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Compliance Coordinator

Role overview

Qualifications

  • Bachelor's Degree or equivalent work experience
  • Healthcare or health insurance industry experience
  • Demonstrated knowledge of state and federal regulations governing employee benefits
  • Proficient with Microsoft Word and Excel or similar PC based programs

Responsibilities

  • Review incoming compliance inquiries and requests, and assist with routing and handling as directed
  • Establish and identify key players within the company for compliance and legal process initiatives
  • Coordinate compliance and legal process initiatives by tracking progress, scheduling meetings, and facilitating communication
  • Assist in managing the contract management system for the Compliance department

Key facts

Other skills

  • Microsoft Word
  • Microsoft Excel
  • Communication
  • Relationship Building
  • Analytical Skills
  • Detail Oriented
  • Time Management
  • Teamwork

About the company

Health Plans Inc logo

Health Plans Inc

Insurance

HPI redefines what is possible with self-funded health plans. As a third-party administrator, we partner with health plan brokers and employers to provide innovative self-funding strategies and customized plans tailored to each client’s needs and population. Our solutions give employers greater cost transparency and control, while elevating the member experience.

Company details

Company typeSME
IndustryInsurance
Company size201 - 500

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Job description


Department: Compliance

Reports To: Assistant General Counsel

FLSA Status: Non-Exempt


About HPI

At HPI, we are a forward-thinking, national third-party administrator (TPA) specializing in self-funded health plan solutions. With over 44 years of industry expertise, our entrepreneurial spirit, flexible approach, and personalized service have empowered us to serve clients of all sizes across diverse industries. We deliver innovative strategies that maximize the value of every healthcare dollar.

The self-funded health plan landscape is constantly evolving. At HPI, our partners benefit from having a TPA with the expertise, resources, and creativity to deliver customized plan solutions that help them win and retain more business. We excel at driving costs down and managing risk, while enhancing our clients’ employees’ health insurance experience. Our goal is to help members clearly understand their health plan and provide responsive service, enabling them to fully utilize their benefits and achieve greater health.

Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service. 

Summary:

Under the direction of the Assistant General Counsel, the Compliance Coordinator is responsible for coordinating incoming compliance department inquiries and requests, and for coordinating various ongoing tasks and new compliance and legal process initiatives. The Compliance Coordinator will also function as the contract management system liaison and technical expert. 

Duties and Responsibilities (other duties may be assigned):

  • Review incoming compliance inquiries and requests, and assist with routing and handling as directed by the Assistant General Counsel
  • Establish and identify key players within the company for compliance and legal process initiatives 
  • Coordinate compliance and legal process initiatives by tracking progress, scheduling meetings, and facilitating interdepartmental and intradepartmental communication with key players
  • Keep internal stakeholders informed regarding deadlines, turnaround targets, and status updates
  • Assist in managing the contract management system for the Compliance department
  • Provide additional coordination for other Compliance related tasks as requested, including certain licensure and regulatory filings
  • Coordinate the integration of company affiliate compliance related policies and procedures, as well as with the creation of new policies and procedures as directed by the Assistant General Counsel.

Minimum Education Requirements:

  • Bachelor's Degree or equivalent work experience 

Minimum Experience Requirements:

  • Healthcare or health insurance industry experience 
  • Demonstrated knowledge of state and federal regulations governing employee benefits

Preferred Experience Requirements:

  • Health plan administration, employee benefits, or benefit plan compliance in the healthcare industry

Skills:

  • Proficient with Microsoft Word and Excel or similar PC based programs
  • Ability to build effective working relationships at all levels with diverse internal and external stakeholders
  • Strong written and oral communication skills
  • Detail oriented, analytical and accurate
  • Ability to prioritize and multi-task efficiently and accurately in a dynamic, fast-paced environment
  • Ability to work both independently and as a member of the team
  • Ability to work within specified timeframes and meet deadlines

Reasonable Accommodation:

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.

Working Environment/Physical Demands:

The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job. The noise level in the work environment is moderate. The employee may occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. The employee is occasionally required to stand.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

Health Plans Inc. is an EEO – M/F/D/V employer

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Marcus Rivera

Chief Revenue Officer

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