Job Information
BeneLynk Compliance and Ethics Specialist in Detroit, Michigan
COMPANY OVERVIEW
Does the idea of applying your talents at a company that assists people in understanding how to obtain additional health care benefits and compensates well for doing so, inspire you? We call it “Doing good while doing well” and invite you to apply to join us and begin moving forward along a beneficial career path – one built on providing solutions by helping others navigate through the complex world of health care benefits.
Here at BeneLynk, our mission is to improve lives and positively impact social determinants of health barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve. We are laser-focused on our longstanding area of expertise in the healthcare world. We fully understand barriers and surface solutions, then provide the advocacy that changes lives and improves outcomes. Everything we do, from the systems we build, to our government relations, to our outreach operations, is in service of this one central vision.
WHO WE ARE
We are big-hearted people, passionate about serving our health plan clients, their members, and each other. We are a team in every sense of the word, striving toward a common mission – that is the goal of everyone at BeneLynk. Every day, we are relentless in helping people who need essential resources to make their lives easier and healthier. The members we serve call us "miracles," "kind," "professional," "human," and "compassionate," and all with "service that gets the job done." We pride ourselves on creating a healthy environment for our employees to thrive in their ability to assist others.
COMPLIANCE AND ETHICS SPECIALIST
POSITION SUMMARY
We are seeking an experienced and highly organized Compliance and Ethics Specialist to join our dynamic organization, dedicated to helping health plan members achieve their healthiest lives.
In this role, you will collaborate closely with the Director of Corporate Compliance and Ethics to support and enhance our compliance and ethics program. Your responsibilities will encompass ensuring the successful establishment and monitoring of all seven elements of an effective corporate compliance program.
You will also play a critical role in supporting internal and external audits, including HITRUST certifications, maintaining adherence to HIPAA standards, and proactively identifying tools and strategies to mitigate compliance risks.
Key duties include oversight of BeneLynk’s First Tier, Downstream and Related entities (FDR) as outlined by C enters for Medicare and Medicaid Services and managing compliance training initiatives and Compliance Week activities . You will also conduct internal assessments to assess vendors’ performance to validate align ment with compliance standards and contractual obligations and con tinu ing adherence.
Success in this role requires exceptional cross-functional collaboration across diverse teams to foster an enterprise-wide culture of compliance and ethics, mitigate risks, and support our mission to deliver exceptional service while upholding the highest ethical standards.
KEY RESPONSIBILITIES
Strengthen Compliance and Ethics Program: Support the development and maintenance of a robust compliance and ethics program to effectively manage and mitigate compliance-related risks.
Integrate Diverse Perspectives: Facilitate collaboration across compliance, operations, employee, and customer perspectives to drive a unified approach to compliance.
Monitor and Enforce Compliance: Assist in the design, monitoring, and coordination of privacy and compliance activities, ensuring adherence to regulatory requirements and identifying potential vulnerabilities and risks.
Policy Management: Oversee the tracking and facilitation of policy reviews with the Policy Review Committee, drafting new policies as necessary to align with organizational goals and regulations.
Audit Coordination: Prepare and organize audit materials, provide support, and actively participate in internal and external audits.
Document Analysis : Review and validate submitted Power of Attorney, Guardianship, and Conservatorship documents for completeness and accuracy.
Training Oversight: Manage and oversee the development, delivery, and tracking of annual and ad hoc compliance training programs.
Records Maintenance: Maintain comprehensive records to support compliance reviews and audit requirements.
Facilitate Compliance Meetings: Coordinate and lead monthly Compliance Workgroup meetings to ensure alignment and progress on key initiatives.
Investigations Support: Assist in conducting compliance and ethics investigations, ensuring thorough analysis and resolution.
Proactive Monitoring and Auditing: Perform reviews to develop proactive monitoring controls and identify opportunities for auditing to mitigate risks.
Recommendations and Best Practices: Apply industry best practices and provide recommendations based on employee and customer insights to enhance compliance processes.
Business Continuity Plan (BCP) Oversight: Provide organizational support regarding the BCP to ensure awareness and thorough planning of key activities during an interruption in business due to a variety of incidents.
Vendor Management: Support vendor management activities, ensuring downstream vendors meet performance expectations and comply with contractual requirements.
Additional Responsibilities: Perform other duties as assigned to support the compliance and ethics program and organizational objectives.
REQUIRED SKILLS AND EXPERIENCE:
A minimum of 3 years of professional experience in health plan compliance, health plan operations, complaints and grievances, appeals, risk management, or a comparable field. Relevant educational qualifications may also be considered.
Exceptional oral and written communication abilities, including demonstrated expertise in drafting company policies, standard operating procedures (SOPs), and effectively engaging with all levels of leadership, staff, and external stakeholders.
Proven ability to work both collaboratively within teams and independently, depending on the needs of the situation. Must excel at adapting to diverse scenarios and audiences, managing multiple priorities with poise, efficiency, and resilience under pressure.
Experience in presenting information to teams, stakeholders, and/or executives.
Excellent organizational skills and attention to detail.
Ability to create project/product specifications and/or verbal communication channels.
Strong analytical and problem-solving skills.
Proficient in MSFT Office Suite (MSFT Excel, Word, and PowerPoint) and/or related software.
Willingness to learn and leverage newly obtained skillsets.
Willingness to perform research and analysis when/if applicable, and/or required.
REQUIRED EDUCATION AND TRAINING:
Bachelor’s Degree or equivalent work experience.
PREFERRED SKILLS, ABILITIES, AND EDUCATION: (Preferred but Not Required)
HIPAA and/or other Compliance Certifications a plus, or a willingness to obtain within the first 180 days of employment .
Experience in relevant fields including health plan systems, Medicare, and Medicaid benefits and/or SDoH database companies.
Managed care experience.
Project Management experience.
Knowledge of CMS requirements.
Experience developing and delivering topical training.
Experience managing outside vendors.
Experience supporting external audits and conducting internal assessments.
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to fifteen pounds at a time.
Must have a stable internet connection.
WORK ENVIRONMENT
This role is a remote position.
POSITION TYPE & EXPECTED HOURS OF WORK
Full-time/Exempt – This is a salaried position.
SALARY
Based on Experience; Up to $85,000 annually
EMPLOYEE BENEFITS
We offer competitive salaries and benefits here at BeneLynk, as we truly value our employees and the amazing work that they do each day. Please see below for a list of some of our awesome employee benefits:
Medical, Dental, Vision and Employee Assistant Program Benefits
401K Match
15 Paid Days Annually
Excellent Growth & Advancement Opportunities
EMPLOYEE PERKS
Work hard, play hard! Having an engaged workforce and positive work environment is one of our top priorities here at BeneLynk. We do so through numerous initiatives that can be found below. We like to call our virtual work community, “The Bene-Verse.” We also have an internal Culture Ambassador committee dedicated to ensuring all employees have pleasant and exciting work experiences.
Monthly Company Town Hall Events: We love the opportunity to come together as a company. Join us monthly as we discuss exciting company updates, internal promotions, internal awards, upcoming events, and more!
Monthly Internal Mental Health Newsletters: Our Culture Ambassadors spearhead an internal newsletter centered on mental health topics. Our employees’ overall wellbeing is our top priority, so we like to provide support whenever it is needed through this uplifting internal newsletter.
Monthly Streaming Services Perk: Yes- we pay YOU to enjoy the television shows that you enjoy! We pay up to $12 per month for any streaming service subscriptions that you currently have.
Tickets at Work Perk: Enjoy discounted movie tickets, hotel stays, and more through our company’s ‘Tickets at Work’ perk!
Monthly Lunch & Learn Events: Meet key members of our Senior Management team through engaging Lunch & Learn sessions on a monthly basis . Lunch is on us for those employees that sign up!
Monthly Bene-Verse Events: We put on awesome monthly events for our employees including virtual trivia, team building exercises, guided painting sessions, and more!
EEO STATEMENT
At BeneLynk, we don’t just accept differences; we celebrate, support, and thrive on them for the benefit of our employees, our products, and the communities that we serve. All employees share in the responsibility for fulfilling this company’s unwavering commitment to equal employment opportunity. BeneLynk is an equal opportunity employer, and as such, employment here is solely based on a person's merit and qualifications directly related to their professional expertise. BeneLynk does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, military status, marital/familial status, pregnancy, or related condition, including breastfeeding, or any other classes protected by law.
It is BeneLynk’s policy to comply with all applicable federal, state, and local laws pertaining to nondiscrimination and equal opportunity. The company's EEO policy, as well as its affirmative action obligations, includes the full support of the company, including its Chief Executive Officer because it's just the right thing to do and we hope that you think so too.
If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR team at HR@BeneLynk.com.
E-VERIFY
BeneLynk participates in E-Verify. We will provide the U.S. Social Security Administration (SSA) and, if necessary, the U.S. Department of Homeland Security (DHS) with information from each new employer’s Form I-9 to confirm work authorization.
*Offer of employment is contingent upon the results of a required background and drug screening.* **
