Offer summary

Qualifications:

Preferred bachelor's degree in managed care, business, healthcare administration, or equivalent experience., One year of experience in regulatory research and compliance., One to two years of compliance and/or licensing experience in insurance or healthcare settings preferred., Proficiency in Microsoft Office and knowledge of insurance laws and regulations preferred..

Key responsibilities:

Obtain and maintain necessary licenses for business operations.

Create and manage custom reports related to licensing requests.

Identify and report potential compliance issues and risks.

Collaborate with internal teams and state regulatory agencies on licensing initiatives.

Job description

Compliance Analyst I

Who are we?

Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.

As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.

See how you can make a difference with the support of strong leadership and a team environment.

See Everything, Be Anything™.

What are we looking for?

The Compliance Analyst I performs compliance activities in support of obtaining and maintaining licenses and certifications for business operations as outlined below.

Where you will have an impact

Obtain and maintain all licenses necessary to carry out the organization’s business activities including, but not limited to, utilization review, third party administration, insurance producer and preferred provider organization licenses and network adequacy reports.
Create custom reports, track, monitor, audit and prioritize distribution of licensing requests to business owners.
Identify licensing compliance issues and risks, escalate and formally report potential non-compliance violations.
Effectively communicate licensing compliance policies and practices to internal business teams.
Work closely and collaboratively with the Director on new business licensure initiatives and regulatory research.
Support coordination, tracking and development of licensing and compliance projects.
Liaise with various state departments of insurance and regulatory agencies to obtain clarification regarding licensing regulatory requirements and submissions.
Collaborate and foster relationships with internal business associates and become a value-added partner.
Proactively participate in developing cross-functional knowledge of business operations.
Assume additional clerical and administrative duties and responsibilities, as needed or directed.

What’s necessary to do the job?

Preferred bachelor’s degree in managed care, business, healthcare administration or equivalent combination of experience and education
One (1) year of related experience interpreting and performing regulatory research
One (1) to two (2) years of compliance and/or licensing experience in insurance, managed care, vision care industry or health setting preferred
Knowledge of laws and regulations affecting insurance products preferred
Proficiency in MicroSoft Office and computer experience

HIPAA & Security Requirements

All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

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