Insight Global is looking for a Compliance Specialist to support a health insurance company. The Compliance Specialist is responsible for assisting in the oversight and execution of adhering to all regulatory requirements, standards, and compliance across all operational areas of the organization. They will develop, update, and revise plan documents, submit regulatory deliverables, and monitor compliance. This role involves close collaboration with various business units to meet deadlines and maintain compliance standards.
- Develop, update, and revise plan documents for submission to regulatory bodies such as CMS and TDI
- Prepare and file regulatory deliverables and reports
- Track and communicate regulatory requirements impacting the plan, and initiate communication with affected operational areas
- Identify potential weaknesses within operational areas and recommend improvements
- Work with business areas to ensure deadlines are met
- Assist in coordinating internal and external investigations
- Act as the primary backup for notifying Member Services of member complaints and managing responses in the CMS Health Insurance Casework System Portal
- Serve as the primary backup for coordinating subrogation with outside counsel
- Schedule and maintain minutes for the Policy and Process Committee meetings and other ad-hoc workgroups and meetings.

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