Spec, Compliance Job Description

Spec, Compliance Job Description

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Spec, compliance provides guidance regarding the International Traffic in Arms Regulations (ITAR), Export Administration Regulations (EAR), ATF legislation and regulations, boycott legislation and regulations, US Customs regulations, and the US Foreign Corrupt Practices Act.

Spec, Compliance Duties & Responsibilities

To write an effective spec, compliance job description, begin by listing detailed duties, responsibilities and expectations. We have included spec, compliance job description templates that you can modify and use.

Sample responsibilities for this position include:

Assists in the design of processes and quality assurance reviews/monitoring procedures of the Financial Group’s insurance companies’ activities to ensure compliance with applicable laws
Examines third-party service providers to determine compliance with industry and firm rules and regulations
Maintain current knowledge of FDA/GCP standards and Regulatory Guidance
Assists in the design of processes and quality assurance reviews/monitoring procedures of the activities of the Enterprise’s insurance companies to ensure compliance with applicable laws
Lead activities of internal audit team ensuring audits meet internal standards based on client requirements
Work with impacted stakeholders within Enterprise Privacy and across lines of business to ensure that impacted business areas plan for timely development and execution of appropriate activities (communications, policies, procedures, training, ) as necessary to prepare associates or vendors for implementation of privacy compliance technology initiatives
Serves as primary contact with State Insurance Departments with respect to policyholder complaints and investigations
Identifies key risk factors for the insurance company by identifying each entity’s activities, researching and identifying regulatory requirements, documenting the control environment designed to comply with the stated requirements, assessing risk factors, identifying gaps in the control processes and instituting solutions
Assists in communicating to affected associates compliance requirements, regulatory changes and regulator actions
Analyzes regulatory changes and prepares impact reports to business units with potential alternatives for the unit to maintain compliance

Spec, Compliance Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Spec, Compliance

List any licenses or certifications required by the position: CMA, CPA, MBA, RHIA, RHIT, CCS, CPC, ACRP, II, CFE

Education for Spec, Compliance

Typically a job would require a certain level of education.

Employers hiring for the spec, compliance job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Engineering, Education, Chemistry, Biology, Physical Science, Geology, Physics, Business, Finance, Accounting

Skills for Spec, Compliance

Desired skills for spec, compliance include:

Access and Outlook
Deposit and lending federal and state banking regulations
Excel
MS Word
Relevant statutes and regulations relating to legal actions affecting member accounts
Symitar software
Compliance regulations
SOX Compliance
Standards
Techniques

Desired experience for spec, compliance includes:

Ability to interview, negotiate, and brief management
Three years of mutual fund, financial services and/or compliance related experience is preferred
Ensure regulatory compliance for
Experience with compliance or risk related projects preferred
Strong written and verbal communication skills, including demonstrated ability to provide written documents or reports that accurately and clearly summarize issues and present solutions in an understandable and logical manner
Demonstrated ability to work independently and collaboratively with others, influencing actions and decisions without express authority

Spec, Compliance Examples

1

Spec, Compliance Job Description

Job Description Example
Our innovative and growing company is hiring for a spec, compliance. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for spec, compliance
  • Monitors pending legislation, rulemaking, guidance and other industry trends and best practices related to Regulations to ensure that W&SFG has information necessary for W&SFG Insurers and SSUs to comply with applicable Regulation requirements and best practices
  • Gathers, analyzes, and assesses Regulations
  • Communicates with applicable W&SFG trade groups and vendors pertaining to Regulations
  • Advises W&SFG Insurers and SSUs on best practices relating to Regulations
  • In collaboration with other W&SFG Compliance teams, designs processes, monitoring and oversight controls to oversee the activities of W&SFG Insurers’ and SSUs’ compliance with Regulations
  • Acts as a key contact between Internal Audit and W&SFG Compliance relating to Regulations by leveraging experiences and relationships to further enhance joint engagements as appropriate
  • Analyzes reports concerning exceptions to compliance-approved processes as identified by Quality Assurance, Technical Services or other Financial Group associates
  • Supports other Compliance associates with respect to overall compliance of the Financial Group’s insurance companies
  • Advises business units on regulatory implications of business decisions and assists in the day-to-day adherence to compliance requirements
  • Prepares regulatory filings concerning authority to conduct insurance business within a state and preparation of various periodic and annual reporting requirements
Qualifications for spec, compliance
  • Demonstrated ability to communicate effectively with senior and executive management on regulatory matters
  • Demonstrated ability to apply creative, critical and strategic thinking in relation to solving problems, evaluating current state processes for efficiency and effectiveness, and working with business partners to develop or improve business practices
  • Certified Regulatory Compliance Manager (CRCM) a plus, but not required
  • Proficiency and advanced skills using Microsoft PowerPoint and Visio
  • Required A Bachelor's Degree in a related field or 4+ year equivalent work experience in Health Plan Operations, Shared Services Operations (Claims, Appeals, Grievances, Customer Service, Credentialing, Network Management, ), and/or Compliance Program
  • Acts as key contact between the Financial Group’s Internal Audit Department and Insurance Compliance by leveraging experiences and relationships to further enhance joint engagements
2

Spec, Compliance Job Description

Job Description Example
Our company is growing rapidly and is hiring for a spec, compliance. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for spec, compliance
  • Provide supplementary Epic workflow and E&M/bedside procedure training to existing coding staff using University Standard Practice Guidelines, CMS rules and other payer regulations
  • Protect the confidentiality of primary and secondary health records and the information therein as mandated by law, professional standards and Health System policies
  • Summarize and present compliance review findings to the study staff and assist with corrective and preventative action plans
  • Proactive noncompliance issue identification, escalation and management
  • Participate in regulatory authority (FDA) pre-inspection preparation, inspection, and post-inspection activities to promote the successful outcome of the inspection
  • Assists company management in addressing and resolving corporate, regional and local practice compliance issues
  • Researches healthcare compliance and regulatory topics and issues as necessary to address compliance matters or as assigned by CCO
  • Reviews and monitors federal and state regulatory publications and other health care compliance publications
  • Develops and maintains productive working relationships with all levels of management and staff
  • Assists in communicating to affected associates compliance requirements, regulatory changes and regulatory actions
Qualifications for spec, compliance
  • Working knowledge of word processing, spreadsheet, database, presentation software and email applications
  • Clinical Research Coordinator/Project Management Experience
  • An in-depth knowledge and experience in the application of Good Clinical Practice (GCP) requirements is required (e.g., ICH, FDA)
  • Training and experience in quality tools such as
  • 1+ years of experience in the compliance or related field
  • Professional and has a positive demeanor
3

Spec, Compliance Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of spec, compliance. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for spec, compliance
  • Participates in the development and modification of accounting/financial policies, procedures, and practices to ensure the accounting/finance and cost control activities are successfully implemented and meet overall business objectives and required regulatory standards
  • Develops supportable company positions for the proper accounting and/or estimating practices in compliance with applicable government regulations
  • Supports other Compliance associates with respect to overall compliance of the Enterprise’s insurance companies
  • Acts as key contact between the Enterprise’s Internal Audit Department and Insurance Compliance by leveraging experiences and relationships to further enhance joint engagements
  • Coordinate educational programs on compliance for employees, physicians and vendors
  • Stay abreast of state and federal requirements and communicates changes/updates to CSHS stakeholders and leaders to any changes in healthcare regulation including fraud and abuse, privacy and security, CMS billing and requirements and Medicaid
  • Create documentation/reporting on which responses to external inquiries are based
  • Perform analysis of metrics and provide supporting narrative to Senior Management regarding metrics reports
  • Full quality technical writing
  • Quality technical editing
Qualifications for spec, compliance
  • Able to deal diplomatically with all levels and departments of the organization
  • Experience managing multiple projects with varying degrees of complexity
  • Proven track record of taking the initiative and driving for results
  • Strong PC skills, including Microsoft Office and SharePoint experience
  • Highly organized, detail oriented individual
  • Good public speaker and can facilitate training
4

Spec, Compliance Job Description

Job Description Example
Our company is growing rapidly and is looking for a spec, compliance. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for spec, compliance
  • Quality coaching (all services are directly engaged on the projects)
  • Being a team member of a regional based SDLC Quality Technical Writing and Quality Approval team coordinating with Documentation Administration Services
  • Working with external resources, which will scale up and down based on the demand of capital projects
  • Providing guidance to teams regarding MSD System Development Life Cycle Policy requirements
  • Providing support of SDLC related questions for internal audits, external inspections, and SDLC Assessments/Sustainment
  • At least 1-year experience in Compliance
  • Based in Malaysia
  • Fluency in English and regional languages strongly preferred
  • Project management/administration experience is an advantagea
  • Communicates with members of Compliance, Law, Internal Audit and W&SFG Insurers and SSUs in an efficient and effective manner so that changes to business operations and practices are effectively implemented by W&SFG Insurers and SSUs
Qualifications for spec, compliance
  • Interested in the field of ethics and compliance
  • Bachelor’s degree, or two to four years related experience and/or training
  • Business Acumen (entry level) - Knows how businesses work
  • Informing (proficient) - Provides the information people need to know to do their jobs and to feel good about being a member of the team, unit, and/or the organization
  • Perseverance (developing) - Pursues everything with energy, drive, and a need to finish
  • Problem Solving (developing) - Uses rigorous logic and methods to solve difficult problems with effective solutions
5

Spec, Compliance Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of spec, compliance. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for spec, compliance
  • Leads cross-functional reviews of internal controls and related DFARS Business Systems to promote compliance with applicable regulations
  • Generates complex financial analyses using Excel and SAP in support of regulatory compliance efforts
  • Leads projects to revise procedures, processes and systems, as necessary, so that W&SFG Insurers and SSUs can efficiently and effectively comply with Regulation requirements
  • Advises W&SFG Insurers and SSUs regarding regulatory implications of business decisions and assists in compliance with Regulation requirements as appropriate
  • Document potential changes in regulatory landscape using knowledge of W&SFG operations and systems
  • Review coded data for inpatient and/or outpatient visits including detail related to provider documentation, procedure coding, diagnosis coding and modifier selection in accordance with established coding guidelines and UM instruction for assigned staff on a yearly basis and additionally per request
  • Meet with individual coders to explain review results and discuss coding implications
  • Provide Epic workflow and coding training to new hires in the form of orientation and E&M code selection education
  • Complete post hire coding reviews and apply coder accuracy rates
  • Develop and present training materials to coding staff related to coding guidelines, Epic workflow, MedAssets, Claims Manager and Super Coder utilization using Microsoft PowerPoint
Qualifications for spec, compliance
  • Proficiency in Microsoft Office and other utility applications (e.g., Adobe Acrobat, Excel and Access)
  • Experience using computer security tools and techniques
  • Drive for Results (developing) - Can be counted on to exceed goals successfully
  • Bachelor's degree and a minimum of 4 years’ clinical research experience
  • Proficiency in computer software applications including Microsoft Office suite and internet
  • Years’ experience conducting and/or monitoring research involving human participants, or in a related administrative role supporting human subjects research OR years’ experience working with federal regulations

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