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The Compliance Analyst will monitor state and federal health regulations to assess their impact on level-funded business operations. They will also conduct risk-based oversight reviews, develop internal policies, and provide regulatory guidance to cross-functional teams.
Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.
We are seeking a Compliance Analyst to provide day-to-day compliance support for Gravie’s level-funded (Comfort) line of business. This role will track and assess new laws and regulations, advise the business on compliance questions, and run risk-based oversight reviews of the operations that touch members and plan sponsors. The ideal candidate brings expertise in health plan compliance.
Monitor state and federal legislation, sub-regulatory guidance and rule changes under the ACA, HIPAA, MHPAEA and related laws, assess the impact of each change on the level-funded line of business and summarize it in plain language for senior leaders and operational owners
Assess the impact of each change on the level-funded line of business and summarize it in plain language for senior leaders and operational owners
Develop implementation plans with the business and follow them through to operational readiness
Act as the compliance subject matter expert for business partners on complex regulatory questions, giving timely, practical guidance
Represent Corporate Compliance in cross-functional working groups and product development so compliance is built into new processes and offerings
Review ERISA and non-ERISA plan documents, Summaries of Benefits and Coverage (SBCs) and member communications for federal and state compliance
Support compliance with state-based requirements, including assessments, advisor licensing and appointments, and TPA licensing and Secretary of State certifications
Work with Corporate Compliance, Operational Compliance, Privacy and Audit to develop, refine and enforce policies, procedures and internal controls that support audit readiness, including SOC 2 preparation
Design, run and document risk-based oversight reviews and internal audits set by Corporate Compliance and Audit, focused on claims processing, member enrollment and benefit administration
Analyze compliance data to find trends and systemic risks, and report findings and recommended corrective actions to compliance leadership
Track corrective actions to closure and keep clear records of every review and result
2+ years of experience in a highly regulated industry such as healthcare or finance, and demonstrated familiarity with regulatory compliance
Experience in compliance or related field
Strong analytical skills and ability to interpret complex regulatory requirements
Excellent written and verbal communication skills with ability to translate legal requirements into actionable guidance
Experience developing and implementing policies and procedures
Proven ability to work independently and prioritize multiple competing demands
Strong project management and organizational skills
In-depth knowledge of health plan compliance and regulatory frameworks
Experience with SOC compliance preparation
Healthcare or financial services industry experience
Independent problem-solver who can navigate complex regulatory challenges
Strategic thinker with attention to detail
Effective communicator who can bridge technical and business perspectives
Collaborative approach with ability to influence without direct authority
Proactive mindset to address emerging privacy issues before they become problems
Commitment to continuous learning in a rapidly evolving regulatory landscape
We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% – nearly 40 points above the industry average.
Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.
Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.
If you apply for employment with Gravie, personal information collected via our applicant tracking vendor is subject to our standalone California Job Applicant Notice at Collection, accessible directly within the application workflow and separate from this Policy.
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