[Remote] Healthcare Compliance Manager (Remote, U.S.)

Note: The job is a remote job and is open to candidates in USA. Fuego Leads, LLC is a rapidly growing technology-focused insurance sales company looking for a highly experienced Compliance Manager. The Compliance Manager will oversee the strategy of the Quality Assurance department and compliance across cross-functional teams, developing and analyzing strategies to improve overall performance and compliance.

Responsibilities

• You will oversee and evolve the Compliance strategy across the company, by auditing and analyzing our procedures
• You will support the Quality Assurance Manager by providing guidance and assistance to the department on program and staff development
• You will provide guidance on developing staff training and evaluating programs for regulatory compliance across departments
• You will identify areas for process improvement to enhance compliance controls throughout the organization
• You will respond to carrier, consumer and regulatory inquiries received either directly or through third party organizations like the Better Business Bureau
• You will assist in assessing vendors and potential partners for compliant practices by sending and reviewing due diligence documents
• You will be responsible for reviewing OIG/SAM exclusion lists and evaluating background check requirements for ability to meet licensing and appointment standards for a variety of insurance programs
• You will prepare customized reports for management on key performance metrics and quality assurance findings
• You will analyze data to provide insights and recommendations to support strategic decision-making
• You will create ad-hoc reports as needed to address specific concerns or opportunities for improvement
• You will conduct regular assessments of the Compliance department's overall performance and adherence to quality standards
• You will collaborate with department managers to develop and implement strategies for continuous improvement

Skills

• You have demonstrated experience in building strategic compliance protocols within Health Insurance Agency/ Call Center, or similar
• You are a subject matter expert in regulatory requirements of a Health Insurance Agency (including product knowledge of ACA, Medicare & Private Health Insurance)
• You have experience in guiding and mentoring department managers to improve Compliance protocols and processes
• You have effective written and verbal communication skills to convey complex information in a clear and concise manner
• You have strong analytical and problem-solving skills to assess processes, identify areas for improvement, and make data-driven decisions
• You have demonstrated knowledge of insurance regulations and compliance requirements to ensure that our team transactions adhere to industry standards
• You are detail oriented and diligent in overseeing regular compliance reports to senior management, detailing the status of compliance efforts and any identified issues
• You are a resourceful, problem solver who is self motivated
• You are an active listener and have strong organization and multitasking skills
• You are tech savvy and able to leverage tools and systems to enhance compliance and tracking efficiency
• You are a continuous learner and interested in staying informed about industry best practices, emerging trends, and technological advancements

Benefits

• 20 PTO days accrued per calendar year after 3 months of employment.
• Health, Dental, Vision Group Insurance after 3 month Probationary Period (Optional)
• 401K + Matching program after 3 month Probationary Period (Optional)
• Great Career development opportunities
• Monthly Team Lunches

Company Overview