Compliance Manager

The Washington Health Benefit Exchange is a public-private partnership that operates the WAPlanfinder mobile app and Washington Healthplanfinder, the eligibility and enrollment portal used by one in four Washington residents to obtain health and dental coverage. Through Washington Healthplanfinder, individuals and families can compare and enroll in health insurance coverage and gain access to financial help and public programs like Washington Apple Health.

The mission of the Exchange, a state-based marketplace, is to radically improve how Washington residents secure health insurance through innovative and practical solutions, an easy-to-use customer experience, our values of integrity, respect, equity and transparency, and by providing undeniable value to the health care community.

The Exchange is also committed to identify and reach groups at risk for obstacles to access coverage, which includes supporting those who need assistance overcoming barriers to seek, find, and use their health insurance coverage. Specifically, the Exchange is embracing the following equity statement:

Equity is a fundamental pillar to the society we seek to build. The process of advancing toward equity will be disruptive and demands vigilance, dismantling deeply entrenched systems of privilege and oppression. We must focus our efforts on people and places where needs are greatest, especially communities of color, and go beyond remedying a particular inequity to address all determinants of health.

Our goal is that all Washingtonians have full and equal access to opportunities, power and resources to achieve their full potential.

SUMMARY

WAHBE is obligated to maintain public trust by operating in a transparent, legal, and ethical manner. The Compliance Manager is responsible for leading and managing WAHBE's day to day compliance activities. This position reports to the Compliance Officer, who oversees the compliance program. Working with the Compliance Officer, the Compliance Manager is responsible for implementing the compliance program and responding to potential incidents of non-compliance. This position will focus on developing and updating policies and procedures, identifying best practices for implementation within resource constraints, raising staff awareness of compliance, working with stakeholders regarding compliance issues, addressing and remediating any complaints or incidents, and supporting implementation of business process and system enhancements to ensure organizational compliance. Specific areas of compliance include the Affordable Care Act and implementation of its regulations, state insurance laws, federal and state privacy and security requirements, and other legal requirements.

DUTIES AND RESPONSIBILITIES

* Help ensure WAHBE compliance with requirements for a state-based health insurance exchange, including analysis of regulatory and statutory requirements and identification of any compliance gaps.

* Engage with other state-based marketplaces and other state agency peers to keep current on compliance requirements, issues, and best practices. Communicate with impacted stakeholders and federal and state staff on compliance issues and remediation.

* Serve as a shared resource across WAHBE's departments by providing consultations on, and/or addressing compliance concerns or issues, and supporting implementation teams in setting up the programmatic frameworks to support and help ensure WAHBE's ongoing compliance requirements are met. As needed, consult with WAHBE's Compliance Officer, Chief Information Security Officer, Risk Management Officer, and General Counsel regarding WAHBE's compliance approach and processes.

* Lead the work of the Policy and Procedure Workgroup to prioritize and develop organizational policies and procedures and the identification of opportunities for continuous improvement and subsequent implementation.

* Collaborate with the WAHBE Risk Management team and Executive Leadership team to support annual risk assessments and the development and implementation of the annual compliance workplan.

* Monitor and respond to compliance hotlines, investigate complaints of potential non-compliance, improper conduct, or waste, fraud or abuse, and/or privacy or security breaches. Implement a system for the uniform handling of such complaints or reports and identify related opportunities for continuous improvement to be implemented.

* Respond to public records requests, including evaluating the requests and collaborating with legal and privacy staff to compile, redact if needed, and produce responsive records.

* Identify potential areas of compliance vulnerability and assist in developing appropriate responses to correct or remediate.

* Collaborate with legal and HR to develop and deliver regular compliance-related trainings and other activities to raise employee awareness of WAHBE standards of conduct, regulatory requirements, reporting obligations, legal obligations, and potential areas of risk.

* Manage WAHBE's annual Programmatic Audit and SMART reporting, working in coordination with WAHBE staff as needed.

QUALIFICATIONS

Required:

* A Bachelor's degree and a minimum of three years' experience in compliance or legal support. Years of experience may substitute year for year for Bachelor's degree.

* Demonstrated ability to assume leadership and work independently. Experience working with committees or workgroups and effectively coordinating activity toward shared goal.

* Demonstrated ability to perform regulatory analysis, assess implications and provide options and recommendations.

* Strong ability to communicate effectively both orally and in writing.

* Ability to think strategically and identify proactive measures to strengthen compliance program within resources.

* Experience with applying research and analysis, and program evaluation.

Desired:

* Experience with health care, insurance, regulatory interpretation, and/or government operations strongly preferred.

* Experience or familiarity with IT system operations or data governance and/or data management preferred.


APPLICATION INSTRUCTIONS

This position will be open until we find a suitable number of candidates to review. If interested, please submit an application as soon as possible. The Exchange reserves the right to close the recruitment at any time.

SALARY INFORMATION

The posted salary is the new hire range of consideration. Full salary range is from $76,916.00 - $115,869.00. Offer will depend on qualifications.

WORKING CONDITIONS

Core business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. Travel requirements will be limited to local travel, however there may be occasions were an employee is required to travel and work irregular hours to attend meetings or trainings. Duties of this position require the use of standard office furniture and equipment (e.g. desk, filing cabinet, computer, printer, telephone, fax machine, copy machine, etc.).

The working conditions and physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SPECIAL REQUIREMENTS

A criminal background screen will be conducted for candidates under final consideration, and if hired, every five years of employment where highly sensitive data is processed or maintained by the position. The result of this background screen must meet the Exchange's eligibility standards.

OTHER INFORMATION

The above statements are intended to describe the general nature and levels of work being performed. They are not intended to be construed as an exhaustive list of responsibilities, duties and skills of personnel so classified.

This is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

The Washington Health Benefit Exchange is an . All qualified applicants will receive consideration for employment without regard to race, color, religion, age, marital status, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We participate in . You can view the Department of Justice's Right to Work poster .


Category

Compliance Managers


Education

Bachelor's Degree


Experience

3 to 20+ years


Job type

Full time

Posted
10/02/2021
Salary Range
$74,000.00 - 126,000.00
per Year
Salary range estimated by
Location
Olympia, WA 98501, US
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