- February 19, 2017
- Triple-S Salud
Executes activities related to implementation of the Compliance Program education and awareness campaign related to MA, Commercial and PSG lines of business for employees and its delegated entities. Conduct review of the regulatory policies and procedures inventory of commercial and PSG lines of business, to ensure its accuracy and alignment with the regulatory requirements. Conduct the compliance investigation, according with the policy and procedure.
Coordinate with the Compliance Culture and Awareness Manager the design and delivery of interactive and innovative MA, Commercial and PSG training programs that supports the Compliance Program. Develop and deliver quality education and training programs, materials, support, and resources based on the laws, regulations, industry standards and best practices to internal departments and delegated entities. Utilize a variety of training techniques and blended learning tools, to ensure maximum learning effectiveness and meet the organizational needs. Measure learning objectives (e.g. knowledge transfer, knowledge retention, and effectiveness of training); reporting training effectiveness and results and alignment of MA, Commercial and PSG organizational goals and training objectives. Conduct compliance awareness activities as per the Annual Compliance Education and Awareness Program. Ensure trainings comply with the regulatory agencies requirements. Maintain the training evidence in accordance with the record retention requirements and policies and procedures. Coordinate with the Compliance Culture and Awareness Manager the inclusion of training information for FWA and Privacy Units information. Conduct timely and accurate review of regulatory policies and procedures from internal departments and delegated entities. Monitor the regulatory policies and procedures assigned and its distribution to MA, Commercial and PSG impacted employees and delegated entities. Develop and maintain effective senior line management relationship and Delegated Entities relationship, and has a strong understanding of the operations. Stay current in knowledge of industry trends, including but not limited to CMS, ASES, OCI and BCBS requirements. Conduct the compliance investigation, according with the policy and procedure applicable to MA, commercial and PSG lines of business. Communicate on a timely manner the identified non-compliance issues related to MA, Commercial and PSG lines of business to the Compliance Officer. Collaborates in Organizational projects, as needed.
Bachelor Degree (BD) preferable in Business Administration with one (1) to three (3) years of related experience, preferably in the insurance industry. Or Associates Degree (AD) preferable in Business Administration with three (3) to five (5) years of related experience, preferably in the insurance industry. Or at least five (5) years of the experience mention above in lieu of.
All employees are expected to support actively the metrics / indicators that will facilitate the accomplishment of the corporate and departmental objectives. In any opportunity during the performance of the tasks, the employee should: Maintain the minimum professional criterion of the job, complete all required trainings, and show commitment with compliance of Company’s policies and procedures. Treat all people with respect, assuring to provide an excellent service to our policyholders, participants, providers and clients, as well as with any employee or supervisor. Maintain composure in highly stressful or adverse situations. Maintain confidential the protected information which might have access as part of the job.