Compliance Project Manager

Brighton Health Plan Solutions

Project Manager, Compliance

REMOTE

Full Time

About The Role

Brighton Health Plan Solutions, LLC is a wholly owned subsidiary of a highly regulated health insurance company (“Parent”). The Project Manager - Compliance oversees and coordinates a wide range of compliance and policy requirements applicable to both the Parent and Brighton. The Project Manager - Compliance will work with compliance, legal and business units of both Brighton and the Parent to ensure conformance with critical compliance and policy requirements.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

Primary Responsibilities

Principal contact between Brighton and Parent for compliance matters.

Coordinates the work of joint committees.

Identifies agenda topics and matters impacting compliance.

Maintains records of relevant meetings.

Reviews regulatory and compliance related communications and distributes to applicable Brighton departments.

Assesses Brighton compliance with regulatory and policy matters.

Develops training on policies.

Audits compliance with policies.

Principal contact with Parent for all HIPAA, Privacy and Regulatory Matters.

Collaborates with Parent to identify Consolidated Appropriations Act (CAA) of 2021 compliance issues and coordinates Brighton’s development and implementation of solutions to address any identified compliance gaps.

Assists the Chief Compliance Officer in the day-to-day operation of the Brighton compliance programs and activities.

Maintains current knowledge of applicable federal and state laws and regulations and monitors developments in key areas to ensure organizational adaptation and compliance.

Essential Qualifications

Bachelor's degree in business, Healthcare, Compliance or related field. Master’s degree preferred.

Two (2) years’ compliance or legal related experience in a healthcare, financial or regulatory environment.

Familiarity with healthcare compliance matters, operational, financial, quality assurance, internal investigation and human resource procedures preferred.

Experience in project management.

Outstanding verbal/written communication, organizational and relationship building skills required.

Experience managing and resolving complex organizational issues.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer

Annual Salary Range: $80,000 - $100,000

The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com