Job Summary: 

The CCO will be responsible for managing the overall compliance risk for the company, establishing a robust compliance framework, and fostering a culture of ethical business practices. This role will have a deep understanding of the benefits insurance industry, a proven track record of managing compliance programs, and a strong ability to work with senior leadership to navigate complex regulatory landscapes.

Duties and Responsibilities:

• Act as a strategic partner on the leadership team to develop, implement and evaluate strategic and annual business plans, including processes, and tactics for company growth. 
• Establish, implement, and continually evaluate and update practices that promote company culture and vision. 
•  Resolve variety of high impact problems/projects through in-depth evaluation of complex business processes, system processes, and industry standards
• Prepares input for operating budget. Monitors budget activity on a regular basis ensuring budget criteria and cost control measures are maintained and directs significant special projects as required.
• Implement methods to improve quality, efficiency, and productivity as well as to reduce costs, increase profits, or improve control measures where necessary. 
• Monitor industry trends and recommend cost-effective and efficient solutions to accelerate business outcomes. Liaise with other departments to ensure that industry or regulatory updates are implemented accordingly. 
• Develop, implement, and maintain the company’s compliance program to ensure adherence to all applicable federal, state, and local laws, regulations, and industry standards.
• Advise on regulatory developments, compliance risks, and the strategic direction of compliance initiatives.
• Lead the compliance function in identifying, assessing, and mitigating compliance risks across all business lines, including underwriting, claims, sales, marketing, and operations.
• Stay informed about current and evolving regulations impacting the insurance industry, including but not limited to state insurance codes, federal regulations (e.g., NAIC, Dodd-Frank Act, GDPR, etc.), and other relevant laws.
• Lead the company’s response to regulatory inquiries, examinations, and audits, ensuring timely and thorough compliance with requests.
• Prepare regular reports on compliance status, risks, and program effectiveness for executive leadership.
• Develop, update, and implement internal compliance policies and procedures to ensure alignment with regulatory requirements and best practices.
• Conduct ongoing training for employees, management, and agents on compliance matters, ensuring that staff understand their obligations and the company’s policies and procedures.
• Oversee the monitoring of business operations to detect and prevent non-compliance, fraud, and other violations.
• Establish and manage a system of internal controls to identify potential compliance gaps and recommend corrective actions.
• Conduct regular compliance audits and assessments to evaluate the effectiveness of the compliance program.
• Maintain a robust system for tracking compliance issues, complaints, and potential regulatory violations, ensuring timely resolution and reporting to appropriate authorities.
• Work closely with Legal, Finance, and Operations teams to address potential conflicts or discrepancies in regulatory and operational compliance.

 Pay may vary based on location. Offers will be adjusted based on an individual's experience, education, certifications and other job-related factors as permitted by law.  Pay range is $200,000 – 300,000 annually  

Required Knowledge, Skills, and Abilities:

• Juris Doctor degree or other relevant advanced degree or equivalent In-depth knowledge of insurance regulations, industry best practices, and relevant federal/state regulatory frameworks.
• Licensed attorney in any state with contracts experience preferred
• Minimum of 10 years of experience in a compliance, legal, or regulatory role, with at least 5 years in a leadership position within the insurance industry with strong experience in Group Health Plans
• Certifications such as Certified Regulatory Compliance Manager (CRCM), Certified Compliance and Ethics Professional (CCEP), or other relevant industry certifications are highly desirable.
• Experience in managing compliance programs, regulatory investigations, and audits.
• Strong leadership and team management skills, with the ability to influence and collaborate across all levels of the organization.
• Excellent analytical, problem-solving, and decision-making skills, with the ability to assess complex regulatory issues and provide practical solutions.
• High level of integrity, ethical standards, and discretion in handling sensitive information.
• Ability to think strategically and proactively identify compliance risks and mitigate them before they become issues.
• Ability using a computer which includes expert keyboard and navigation skills and learning new programs
• Communicate clearly and professionally with internal and external customers
• Work effectively individually and as part of a team to achieve established outcomes. Understand other’s roles and empower one another to take responsibility to be successful.  
• Demonstrate collaborative interactions with peers to reach a common goal as well as be a resource to team members and internal/external customers
• Pay close attention to detail in all aspects of the job
• Make decisions using available resources and sound judgment 
• Maintain confidentiality and discretion
• Identify and resolve problems in a timely manner, gather and analyzes information skillfully and proactively
• Teach, coach, and counsel associates by effectively communicating and providing follow-up.  
• Open to other’s ideas and exhibits a willingness to try new things.
• Demonstrate accuracy and thoroughness; monitor work to ensure quality.
• Prioritize and plan work activities to use time efficiently.
• Adapt to changes in the work environment, manage competing demands and is able to deal with frequent change, delays, or unexpected events.
• Follows instructions, responds to direction, and solicits feedback to improve.
• Act in such a way to instill trust from management, other associates, as well as customers.  

Physical Demands: The physical demands described here are representative of those necessary for an employee to successfully perform the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.

• Constant: Talk, hear, speak, and use hands and fingers to operate a computer, telephone, keyboard/mouse; occasionally move about the office
• Constant: Specific vision abilities required by this job include close vision requirements due to computer work for full shift
• Occasional: Lift and/or move up to 10 pounds
• Occasional: Ability to uphold the stress of business travel 
• Constant: Regular, predictable attendance in the office is required
• Constant: While performing the duties of this job, the employee is regularly sitting for the full shift.

Work Environment: 

The work environment described is representative of what must be met by an employee successfully perform the essential functions of this job.  

• The physical environment is indoors in a controlled climate, office setting. The noise level may be low to moderate.

The duties described are representative, but not restrictive of tasks that may be assigned or of the abilities required to do the job. The description is subject to change at any time. Other related duties may be assigned. This description does not alter the at-will status of employment.