Function:
As a NetSuite Analyst you will be responsible for supporting and monitoring the operational aspects of the NetSuite platform for the business. This includes maintaining users, roles, and associated permissions; designing and implementing searches and reports; process monitoring; testing and troubleshooting; and managing configuration changes. Once familiarized with Zoro processes, you'll rotate the on-call duties and serve as an escalation contact for L1 (level 1) service incidents. As a NetSuite Analyst you must have very strong written and oral communication skills, be highly organized, and capable of multitasking and managing projects. The NetSuite Analyst will need to have balanced knowledge and abilities from both a functional and technical skill set and be comfortable training users.
What You'll Do:
Identify and resolve operational issues with the NetSuite platform.
Resolve support tickets and follow up on outstanding tickets.
Aid teams with their NetSuite integrations across the business.
Regularly monitor the health of the NetSuite platform.
Actively identify opportunities to leverage NetSuite functionality to improve efficiency.
Design and develop saved searches, financial reports, KPIs, or dashboards.
Support the deployment and validation of NetSuite customizations.
Create and maintain detailed documentation for customizations and other enhancements.
Maintain user roles and permissions adhering to regulatory requirements.
Perform miscellaneous duties as required.
Qualifications:
Associate's Degree in Business, Accounting or equivalent related experience.
1+ years' experience with the NetSuite platform or equivalent related experience.
NetSuite SuiteFoundation certification is a plus but not required.
Knowledge of promotions, supply chain, pricing, and accounting principles.
An enjoyment of technical challenges and eagerness to explore new approaches.
Proficient with change management processes, policies, and principles.
An Agile mindset with the ability to adapt to changing priorities and requirements in addition to participating in retrospectives focused on identifying contributing causes and providing actionable solutions to prevent them from reoccurring.
Fault analysis/determination and problem-solving skills are a must.
Ability to effectively communicate technical issues and status to technical and non-technical audiences.
Excellent communication, and documentation skills leveraging the Atlassian Stack (JIRA, Confluence), ServiceNow and/or SolarWinds Service Desk.
An understanding of production environments, including the requirement for high availability and team-oriented 24x7 support capabilities.
Military education or experience may be considered in lieu of civilian requirements listed.
Total Rewards
Zoro's total compensation plan includes our Zoro Incentive Plan (ZIP) that is designed to foster and reward our team members for strong performance. Total compensation will be highly competitive.
In addition to competitive compensation, Zoro offers comprehensive benefits and perks including:
Medical, dental, vision, and life insurance plans with coverage starting on day one of employment
Maternity support programs, nursing benefits, and up to 14 weeks paid leave for birth parents and up to 4 weeks paid leave for non-birth parents. We also support growing your family through access to adoption assistance program
6 free sessions each year with a licensed therapist and Wellhub portal membership to support your mental and emotional wellbeing
At least 18 paid time off days annually for full-time employees and 6 company holidays per year
6% company contribution to a 401K Retirement Savings Plan each pay period, no employee contribution required
Tuition reimbursement, student loan refinancing and access to financial counseling, education, and tools
Charitable Gift Program - match gift to an eligible educational, cultural, community health, and human service organizations
Employee discounts and admission to various civic and cultural institutions around Chicago
Zoro office perks including coffee bar, beer on tap, unlimited snacks, access to the onsite gym, and incredible city skyline views
For additional information and details regarding our benefits and our parent company, W. W. Grainger, please click on the link here.
The pay range provided is not a guarantee of compensation. The range listed reflects the expected base pay for this position at the time of posting, based on the role's job grade. Actual compensation may vary depending on factors such as location, relevant experience and individual qualifications.
Illinois$52,800-$87,900 USD
Our Culture
Zoro was founded in 2011 with a simple idea: make it easy for businesses to get the tools, parts, and supplies they need to keep things running. We've grown by staying curious, moving quickly, and solving everyday challenges in smart, practical ways. Backed by W.W. Grainger and inspired by our endless assortment business model, we're on a clear path toward our next big milestone: $2 billion in revenue-and beyond.
At Zoro, we don't just follow a playbook-we help build it. You'll get to work on real problems with a supportive team that shares ideas freely, learns from each other, and celebrates wins together. Our culture is grounded in values that guide how we show up every day: Winning & Learning Together, Being Customer Obsessed, Being Transparent, and Taking Ownership. We don't have all the answers, but we're always asking good questions.
Zoro's culture has been recognized by Fortune, Best Places to Work, and Built In Chicago-but the recognition we care about most comes from our team members, who make this place what it is.
We also know that flexibility matters. Our hybrid work model gives you space to focus and the flexibility to live your life - asking team members to be onsite at least two days a week. Our Chicago HQ (right above Ogilvie Transportation Center in the Accenture Tower) is always open and ready for connection, collaboration, or just a good cup of coffee.
At Zoro, we're growing fast toward big aspirations - and we're continuously excited about the new challenges we get to solve together.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex (including pregnancy), national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, protected veteran status, or any other protected characteristic under federal, state, or local law. We are proud to be an equal opportunity workplace. We are also committed to fostering an inclusive, accessible work environment that includes both providing reasonable accommodations to individuals with disabilities during the application and hiring process as well as throughout the course of one's employment. Should you need a reasonable accommodation during the application and selection process, including, but not limited to use of our website, any part of the application, interview, or hiring process, please advise us so that we can provide appropriate assistance.
$52.8k-87.9k yearly Auto-Apply 7d ago
Check Run Analyst- Nashville TN- Hybrid
Lucent Health Solutions LLC 3.8
Nashville, TN jobs
About Lucent Health
Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.
Company Culture
We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.
Honest
Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior
Ethical
Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest
Hardworking
Consistency: meet or exceed deadlines, maintaining high productivity levels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer to assist in additional projects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments
Summary:
We are looking for a skilled healthcare Check Run Analyst (Payment Posting) for the set-up, maintenance, and completion of our clients' check runs. The ideal person is responsible for the maintenance of the check registers, and the maintenance of the check run guidelines and schedules. The individual must be able to efficiently multi-task and prioritize in performing the responsibilities listed below.
Responsibilities:
Daily servicing of client requests via email and telephone contacts
Receive and interpret data; enter information into the benefits processing system
Run daily and monthly reports for our clients, as needed
Run daily flex and disability check runs
Interface with clients, suppliers, and/or company employees in other departments on a regular basis to give or exchange information
Additional duties as assigned
Qualifications
Bachelor's degree in Business, Finance, Health Administration, or related field (preferred)
Insatiable appetite for attention to details, working with numbers, and organization
3 or more years' experience reconciling and balancing financial accounts
Successfully manage check-runs and post payments to fund the right client accounts
3 years minimum general accounting experience in an administrative financial role
3 years minimum proficiency in the use of computer databases and applications including the Microsoft Office Suite (e.g., Outlook, Word, and Excel)
Good interpersonal skills and passion to interact with others; internally and externally
Must be able to perform with a sense of urgency and can prioritize multiple tasks
Experience and understanding of Insurance carrier environment, preferred
Experience and understanding of Insurance carrier healthcare claims, a plus
Administrative Financial Services: 3 years (Preferred)
Reconciling and balancing financial accounts: 3 years (Preferred)
Payment Processing and Funding: 3 years (Preferred) High school or equivalent (Preferred)
Familiarity with ICD-10, CPT, and medical coding terminology
Familiarity with LuminX or QicLink platforms
Equal Employment Opportunity Policy Statement:
Lucent Health Solutions, Inc. is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, gender identity, gender expression, transgender status, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$48k-70k yearly est. Auto-Apply 8d ago
Check Run Analyst- Nashville TN- Hybrid
Lucent Health Solutions LLC 3.8
Nashville, TN jobs
Job Description
About Lucent Health
Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.
Company Culture
We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.
Honest
Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior
Ethical
Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest
Hardworking
Consistency: meet or exceed deadlines, maintaining high productivity levels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer to assist in additional projects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments
Summary:
We are looking for a skilled healthcare Check Run Analyst (Payment Posting) for the set-up, maintenance, and completion of our clients' check runs. The ideal person is responsible for the maintenance of the check registers, and the maintenance of the check run guidelines and schedules. The individual must be able to efficiently multi-task and prioritize in performing the responsibilities listed below.
Responsibilities:
Daily servicing of client requests via email and telephone contacts
Receive and interpret data; enter information into the benefits processing system
Run daily and monthly reports for our clients, as needed
Run daily flex and disability check runs
Interface with clients, suppliers, and/or company employees in other departments on a regular basis to give or exchange information
Additional duties as assigned
Qualifications
Bachelor's degree in Business, Finance, Health Administration, or related field (preferred)
Insatiable appetite for attention to details, working with numbers, and organization
3 or more years' experience reconciling and balancing financial accounts
Successfully manage check-runs and post payments to fund the right client accounts
3 years minimum general accounting experience in an administrative financial role
3 years minimum proficiency in the use of computer databases and applications including the Microsoft Office Suite (e.g., Outlook, Word, and Excel)
Good interpersonal skills and passion to interact with others; internally and externally
Must be able to perform with a sense of urgency and can prioritize multiple tasks
Experience and understanding of Insurance carrier environment, preferred
Experience and understanding of Insurance carrier healthcare claims, a plus
Administrative Financial Services: 3 years (Preferred)
Reconciling and balancing financial accounts: 3 years (Preferred)
Payment Processing and Funding: 3 years (Preferred) High school or equivalent (Preferred)
Familiarity with ICD-10, CPT, and medical coding terminology
Familiarity with LuminX or QicLink platforms
Equal Employment Opportunity Policy Statement:
Lucent Health Solutions, Inc. is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, gender identity, gender expression, transgender status, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$48k-70k yearly est. 7d ago
Check Run Analyst- Nashville TN- Hybrid
Lucent Health Solutions LLC 3.8
Nashville, TN jobs
About Lucent Health
Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.
Company Culture
We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.
Honest
Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior
Ethical
Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest
Hardworking
Consistency: meet or exceed deadlines, maintaining high productivity levels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer to assist in additional projects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments
Summary:
We are looking for a skilled healthcare Check Run Analyst (Payment Posting) for the set-up, maintenance, and completion of our clients' check runs. The ideal person is responsible for the maintenance of the check registers, and the maintenance of the check run guidelines and schedules. The individual must be able to efficiently multi-task and prioritize in performing the responsibilities listed below.
Responsibilities:
Daily servicing of client requests via email and telephone contacts
Receive and interpret data; enter information into the benefits processing system
Run daily and monthly reports for our clients, as needed
Run daily flex and disability check runs
Interface with clients, suppliers, and/or company employees in other departments on a regular basis to give or exchange information
Additional duties as assigned
Qualifications
Bachelor's degree in Business, Finance, Health Administration, or related field (preferred)
Insatiable appetite for attention to details, working with numbers, and organization
3 or more years' experience reconciling and balancing financial accounts
Successfully manage check-runs and post payments to fund the right client accounts
3 years minimum general accounting experience in an administrative financial role
3 years minimum proficiency in the use of computer databases and applications including the Microsoft Office Suite (e.g., Outlook, Word, and Excel)
Good interpersonal skills and passion to interact with others; internally and externally
Must be able to perform with a sense of urgency and can prioritize multiple tasks
Experience and understanding of Insurance carrier environment, preferred
Experience and understanding of Insurance carrier healthcare claims, a plus
Administrative Financial Services: 3 years (Preferred)
Reconciling and balancing financial accounts: 3 years (Preferred)
Payment Processing and Funding: 3 years (Preferred) High school or equivalent (Preferred)
Familiarity with ICD-10, CPT, and medical coding terminology
Familiarity with LuminX or QicLink platforms
Equal Employment Opportunity Policy Statement:
Lucent Health Solutions, Inc. is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, gender identity, gender expression, transgender status, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$48k-70k yearly est. Auto-Apply 5d ago
Underwriting Analyst
Captive Resources 4.1
Itasca, IL jobs
The Underwriting Analyst is responsible for setting up new and renewal prospects for Stop Loss/Captive Underwriters, as well as performing all other necessary functions required to underwrite the prospect and/or renewal. Heavy involvement in the implementation of materials required for issuance and sold case processing.
EDUCATION AND EXPERIENCE: A bachelor's degree in business, finance, insurance, mathematics, or a related field.
SKILLS/COMPETENCIES REQUIREMENTS:
Knowledge of available employer Stop Loss products, including contract terms and RFP data interpretation
Strong mathematical background
Ability to handle large volume of work efficiently and correctly with limited errors
Strong team attitude
Works well independently and in a team environment
Interpersonal skills
Excellent written and verbal communication skills
Strong skills in Microsoft Office, especially using Excel and Word, and other on-line computer systems
Comfortable making presentations to small groups
Organization, planning and prioritization skills
Strong analytical, problem solving and judgment skills
Strong customer service orientation
Commitment to company values
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Review, prepare and submit documents to Underwrite renewal business and new business
Accountable for creation and preparation of proposals
Maintain quote qualifications and competitive rates
Sold case preparation and issuance of applications
Input employer stop loss characteristics such as benefits, census, large claim information and aggregate claim assessment into our underwriting system (Connexure ESL Office).
Participate in Captive renewal calls and biweekly Underwriting meetings
Prepare and distribute renewal letter notifications
Participate in meetings
Generate system reports
PRIORITIES: Accuracy, Timeliness, Positive Team Attitude
$45k-71k yearly est. 34d ago
Learn more about Jackson National Life Distributors LLC jobs