Note: The job is a remote job and is open to candidates in USA. Gallagher Benefit Services is a trusted partner to organizations navigating important people decisions. They are seeking a dynamic Director of Compliance & Marketing to oversee compliance programs and act as a liaison during audits, ensuring adherence to regulatory requirements and developing compliance training.
Responsibilities
- Oversee all aspects of Your Way Insurance’s Compliance program
- Act as the primary liaison with TPMOs, carriers, and regulators during audits, inquiries, and corrective action plans (CAPs)
- Assist in compliance training, monitoring, and auditing to ensure adherence to applicable policies, procedures, and regulatory requirements
- Monitor evolving statutory, regulatory, and carrier requirements, updating compliance programming to align with new standards
- Review scripts, training materials, and marketing content prior to each enrollment period to ensure compliance
- Develop and maintain policies, procedures, the annual compliance work plan, and risk assessments
- Support internal investigations, reports, or complaints related to suspected FWA violations, including CTMs, DOI investigations, and government inquiries
- Deliver compliance training, including general compliance and FWA training sessions
- Coordinate with TPMO’s and carriers regarding compliance metrics and marketing requirements
- Maintain compliance metrics and ensure timely, accurate reporting
- Collaborate with Your Way Insurance leadership to strategize on risk mitigation and monitor compliance metrics effectively
Skills
- Bachelor's degree required
- 8–10+ years in Medicare/health plan compliance with 5+ in leadership
- Developed sense of business judgment obtained via a minimum of 8 to 10 years of experience working with a compliance program within a highly regulated industry
- Strong writing and communication skills, such as executive presentation and reporting
- Comfort in policy drafting and creating processes to drive results at scale
- JD, MHA, or MBA strongly preferred
- CMS regulations (42 CFR Parts 422 and 423), Medicare Managed Care Manual, and Prescription Drug Benefit Manual
- CMS marketing guidelines
- Experience with carrier or regulatory audits
- Experience with HPMS, FDR oversight, and CAP management
- HIPAA Privacy and Security regulations
- Data analytics, such as PowerBI, Excel, and Artificial Intelligence Platforms
Benefits
- Medical/dental/vision plans, which start from day one!
- Life and accident insurance
- 401(K) and Roth options
- Tax-advantaged accounts (HSA, FSA)
- Educational expense reimbursement
- Paid parental leave
- Digital mental health services (Talkspace)
- Flexible work hours (availability varies by office and job function)
- Training programs
- Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
- Charitable matching gift program
Company Overview
We are a law firm that specialises in corporate liability claims. It was founded in 2011, and is headquartered in Northampton, Northamptonshire, GB, with a workforce of 51-200 employees. Its website is https://www.gallagherbassett.com/uk/.