Job description

Compliance Analyst I
SEE how you can make a difference! Be part of an innovative company that cares about its associates and helps members enjoy the wonders of sight through healthy eyes and vision.

Versant Health provides vision care to 39 million members nationwide! To ensure your continued success we provide opportunities for advancement and development.
Our associates remain engaged through a comprehensive compensation and benefits package which includes health and dental insurance, tuition reimbursements, 401(k) with company match, pet insurance and FREE vision insurance for you and your family.

Scope and Purpose of Position:
The Compliance Analyst I perform compliance activities in support of obtaining and maintaining licenses and certifications for business operations as outlined below.

Essential Functions:

• Obtain and maintain all licenses necessary to carry out the organization’s business activities including, but not limited to, utilization review, third party administration, insurance producer and preferred provider organization licenses and network adequacy reports
• Liaise with various state departments of insurance and regulatory agencies to obtain clarification regarding licensing regulatory requirements and submissions
• Conduct regulatory research and analysis for new and existing licenses
• Manage and maintain the compliance licensing database, LicenseHQ. Create custom reports, track, monitor, audit and prioritize distribution of licensing requests to business owners
• Partner with Management to identify compliance issues and risks, escalating and formally reporting potential non-compliance violations
• Effectively communicate licensing compliance policies and practices to internal business teams
• Work collaboratively with the Director on new business licensure initiatives and research
• Support coordination, tracking and development of licensing and compliance projects
• Collaborate and foster relationships with internal business associates and become a value-added partner
• Assume additional clerical and administrative duties and responsibilities, as needed or directed

Education and Experience:

• Preferred bachelor’s degree in managed care, business, healthcare administration or equivalent combination of experience and education
• One (1) year of compliance and/or licensing experience in insurance, managed care, vision care industry or health setting preferred
• Knowledge of laws and regulations affecting insurance products preferred
• Proficiency in MicroSoft Office and computer experience

HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

We take pride in our recruiting process and follow a merit-based employee recruitment practice with extensive screening steps. We will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

We provide equal employment opportunities (EEO) to all associates and applicants for employment without regard to race, color, religious beliefs, age, sex (including pregnancy), sexual orientation, gender identity or expression (including transgender status), national origin, ancestry, status as a protected veteran or disabled veteran, physical or mental disability or history of disability, genetic information, marital status, or any and all other categories protected by under applicable Federal, state or local law.

This policy extends to all associates and to all aspects of the employment relationship. Any associate who violates this policy will be subject to disciplinary action up to and including termination.

www.colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.colinoncars.com is the ideal place to find your next job.