Compliance Specialist
CurrentEnsure that company policies and procedures are being followed, Identify areas of organizational weakness and risk, work with mangagement to close those gap, Lead Compliance Specialist for tracking and manage of the Health Insurance Casework System (HICS), Cross train member of the corporate compliance team, Collaborate with the health plans, Receive and direct compliance issues to the appropriate resources for investigation and resolution, Keep abreast of Federal Regulations regarding the Affordable Care Act (ACA), Health Insurance Exchange (HIX), Vendor Oversight Audit, Celtic Reporting for Georgia, Texas, Massachusetts and Louisiana, Conducted SERFF filing for Georgia and Ohio, Conduct Compliance training for various the various health plan