Note: The job is a remote job and is open to candidates in USA. Gallagher Benefit Services is a trusted partner helping organizations with 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.
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
Gallagher is an international insurance brokerage and risk management services firm. It was founded in 1927, and is headquartered in Rolling Meadows, Illinois, USA, with a workforce of 10001+ employees. Its website is https://www.ajg.com/.