Compliance Manager

Employment Type: Full Time

Position Overview

Gravie is seeking a passionate Compliance Manager to join our team. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions. As a Compliance Manager, you will play a vital role in supporting Gravie's commitment to understanding and adhering to the intricate regulatory landscape governing health benefits. This individual will be a key contributor in shaping our compliance operations, providing essential guidance on cutting-edge plan designs, and actively fostering a culture of integrity that underpins our mission to transform healthcare. This is an opportunity to make a tangible difference in how our members experience their benefits.

Responsibilities

Regulatory Monitoring & Analysis

• Monitor changes in federal and state healthcare laws and regulations, including the Affordable Care Act (ACA), Employee Retirement Income Security Act (ERISA), and related guidance.
• Analyze the impact of new or revised regulations on Gravie's operations, products, and services, and help communicate findings to relevant stakeholders.
• Support the project management and implementation of new regulatory requirements, helping to ensure end-to-end documentation of successful implementation and ongoing compliance.

Plan Document & SPD Compliance

• Support the review, development, and maintenance of Summary Plan Descriptions (SPDs) and other member-facing regulatory materials to ensure accuracy, clarity, and compliance with all applicable laws (e.g., ERISA disclosure requirements, ACA mandates).
• Assist with SPD and SBC amendments and updates.
• Assist with compliance efforts for Gravie's non-ERISA book of business, including conducting state research and supporting the development of compliant plan documents.

Benefit Design & Administration Compliance

• Provide compliance assistance on health plan design, eligibility, benefits, and administration.
• Contribute to the review and advise on proposed plan variations, exceptions, and unique benefit requests, assessing compliance implications.

State Regulatory Filings & Reporting Support

• Facilitate and track state regulatory filings, including TPA licensing, Secretary of State qualifications, and annual reports.

Regulatory Inquiry & Complaint Response Support

• Support the response efforts to regulatory inquiries and complaints from agencies (e.g., DOL, State Insurance Departments, Attorney General) in a timely and comprehensive manner.

Compliance Program Operations & Documentation

• Assist in building and refining processes to document all compliance activities and decisions. This includes managing the end-to-end compliance investigation process when gaps or potential issues are identified, ensuring thorough documentation of findings and resolutions, and ongoing monitoring.
• Help develop and support the oversight of the intake processes for new compliance requests and inquiries from internal stakeholders.

Requirements

• Bachelor's degree in a relevant field (e.g., Business Administration, Healthcare Administration).

Company Information

Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.