Compliance and Licensing Specialist Medicare Team

Profile

The objective of this position is to prepare, coordinate and maintain various licensing applications, carrier appointments, and selected corporate filings and renewals. This position also ensures that all state audits, reporting, and examinations are performed in a timely manner are completed as per specific state instruction.

Major Duties & Responsibilities:

Be knowledgeable of Medicare Advantage rules, regulations, and guidelines to partner with operational areas for proper interpretation and execution.

Conducts audits of internal business units and processes and audits for first tier, downstream and related entities.

Identifies gaps, weaknesses, and deficiencies and/or business productivity/efficiency opportunities.

Monitors and tracks compliance with required Medicare training programs.

Monitors and tracks changes for relevant CMS requirements and works with operational area(s) to identify changes to current procedures.

Evaluates policies and procedures with corresponding desk level procedures to ensure CMS guidance for compliant operational activities remain properly documented.

Coordinate and prepare licensing applications, filing of all Medicare agents license reports and renewals in all currently licensed states as well as new licensing as state laws change.

Maintain licensing of Medicare agents in states requiring separate licensure/registration and corporate licensure via the NIPR online system.

Responsible for regulatory communication relating to licensing, including but not limited to regulatory examinations.

Act as knowledge base for Business Units in regard to Licensing requirements in performance of their duties.

Assist with Corporate and Carrier filings and renewals.

Direct communication with states regarding applications in process and definition of new processes

Handle escalated licensing functions, as necessary.

Provide reporting, file maintenance and scanning as required.

Provide notary assistance as required and assigned by Manager.

Coordinate and facilitate monthly state auditing processes.

Perform other duties, as determined by Manager.

Assist with largescale ad hoc projects as needed.

Compliance Accountability:

All employees are accountable for compliance with all laws and regulations when performing their job duties. Each employee is expected to be familiar with the legal and regulatory requirements affecting his or her job responsibilities. It is the affirmative duty of each employee to carry out these responsibilities at all times in a manner that complies with all applicable legal and regulatory requirements. Employees must participate in required training on pertinent compliance laws and regulations as required by LendingTree, LLC.

Skills / Knowledge Requirements:

Computer skills: thorough working knowledge of MS Word, intermediate to advanced Excel, working knowledge of MS Outlook, proficiency knowledge of internet, Access or other database applications a plus.

Knowledge and familiarity with the NIPR online system a plus

Strong analytical and statistical reporting skills

Commitment to exemplary customer service and maintaining a positive attitude with internal and external stakeholders.

Ability to prioritize and manage multiple tasks and meet deadlines for filing and responses.

Detail oriented and high level of organization

Intrinsically motivated with a desire to succeed and excel professionally.

Communications / Management: Excellent verbal and written communication skills with peers, management of all levels, outside vendors and clients as well as state regulatory agencies.

Education / Experience Requirements:

Minimum 1-year related Licensing experience required. Licensing contract administration preferable.

Bachelor’s degree or equivalent experience preferred.

Nice to Haves:

Experience in the following areas: Customer Service, Doc Retention, Third party Vendor Management, and/or Risk Management.

Research skills: ability to research policies, laws and changes using common accepted legal tools, such as Lexis Nexis, AllRegs and RegLaw

Knowledge of commonly used concepts, practices, and procedures within Legal/Compliance field

Ability to interpret and apply required policies and procedures.

Health License

Company

QuoteWizard, a LendingTree company, provides end-to-end solutions for insurance shoppers and agents alike. That’s why over 40 million people have used QuoteWizard to lower their rates. When you think of insurance, think of QuoteWizard.

What you should know about LendingTree, our parent company:

We’re a

publicly traded

company (TREE).

We’ve welcomed several other companies into the LendingTree family to augment our efforts at helping borrowers make their most sensible financial choices.

We’ve built the LendingTree app and My LendingTree dashboard to give consumers tools to manage and monitor their financial health.

We still make funny commercials.

Culture 

We’re a fast-paced company with an entrepreneurial bend. We work hard and test our products often. We’re collaborative, ambitious,

candid,

and high-energy. Our teammates are some of the brightest, most talented people you’ll ever work with. We care more about your smarts than we do about the kinds of clothes you wear (but please, do wear clothes to work!) and we’re pretty good about rewarding innovation,

creativity,

and the knack for just getting stuff done (we even have an award for employees called the GSD, “Get Stuff Done”).

Come work with us!

QuoteWizard by LendingTree is the kind of company that not only promotes diversity and inclusion; we thrive because of these values. We do not discriminate based on race, color, religion (or creed), gender, gender expression, age, national origin, disability, marital status, sexual 

orientation,

 or military status.

Company info

LendingTree, LLC
Website : http://www.lendingtree.com