About Us:

At Agile People and Payroll, LLC, we value diversity and inclusivity as strengths that make our teams successful, and we are passionate about helping our employees reach their full potential. As a Compliance Support Specialist, we want you to feel that your employment with us will be meaningful, mutually beneficial, and enjoyable.

Position Summary:

We are seeking a highly organized and detail-oriented individual to join our team as a Health Insurance Compliance Support Specialist. In this role, you will be responsible for ensuring that our health insurance operations comply with all relevant regulations and standards. You will provide support to the compliance team and work closely with various departments to maintain adherence to applicable laws and guidelines.

Core Responsibilities:

• Regulatory Compliance: Stay up-to-date with federal, state, and local regulations pertaining to health insurance and ensure company policies and procedures align with these regulations.
• Bi-Lingual – English / Spanish
• Policy Review: Review health insurance policies, contracts, and documents to ensure compliance with regulatory requirements and internal standards.
• Documentation Management: Maintain accurate and up-to-date records of compliance-related documentation, including policies, procedures, and regulatory filings.
• Training and Education: Develop and deliver training materials on compliance policies and procedures to employees across different departments.
• Audit Support: Assist in preparing for and participating in internal and external audits related to health insurance compliance.
• Investigations: Collaborate with internal teams to investigate compliance-related issues, including complaints and potential violations, and recommend corrective actions.
• Risk Assessment: Conduct periodic risk assessments to identify potential compliance risks and develop strategies to mitigate them.
• Reporting: Prepare regular reports on compliance activities, including findings, trends, and recommendations for improvement.
• Supporting Compliance Initiatives: Assist in the development and implementation of compliance initiatives and projects, such as policy updates and process improvements.
• Communication: Serve as a point of contact for compliance-related inquiries from internal stakeholders, external partners, and regulatory authorities.

Minimum Qualifications:

• Bachelor's degree in healthcare administration, business administration, or a related field.
• Previous experience in healthcare compliance or health insurance administration.
• Strong understanding of health insurance regulations, including HIPAA, ACA, Medicare, and state-specific requirements.
• Excellent analytical skills and attention to detail.
• Effective communication skills, both verbal and written.
• Ability to work collaboratively in a team environment and independently with minimal supervision.
• Proficiency in Google Workspace and other relevant software applications.
• Current Insurance License and AHIP certification preferred.

What We Offer:

• Competitive Salary
• Full Benefits (Medical, Dental, Vision, Disability, Life)
• 401k Program
• Unlimited PTO
• Professional Development

Note: This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. We are an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Job Type: Full-time

Pay: $55,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person