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Forrestall CPAs, LLC
(Buford GA)

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Director of Regulatory Affairs

Health Plans Inc

in Westborough MA

Health Plans Inc.

When you think about important qualities for your next employer to have, do growth, originality, enthusiasm, and investment in people and infrastructure come to mind? If so, then Health Plans, Inc. (HPI) is the place for you. If you want to join a team that values integrity, flexibility, loyalty, compassion and dedication, we want to meet you.

What you’ll do
We’re looking for a detailed and analytical individual to join our Corporate Compliance department. Reporting to HPI’s Vice President of Corporate Compliance and Regulatory Affairs, you’ll be responsible for the analysis and implementation of evolving state and federal regulatory requirements for HPI’s nationwide business operations and its clients’ self-funded employee health benefit plans. You’ll also oversee the application of state business regulations relating to licensing and regulatory reporting and federal regulations governing the design and administration of clients’ plans.

In this role, you’ll also:

  • Oversee and monitor HPI’s licensing program, including analyzing state licensing requirements, monitoring state rule changes, and ensuring applications for new state licenses and renewals, as well as corporate annual reports, are submitted timely.
  • Develop and maintain licensing policies and procedures and auditing and monitoring processes.
  • Oversee, analyze and monitor state and federal regulatory reporting requirements related to client’s plans, including states All-Payer Claims Databases (APCD), federal Affordable Care Act (ACA) and other state and federal reporting requirements, and serve as a liaison to state regulators.
  • Analyze and interpret federal rules applicable to self-funded benefit design and administration, including ERISA, COBRA, ACA, MHPEAA, Wellness / GINA / ADA, Section 125 Cafeteria Plans, and DOL issued regulations.
  • Provide regulatory subject matter expertise for cross-functional teams implementing new regulatory requirements and serve as the company liaison to parent company and subsidiaries for regulatory-related programs and initiatives.
  • Draft client-broker communications about regulations applicable to clients’ plans and draft related template language for Plan Documents and member notices.
  • Provide direct oversight of Compliance Manager and monitor the production and drafting of clients’ Plan Documents / Summary Plan Descriptions and the implementation of new methods of production.
  • Research and respond to fact-specific inquiries from clients, brokers and HPI teams regarding the client’s plan design and administration.

The ideal candidate has:

  • Juris Doctor degree; Attorney in good standing preferred
  • Seven or more years concentration in the legal framework governing the design and administration of employee health and welfare benefit plans
  • In depth knowledge of current rules and regulations; third party administrator/self-funded plan experience a plus
  • Experience working with state and federal regulatory agencies with respect to business licensing and reporting preferred

Required Skills:

  • Outstanding written and oral communication skills
  • Exceptional legal research, analysis, writing and editing skills
  • Strong organizational and computer skills
  • Ability to handle multiple priorities in a dynamic, fast-paced environment
  • Ability to build effective working relationships at all levels with diverse internal and external stakeholders

What we do
Delivering the best possible service to our clients and their employees is a top priority and we work together at all levels to accomplish it.

HPI is unique. It’s a 38-year-old company that maintains a forward-thinking, entrepreneurial spirit in an industry not known for changing with the times. By joining HPI, you’ll be part of a team of professionals that strive to make a difference by offering better health insurance and outside-the-box solutions to companies and their employees nationwide. This drives HPI to be an industry leader in innovation, modernization and organizational growth year over year. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on.

What we have to offer
Our employees work in a newly renovated, open, and collaborative environment. At HPI you can brainstorm in one of our team break-out rooms, stretch out at your ergonomic desk, take a break to chat in the onsite café, or get in a quick workout at one of the campus gyms. We offer competitive pay and several great locations, including our headquarters in Westborough right off of Route 9, Route 495 and the Mass Pike, with shuttle service available from the Westborough Commuter Rail Station to our office park via the Worcester Regional Transit Authority (WRTA). Our benefits package includes incredible health plan options, opportunities to volunteer and support community projects, a quarterly bonus program, and so much more.

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at healthplansinc.com/our-story/careers/

EEO/AA/M/F/Vet/Disability Employer

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