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Mgr Compliance & Training - Individual & Family Markets (IFM)

Health Care Service Corporation
life insurance, parental leave, paid time off, paid holidays, tuition reimbursement, 401(k)
United States, Texas, Richardson
1001 East Lookout Drive (Show on map)
Jan 10, 2025

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary This position is responsible for managing the compliance, training, and oversight of Broker Sales for the Individual and Family Markets (IFM). This leader will be overseeing and leading top-down efforts on IFM Broker audits, oversight, escalations, training, and compliance activities to ensure IFM Broker Sales are conducted according to regulatory and or IFM business rules. This leader will be responsible for creating and maintaining an IFM Broker Sales compliance program; administering to and training internal resources and external Brokers; achieving high performance and service levels; and identifying opportunities for further process improvements. This role will be responsible for working with but not limited to regulators, government agencies, external Brokers, and IFM leadership team.

Required Job Qualifications:
* Bachelor Degree in Business Administration or related field and 5 years of experience
* 3 years of regulatory or compliance experience
* 1 year experience in a management or leadership capacity
* Knowledge of the regulatory process and Health Care Industry sales processes and functions
* Excellent written and oral communication skills and the ability to present and articulate complex issues and situations in clear and understandable terms
* Full understanding and ability to interpret CMS requirements in the Individual Health Insurance marketplace (Affordable Care Act)
* Ability to meet with Broker core contacts virtually and or in person
* Ability to recommend strategy based on the annual call letter
* Ability to handle interviews and questions from regulators and Brokers
* In depth knowledge of compliance, audit and quality review processes
* Experience in process re-engineering and strategic problem-solving
* Experience conducting analyses and developing, executing and communicating strategic and operational impacts
* Experience providing strategic and tactical direction based on quantitative and qualitative analyses
* Knowledge of sales operations
* Written, executive presentation, verbal communication, facilitation, decision-making, and interpersonal skills
* Experience working independently and responding to rapidly changing priorities
* Strong data analysis skills as demonstrated through experience

Preferred Job Qualifications:
* Experience in Compliance related to the Individual Health Insurance Marketplace exchange (Affordable Care Act) and/or for an insurance carrier

* Knowledge of Health Care policies and procedures

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$82,700.00 - $149,300.00
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