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Senior Compliance and Ethics Specialist
Senior Compliance and Ethics SpecialistWPS Health Insurance • Madison, WI 53713, US
Senior Compliance and Ethics Specialist

Senior Compliance and Ethics Specialist

WPS Health Insurance • Madison, WI 53713, US
30+ days ago
Job type
  • Full-time
Job description

Role Snapshot

The Senior Compliance, Ethics and Privacy Specialist serves as the Office of Foreign Assets Control (OFAC) / Bank Secrecy Act (BSA) / Anti-Money Laundering (AML) Compliance Officer and is responsible for managing the OFAC Compliance Program. The Senior Specialist will support all lines of business and perform the functions required by the Compliance program including conducting internal investigations of potential violations of the Code of Conduct, investigating and reporting privacy incidents, developing and presenting training, reviewing conflict of interest surveys, and other compliance program projects and initiatives. This role is responsible for coordinating certain external audits for the Health Plan division.

Salary Range

$75,000 - $95,000

The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location

Our first consideration will be to have this new employee live in the state of Wisconsin to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters ( 1717 W. Broadway in Madison, WI) will be expected to be able to be able to work Hybrid 2 days a week.

As a secondary consideration, we do offer remote work in the following approved states :

Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin

In this role you will :

  • Serve as the OFAC / BSA / AML compliance officer, maintaining the OFAC compliance program and facilitating workflow reviews related to exclusion list scans.
  • Conduct compliance risk assessments.
  • Collaborate with business units to support adherence to industry standards and legal requirements.
  • Conduct investigations of compliance concerns or misconduct and suspected privacy incidents.
  • Lead the successful implementation of the annual compliance communication plan including intranet articles, compliance newsletter, corporate compliance survey, Corporate Compliance and Ethics Week, and compliance training materials.
  • Serve as the primary compliance and privacy point of contact for WPS Data Logistics.
  • Coordinate certain external audits for the Health Plan division.
  • Coordinate annual updates of the Corporate Compliance Program, support the maintenance of corporate policies and department procedures.
  • Monitor trends in compliance and ethics surveys and incident reports to identify areas for improvement.
  • Promote awareness of ethical decision-making and reporting responsibilities across all levels of the organization.
  • Prepare regular reports for leadership on compliance, ethics, and privacy activities, metrics and risks.

How do I know this opportunity is right for me? If you :

  • Are a committed compliance professional and understand how an effective compliance program benefits an organization.
  • Want to be a part of a fun compliance team consisting of 4 members.
  • Are excited to work in a supportive environment with the autonomy to make decisions and implement changes that contribute to our culture of compliance.
  • Possess great communication skills and are comfortable giving presentations to small and large groups.
  • Have worked In the Healthcare industry in a compliance role.
  • Have exceptional analytical skills.
  • Possess advanced problem-solving skills.
  • What will I gain from this role?

  • Experience working in a strong compliance and ethics team that is collaborative and highly adaptable.
  • The ability to exercise your creativity to contribute compliance best practices and see the fruits of your efforts enhance our strong ethical culture.
  • Experience working in an environment that serves our Nation’s military, veterans, Guard and Reserves and Medicare beneficiaries.
  • Working in a continuous performance feedback environment.
  • Minimum Qualifications

  • U.S. citizenship is required for this position due to Department of Defense restrictions.
  • Bachelor’s degree in Law, Business, Information Security, or a related field or equivalent combination of education and experience.
  • 4 or more years of experience in compliance, privacy, risk management, or regulatory affairs.
  • In-depth experience of privacy regulations and regulatory frameworks.
  • Robust knowledge in ethical frameworks, organizational behavior, and corporate governance.
  • Proficient in conducting investigations of misconduct and privacy incidents.
  • Demonstrated experience executing Compliance program elements.
  • Strong analytical, problem-solving, and organizational skills with the ability to manage multiple processes simultaneously and meet strict deadlines.
  • Proficient in the development and presentation of compliance, ethics and privacy training.
  • Strong verbal and written communication skills with the ability to explain complex information.
  • Ability to manage sensitive issues with a high level of integrity, discretion and sound judgment.
  • Foundational level of understanding of healthcare and government compliance programs.
  • Ability to work in a complex, rapidly evolving environment with multiple internal and external stakeholders.
  • Preferred Qualifications

  • Certified in Health Care Compliance or Privacy or Certified Fraud Investigator.
  • Remote Work Requirements

  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at )
  • Please review for additional information
  • Benefits

  • Remote and hybrid work options available
  • Performance bonus and / or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary ( 100% vested immediately )
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Professional and Leadership Development Programs
  • Review additional benefits : ()
  • Who We Are

    is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for nearly . Proud to be military and veteran ready.

    Culture Drives Our Success

    WPS’ Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

    We are proud of the recognition we have received from local and national organization regarding our culture and workplace :

    FOLLOW US!

    This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and / or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and / or sensitive data in order to safeguard regulated information and government resources that provide critical services.

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    Senior Compliance Specialist • Madison, WI 53713, US

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