Job Title: IT Compliance Administrator (Programs)
Location: Mason, OH, 45040- Hybrid (Must be able to work onsite up to 3 days per week)
Employment Type: Contract
Key Responsibilities
Regulatory Reporting & Compliance
Prepare, research, and submit regulatory reports, amendment filings, and business partner/carrier reporting requirements.
Ensure compliance with regulations including:
Medicare Advantage (MA)
Department of Managed Health Care (DMHC)
Department of Insurance (DOI)
ERISA requirements
Monitor filing deadlines and maintain accurate compliance logs and documentation.
Audit & Quality Support
Support internal audits and compliance reviews in partnership with Claims, Quality Management, and Clinical teams.
Prepare findings, reports, and documentation related to audit results and corrective actions.
Assist with risk assessments and compliance monitoring activities.
Governance & Reporting
Prepare materials and presentations for:
Quality Management Committee
Public Policy Committee
Board of Directors
Leadership and Management teams
Maintain compliance work plans and support governance initiatives.
Language Assistance Program (LAP)
Support language assistance initiatives, including:
Staff language assessments
Customer service call monitoring
Member communication materials
Regulatory reporting requirements
Environmental Compliance Support
Support compliance activities related to:
EPA and State EPA regulations
Environmental permits and inspections
Water discharge reporting
SPCC and Stormwater Management Plans
Clean Air Act and EPCRA requirements
Maintain documentation related to environmental audits, permits, and inspections.
Training & Documentation
Maintain compliance records and audit files.
Identify potential compliance risks and escalate concerns when necessary.
Coordinate and deliver compliance-related training and awareness programs.
Required Qualifications
Bachelor's degree preferred in Business, Healthcare Administration, Compliance, Environmental Sciences, or related field.
Minimum 2 years of experience in:
Regulatory Compliance
Healthcare Compliance
Environmental Compliance
Audit or Governance functions
Strong analytical and documentation skills.
Experience preparing reports and working with regulatory requirements.
Proficiency with Microsoft Office Suite, particularly Excel and Word.
Strong written and verbal communication skills.
Ability to manage multiple priorities and meet strict deadlines.
Preferred Qualifications
Experience with healthcare regulations including MA, DMHC, DOI, or ERISA.
Exposure to environmental compliance regulations and reporting.
Experience supporting audits, risk assessments, and compliance programs.
Experience interacting with regulatory agencies and external partners.
Work Arrangement
Hybrid work schedule with up to 3 onsite days per week.
Candidates must be comfortable working with cross-functional teams across multiple locations.
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