The State Compliance Coordinator will have a good fundamental understanding of completing legal research and compliance projects, including state and federal licensures and certifications. This position will assist the Compliance Department and Legal Department with keeping the company in compliance with laws that regulate the PPO/healthcare industry. The State Compliance Coordinator will follow relevant case law and remain up-to-date on state laws and legislative developments. The State Compliance Coordinator will often research difficult questions and must be able to provide specific and concise answers, which are often needed under a deadline.
Essential Job Functions
- Manage regulatory compliance requirements applicable to the line of business.
- Maintain good relationships with State Insurance Department and/or related Departments personnel.
- Strategize and establish systems, processes and methodologies for line of business to meet its reporting obligations, record-keeping requirements and apply for specific licensure or registrations as may be required.
- Research, coordinate and provide responses to regulatory inquires received from internal team and/or external clients in a manner consistent with company internal guidelines and practices.
- Handle state filings and certification projects and related communications with state insurance departments.
- Understand current regulatory requirements and keep abreast of all changes to regulations in order to communicate impacts and proposed action plans to the line of business.
- Analyze reports and generate data.
- Coordinate and manage regulatory audits, investigations, surveys or assessments performed by clients or regulatory authorities.
- Must meet deadlines when they are given.
- Support regulatory compliance and quality assurance training activities.
- Bachelor’s degree desired and/or equivalent work experience
- Minimum five (5+) years’ experience in a regulatory compliance role in a highly regulated industry (preferred experience supporting workers’ compensation, auto liability or commercial group health)
- Deep understanding of regulatory compliance best practices
- Strong organizational skills with attention to detail and efficient time management
- Excellent oral and written communication skills
- Strong interpersonal and rapport building skills
- Proactive and highly motivated
- Ability to work effectively independently and as a team
- Ability to perform in high-pressure and fast-paced environment and handle multiple tasks simultaneously
This position requires light work (L). Light work is defined as exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. However, this position is typically performed in a seated position with no pulling or pushing or use of leg controls.