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The Compliance Manager is part of the Audit and Corrections team and will be responsible for overseeing audit and corrective action engagements, providing guidance and training to audit staff, and ensuring compliance with auditing standards. This role will report to the Compliance Director, Correction and is part of the Avesis Compliance Department.

The Compliance Department plays a pivotal role in ensuring that Avsis adheres to federal and state regulations, as well as internal policies. It is responsible for preventing, detecting, and correcting compliance risks that could impact the Avesis' operational effectiveness as well as legal and reputational standing. The Compliance Department works to promote a culture of ethics, transparency, and accountability across the enterprise, making sure that all employees understand their responsibilities and the importance of adhering to legal, regulatory and compliance standards. Additionally, it provides ongoing training and resources to help staff stay informed about regulatory updates and best practices.

Avsis is an ancillary insurance company that guides members and communities to wellness through innovative, multidimensional, tailored offerings, delivered with a personal touch. We envision a world where lives are lived more fully, communities are healthier, and futures are brighter for all. To be successful at Avsis, we perform at a high level everyday while remaining humble, helpful, and positive. Our high expectations are not for everyone. But for those of us who deeply care about the human condition and have a passion to improve lives, this is a place to thrive.

Job Summary:

The Compliance Manager is responsible for ensuring that audit and corrective action processes are efficient, operationally sound, and proactively managed. This role requires frequent collaboration with stakeholders at all levels of the organization to identify risks, resolve issues, and support a culture of compliance. Candidates must demonstrate strong communication, adaptability, and conflict resolution skills, as well as ability of lead others effectively. This is a telecommuter position and includes supervisory responsibilities.

Competencies:

Functional:

• Lead and oversee a team on execution of all aspects of regulatory and client audits, including:
  • Pre-site deliverables
  • Mock audits
  • On-site logistics
  • Written responses to audit findings and corrective action plans
• Interface with external clients and regulatory bodies to address inquiries, and support audit or examination activities.
• Coordinate across teams to document, monitor and ensure timely completion of corrective actions driving accountability and successful resolution of compliance issues.
• Collaborate closely with compliance leadership on audit execution and corrective action planning.
• Prepare and assist with monthly metrics reporting, including reporting to oversight committees and boards.
• Monitor team performance, provide regular feedback, and support continuous improvement initiatives.
• Proactively identify, address, and resolve compliance issues in partnership with business stakeholders.
• Research, interpret, and communicate applicable regulatory and contractual requirements.
• Foster a positive and engaged team culture.
• Perform additional duties assigned by leadership.

Core:

• Ability to guide, coach, and develop team members while setting clear expectations.
• Ability to develop effective reports to synthesize compliance information to different audiences.
• Ability to manage time effectively and efficiently
• Skilled in analyzing data, trends, and findings to draw accurate conclusions and support decision-making
• Ability to work independently and with minimal direction
• Demonstrated project management skills
• Clear, concise and professional written and verbal communication skills
• Ability to demonstrate critical thinking skills

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions and decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

• Bachelor's degree in business, healthcare, or related area of study, or equivalent education and work experience
• 5+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
• 3-5 years' experience with Medicare, Medicaid, or Commercial health plan regulations
• Proficiency in MS Word, Excel, and PowerPoint, including the ability to create and format professional documents, develop complex spreadsheets with formulas and pivot tables
• Strong attention to detail and ability to manage multiple priorities
• Demonstrated ability to work independently and meet deadlines
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.
• Ability to travel as necessary (up to 25%)

Preferred Qualifications:

• 3+ years of experience in supervisory or management level with direct reports
• Working knowledge of managed care and dental/vision benefit plans

At Avsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:

Zone A: $74,260.00-$123,760.00 Zone B: $80,940.00-$134,900.00 Zone C: $87,150.00-$145,250.00 FLSA Status: Salary/Exempt

This role may also be eligible for benefits, bonuses, and commission.

Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

How To Stay Safe

Avsis is aware of fraudulent activity by individuals falsely representing themselves as Avsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avsis recruiters will come from a verified email address ending in @ Avsiscom.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

Equal Employment Opportunity

At Avsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avsis, where We See You!