The Role
Conducts risk-based compliance monitoring, audits, regulatory report validation, and corrective action oversight. Evaluates operational compliance, identifies deficiencies, tracks remediation, validates corrective actions, and supports internal and external audits. Maintains compliance reporting, dashboards, governance materials, and regulatory system activities, including HPMS support. Analyzes trends and risks for Compliance Committee, senior leadership, and Board reporting while improving compliance tools, processes, and controls.
Summary Generated by Built In
Job Summary & Responsibilities
- Compliance Monitoring and Auditing
- Develops and executes risk-based compliance monitoring and auditing activities across all lines of business.
- Provides guidance to operational areas on regulatory requirements and associated compliance monitoring and reporting expectations.
- Evaluates operational compliance with applicable regulatory and contractual requirements and identifies compliance and control deficiencies.
- Tracks and trends monitoring results to support compliance dashboards and governance reporting.
- Corrective Action Oversight and Validation
- Develops and issues corrective action plans for identified compliance deficiencies.
- Tracks corrective actions through remediation and resolution, including escalation of delays or unresolved issues.
- Performs validation to confirm corrective actions are implemented and operating effectively.
- Tracks and trends corrective action activity and outcomes to support compliance reporting.
- Regulatory Reporting Validation
- Performs compliance validation of operational regulatory reports and submissions.
- Evaluates supporting data, processes, and controls for compliance with applicable requirements.
- Identifies and coordinates remediation of reporting deficiencies and tracks validation results.
- Compliance Operations Program Support
- Supports internal and external audit activities, including documentation, evidence review, and corrective action follow-up.
- Provides Compliance Operations support for HPMS and other regulatory systems, access, submissions, and related activities.
- Supports Compliance Operations work plans and assigned compliance oversight activities.
- Supports development and continuous improvement of Compliance Operations tools, processes, and controls..
- Analyzes and summarizes compliance results, trends, risks, and corrective actions for dashboards and regulatory reporting.
- Supports reporting through the Compliance Committee governance structure, including reporting to senior leadership and the Board of Directors.
- Perform all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Preferred Qualifications- Bachelor's degree and two years of related work experience; or an equivalent combination of education and experience.
- Experience working in a regulated environment.
- Familiarity with general compliance and ethics principles.
- Effective written and verbal communication skills.
- Analytical and problem-solving skills.
- Ability to understand and apply regulatory requirements.
- General knowledge of compliance and regulatory principles.
- Strong organizational and time management skills.
- Intermediate working knowledge of Microsoft Word, Excel, Outlook, and PowerPoint.
Skills Required
- Bachelor's degree and two years of related work experience, or equivalent combination of education and experience
- Experience working in a regulated environment
- Familiarity with general compliance and ethics principles
- Effective written and verbal communication skills
- Analytical and problem-solving skills
- Ability to understand and apply regulatory requirements
- General knowledge of compliance and regulatory principles
- Strong organizational and time management skills
- Intermediate working knowledge of Microsoft Word, Excel, Outlook, and PowerPoint
HMSA Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about HMSA and has not been reviewed or approved by HMSA.
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Healthcare Strength — Medical and dental coverage are described as solid, with preventive services and select zero‑cost features adding value in recent plan years. Employer-sponsored plans can have affordable premiums in certain groups and broad access options.
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Retirement Support — A 401(k) with company match and potential discretionary contributions forms a strong component of total rewards. Retirement support complements the core medical and dental package.
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Leave & Time Off Breadth — Paid holidays and PTO that increases with tenure provide meaningful time‑off flexibility. Time‑away benefits scale with service length.
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The Company
What We Do
The Hawaii Medical Service Association (HMSA), an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s population have chosen HMSA for their health care coverage. We are dedicated to providing quality, affordable health plans; employee benefit services; and worksite wellness programs. HMSA also offers a variety of programs, services and support to help improve the health and well-being of our members and community.
