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Chief Compliance Officer (Troy, MI)

Company: BeneSys, Inc.
Location: Troy
Posted on: November 17, 2021

Job Description:

Chief Compliance Officer (Troy, MI)

Summary
Ensure that our operations and business transactions follow all relevant legal and internal rules. Duties encompass all company operations, but bulk of work will relate to health plan (60%) and pension plan (30%) administration and other duties (10%). Position is based in our Troy, Michigan headquarters.



Primary Responsibilities

Internal Processes:


Ensure internal processes comply with Internal Revenue Code, Medicare, ERISA, HIPAA, ACA, and No Surprises Act.
Create sound internal controls and monitor adherence to them.
Define, implement, and continuously optimize benefit processes and procedures.
Proactively audit processes, practices, and documents to identify weaknesses and areas for improvement.
Develop metrics and reports related to compliance.
Identify gaps in processes and serve as lead in developing improved procedures.
Document gaps and remediation measures.
Create and communicate policies to manage a crisis or compliance violation.
Evaluate business activities to assess compliance risk.
Assist in vendor procurement and management.



Governmental Filings:


Direct the compliance of tax filings, governmental filings, federal and multistate regulations to ensure accuracy and timeliness.
Ensure that internal processes are in compliance to complete required filings.
Serve as a project manager on special filing-related projects.
Perform quality control with respect to required filings and related communications.




Internal Support:


Conduct training and provide oversight and support to employees regarding Internal Revenue Code, Medicare, ACA, No Surprises Act and ERISA requirements.
Document and communicate best practices.
Work with managers to implement new regulations related to required filings.
Serve as expert resource for employees.
Oversee knowledge capture, knowledge transfer and parallel support.
Assist In-house Counsel and departmental leaders on related compliance assignments.
Address employee concerns or questions regarding legal compliance under direction of In-house Counsel.



External Communication:


Communicate with clients regarding rules and regulations applicable to benefit administration.
Liaison with outside parties about governmental filings as needed.
Collaborate with external auditors, consultants and counsel when needed.



Compliance Department Support:


Review forms, including provider agreements, policies and procedures, member facing materials, etc. for compliance implications.
Revise documentation with new or revised laws and regulations related to required filings.
Maintain health and pension compliance calendar and reporting.
Monitor applicable agencies for new guidance and/or regulations.



General:


Maintain general knowledge of benefit plan operations and industry practices and specific familiarity with company applications and procedures. Keep abreast of internal standards and business goals.
Ensure company operates in a legal and ethical manner while meeting business objectives.
Identifying opportunities and supporting efforts to influence a culture of compliance.
Occasional travel to branch offices may be required.


Supervisory:


May be required to supervise Compliance Specialists in the future.



Qualifications

Required Qualifications:


Bachelor's Degree in Health Administration, Finance, Business Administration, Human Resources, or a related field.
At least seven years of employee benefits and/or claims administration and compliance experience.
3+ years of project management and process improvement experience with a strong focus on quality
Strong to expert computer skills - MS Office (Excel, Word, PowerPoint).
At least two years of regulatory compliance and oversight experience in healthcare industry.
Experience with compliance audits and/or risk assessments.
Experience in compiling, coordinating, and analyzing regulatory requirement data.
Excellent critical thinking and problem-solving skills.
Ability to effectively communicate at all organizational levels, both orally and in writing.
Ability to present effectively to, and inspire confidence from, clients.
Ability to manage multiple tasks and deliverables in a fast-paced environment
Ability to read documents and communicate professionally and clearly. Strong language and writing skills are necessary.
Ability to apply common sense to carry out detailed written or verbal instructions. Analytical and problem-solving skills are necessary.


Preferred Qualifications


Law degree or legal background helpful but not essential.
Experience with OnBase not essential but welcomed.


Our Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place people want to work, feel proud of what they do and feel fulfilled both professionally and personally; creating a place where employees can find long-term growth and potential.



Our culture focuses on three core values:


Collaboration: working together across 31 locations to achieve the best for the company and our clients.
Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues.
Integrity: doing what we say we will do. Upholding strong ethical and moral principles




Competitive Benefits & Compensation Package


Paid Time Off (PTO)

15 days of PTO during the next calendar year!


Medical, dental, vision, and life insurance
Company paid short term disability, long term disability, and AD&D insurance
401k with employer match
Tuition reimbursement program
Paid training
Career development opportunities
Referral bonus for all full-time referrals
Competitive wages
Annual opportunities for increases and bonuses




COVID-19 Considerations


Masks are required by all employees and clients
Daily sanitation procedures in place
Daily check-in program with rigorous contact tracing




Pay

Pay commensurate with education and experience.



ADA & EEO



PM21PI153827643

Keywords: BeneSys, Inc., Troy , Chief Compliance Officer (Troy, MI), Executive , Troy, Michigan

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