Compliance Officer / General Counsel

HealthPlanOne (HPONE) is a rapidly growing, best in class member Acquisition Company in the Medicare and individual health insurance markets.  Through our digital marketing, proprietary technology and call center operations in Tampa, FL, and Phoenix, AZ, HPONE assists health plans acquire incremental membership on a very cost effective basis.  Based in Trumbull, CT, HPOne is a funded by Peloton Equity, LLC focused on growth capital investments in the healthcare industry. We are recipients of several industry awards including the Inc. 500/5000 list of fastest growing private companies in America, 2010-2014 Marcum Tech Top 40 as well as the 2012 - 2014 Deloitte Technology Fast 500.
 
We have an exciting opportunity for an experienced, dynamic individual to lead our Compliance team.  This position will be in our Tampa, FL or Phoenix, AZ office.  This individual will develop and lead a team responsible for strategic initiatives, compliance training & oversight, internal investigations, corporate-wide compliance oversight, as well as ensuring HPOne is fully complying with all state labor laws and regulations.
 
Essential Job Functions / Responsibilities:

• Development and implementation of a dynamic and consistent compliance program across all of HPOne’s individual business units and partners

• Investigating and responding to alleged violations of laws, regulations, contractual requirements and/or policies
• Ensuring the appropriate policies and procedures are in place to support the compliance program.
• Ensure fully complying with all state labor laws
• Oversee an affective compliance training and education program
• Operational oversite to ensure HPOne exceeds client expectations / deliverables

• Identifying potential areas of vulnerability and risk and working with other departments to develop and implement corrective actions plans
• Acting as a resource to other departments by providing guidance on regulatory matters

• Conduct annual compliance risk assessment and support business remediation as necessary.  Risk assessment will include validation of standards, accountabilities and outcomes
• Oversee remediation and corrective action plans resulting from audits, investigations, compliance reviews, and self-identified issues

• Interact with state / carrier legal departments

 
Minimum Experience:

• Excellent understanding of CMS (Centers for Medicare and Medicaid)

• 10+ years of demonstrated experience leading a compliance team in the health insurance industry.
• Experience developing programs to maximize Medicare carrier STARS ratings required
• Ability to interface with Senior Level Executives during client meetings / presentations
   
  Minimum Education:
• Bachelor’s Degree required
• JD degree preferred
   
  Requirements:
• Must be a proactive, hands-on leader with a proven strategic vision who will drive operational performance with a high degree of accountability and integrity.
• Operates independently in managing complex situations and/or projects
• Anticipates risk and develops plan to mitigate the risk
• Ability to think out of the box and manage towards established goals
• Must possess a strong sense of integrity and be able to manage an office independently and maintain high personal and professional standards
• Excellent verbal, telephone and written communication skills;
• Ability to work well in a team environment;
• Solid organizational and time management skills.
• Ability to multi-task and handle numerous projects simultaneously;
• Strong leadership skills required in order to motivate, mentor and inspire staff
   
  Equal opportunity:
  HealthPlanOne (HPONE) is an equal opportunity employer, committed to employment equity throughout all levels of the organization.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.  We welcome and encourage diversity in the workplace.  HealthPlanOne (HPONE) requires the necessary drug testing and background checks to maintain a safe, drug-free work environment.