Senior Director Compliance - Luminare Health

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position requires a combination of management, consultative and technical skills. The position needs to possess a strong drive for results and must provide leadership for a dedicated team of Compliance professional that support the businesses and multiple functions, in addition to developing trusted and effective working relationships with employees at all levels including executive leaders.

Job Responsibilities:

Team Management

• Lead team of Compliance professionals that are responsible for serving one or more operational functions, including regulatory change management, licensing ( TPA, UR, and Agent/Agency licensing), regulatory complaints, general inquiries, and product development.

• Responsible for handling or overseeing complex compliance projects and collaborating and providing guidance and input on business projects.

• Support collaboration and promote a positive team environment.

• Set, report, and manage to meaningful performance metrics.

• Manage and prioritize team workflow to ensure business goals are attained.

• Regularly coach and mentor team members and provide meaningful feedback.

Product Development, Legislation Implementation, General Inquiries, Research and Other Projects

• Work with business and external vendors to draft benefit plan document provisions to accommodate new business objectives and compliance with applicable laws and regulations.

• Collaborate with legal and business on final draft.

• Review assigned legislation/regulation and determine impact to the business within requisite timeframes.

• Create new agenda in Compliance Committee TEAMS channel and update agenda following weekly Compliance Committee meeting.  Participate in such weekly meetings and present the requirements of assigned legislation/regulation and answer questions.

• Create business-friendly articles on legislation/regulation and update research charts.

• Review and respond to general inquiries from the business within the agreed upon completion date.

• Provide an easily understandable response to general inquiries, which includes options and potential risk for business when appropriate.

• Assist in completion of assigned projects, including but not limited to regulatory research, which meet business area objectives.

Business Consulting

• Fully understand the business needs behind research requests and ensure that research is practical and relevant to business.

• Develop successful relationships with business leaders.

• Work with the business to develop communication processes that allow for immediate and effective communication.

• Maintain current knowledge of employee benefits and insurance laws and regulations.

• Consult with the appropriate attorney as needed to resolve difficult legal/compliance issues.

• Develop and maintain policy and procedures documentation.

• Identify gaps in compliance and provide fixes to ensure business remains in compliance.

• Strategically plan compliance activity around new business initiatives for successful business launch.

• Focus on continuous improvement and look for ways to increase effectiveness of team.

Required Job Qualifications:

• Bachelor’s Degree and a minimum 7 years of work experience with group health insurance and/or ERISA self-funded group medical benefit laws and regulations, and drafting group policy/plan document provisions.

• 5 years of demonstrated team leadership experience, including providing coaching, mentoring, and training to staff.

• In depth understanding of key business drivers.

• Proven ability to build relationships, foster a collaborative atmosphere and represent the Compliance Department at the most senior levels of the Company.

• Significant knowledge and experience of insurance regulatory environment.

• Strong process improvement skills.

• Exceptional verbal and written communication skills.

• Ability to learn quickly while operating in a self-directed environment.

Preferred Job Qualifications:

• Law degree preferred, but not required.

• Knowledge of individual insurance preferred, but  not required.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

 

The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

Min to Max Range:

$98,400.00 - $184,800.00 Apply