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Excelon Solutions

Compliance Administrator

Career Insights for Compliance Officer / Analyst

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What they do

A Compliance Officer or Analyst monitors internal compliance with company policies and also company compliance with local, state and federal laws. Reviews company documents, including contracts and marketing materials; communicates with employees and develops training and internal policy materials.

$72,865 / year median in the U.S.

-3% projected decline

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Job Description

Compliance Administrator 4000 Luxottica Place, Mason, OH 45040 Hybrid work $20
  • $22 an hour
  • Contract $20
  • $22 an hour
  • Contract Title:
    Compliance Administrator
Health Plan Programs Location:
4000 LUXOTTICA
PL MASON OH 45040
Hybrid Role 3 days office 2 days' Work from
Home Duration:
3-6 Months Temp to Hire role The hourly Pay rate is $22.00/hr on W2 (Monday to Friday 9:00 AM to 6:00 PM Half an hour for Lunch) We are seeking a skilled Compliance Administrator
  • Health Plan Programs to join our client's team, one of the US's largest Eyemed companies.
GENERALFUNCTION
The Administrator-Compliance (Programs)is responsible for preparing, researching, and completing the regulatory reports, amendment filings, and business partners/carrier reporting requirements. This includes operational processes and programs to assure compliance with various regulatory requirements such as Medicare Advantage (MA), Department of Managed Health Care (DMHC), Department of Insurance(DOI), and Employee Retirement Income Security Act (ERISA), Compares and evaluates possible courses of action and makes recommendations to the Compliance Manager or leadership team. Assists the Compliance Manager in assuring compliance with policies, procedures, and requirements set by state and federal agencies. Modifies policies and procedures as necessary.
MAJORDUTIESANDRESPONSIBILITIES
Thoroughly prepares, researches, and completes DMHC reports and amendment filings, business partners/Carriere porting requirements, and any other requirements set by state and federal agencies. Reviews related regulations and performs analysis to assure all requirements are met and filed within the deadline. Thoroughlyandtimelytracksreportingdeadlinesbymonthandlogsallin-processandcompletedreports. Preparesand/oroverseesinternalclaimsandqualitymanagement/utilizationmanagementauditresultsandfindingsincollaborationwiththeManager. Compliance,ClaimsManager/TeamLeader,andQualityManagementVP/TeamLeaderandClinicalDirector. PreparesdocumentstobepresentedtotheQualityManagementCommittee,PublicPolicyCommittee,BoardofDirectors,andManagementTeam. Providesoversightwiththecomplianceworkplanandmonitoringfunctionsandactivitiesincludingriskassessment. AssistswiththeLanguageAssistanceProgram(LAP)activitiessuchasstafflanguagefluencyassessment,monitoringtheenrolleeassessmentreport,CustomerServiceDepartmentcalllog,andpreparingandmai Preparesreports,maintainsfiles,andcommunicatesthedata∈formationassociatedwithlocal,state,andfederalregulatoryguidelinesforthenetworkincludingthosesetforthbyEPA,StateEPA’s,CalEPA,CaliforniaCUPA’sandotherstateandlocalenvironmentalregulatoryagencies.

Supportscompliancewithfederal,state,andlocalenvironmentallaws AbilitytoworkeffectivelywithregulatoryagenciesisrequiredwhilecommunicatingwithfacilitiesthroughoutU.S.andCanadaregardingpermits,inspections,andcompliancerequirements Maintaingeneralanduptodateknowledgeoffireprotectionsystemsandassociatedgeneralregulatorycompliancerequirements Acquireapprovalforenvironmentalcompliancerelatedpayablesandtrackinvoices✓requests Manage Water Discharge Monitoring Reports GeneralknowledgeofSPCCplansandStormwatermanagementplansastheyrelatetoouroperations Familiarity with the Clean Air Act as it relates to our operations FamiliaritywithEPCRArequirementsastheyrelatetoouroperations GeneralknowledgeofCaliforniaspecialwastesastheyrelatetoouroperations GeneralunderstandingofEnvironmentalManagementSystems Maintaindocumentfilespertainingtoaudits&observationsofworkforceperformancewithregardtoenvironmentalcompliance Throughobservationofdocumentssuchasreports,permits,∈spectionforms,beabletodetectpotentialenvironmentalcomplianceproblemsofanaccounting,bookkeeping,andclericalnature. Facilitate,arrange,andconductenvironmentalrelatedtrainingandorientationasneeded. Trackinformationonenergyandresource-efficientprojects≺ograms.

ThiscouldincludeenergyconservationprogramsandfutureLEEDcertifications.
Pay:
$20.00
  • $22.
00 per hour
Work Location:
In person