Federal Exchange GRC Analyst

Posted 4 Days Ago
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Dallas, TX, USA
In-Office
Senior level
Insurance • Professional Services • Software • Financial Services
The Role
Owns federal Health Insurance Exchange, Enhanced Direct Enrollment, and CMS compliance activities, including audit readiness, privacy evaluations, control maintenance, evidence management, regulatory change tracking, audit coordination, remediation validation, and governance reporting. The role partners with cybersecurity, technology, compliance, and external audit teams to maintain defensible controls and support continued Exchange connectivity.
Summary Generated by Built In

Position Summary 

The Federal Exchange GRC Analyst owns federal Health Insurance Exchange and Enhanced Direct Enrollment compliance for the health business, including Audit Readiness Certification and Annual Marketplace Privacy Evaluation obligations and Centers for Medicare and Medicaid Services Direct Enrollment Entity requirements. This is specialist regulatory work with fixed federal deadlines and a direct line to whether the business retains its Exchange connection. 

The role sits within Enterprise Compliance and Risk and serves the health segment, maintaining the control set, its evidence, and the audit and attestation cycles that sustain the connection. The ideal candidate has direct federal Exchange, Enhanced Direct Enrollment, or Centers for Medicare and Medicaid Services regulatory experience, disciplined evidence practices, and the ability to manage to an immovable deadline in a fast-moving environment. 

Key Responsibilities 

  • Own Audit Readiness Certification and Annual Marketplace Privacy Evaluation compliance activities and the associated submission cycle 
  • Own Centers for Medicare and Medicaid Services Direct Enrollment Entity obligations applicable to the Exchange business 
  • Maintain the Enhanced Direct Enrollment control set, including control descriptions, ownership, testing evidence, and refresh cadence 
  • Maintain audit-ready evidence in the enterprise GRC platform to support federal and third-party review 
  • Prepare for and support federal audits, third-party audits, penetration testing coordination, and attestation cycles 
  • Track federal regulatory change affecting the Exchange environment and translate it into control, process, or documentation change 
  • Support scope discipline for the Enhanced Direct Enrollment environment so the audited perimeter remains deliberate and defensible 
  • Coordinate with Cybersecurity, Technology, and the external audit program on evidence collection and control testing 
  • Partner with the health segment compliance team on operational execution of Exchange requirements 
  • Track and validate remediation of control gaps and audit findings through to closure 
  • Report Exchange compliance status, deadlines, and risk into enterprise governance 
  • Support compliance review of Exchange-related change requests, releases, and vendor dependencies 

Required Qualifications 

  • Bachelor's degree in Business, Health Administration, Information Systems, Public Policy, or a related field 
  • 5 to 8 years of experience in regulatory compliance, governance risk and compliance, or audit 
  • Direct experience with federal Exchange, Enhanced Direct Enrollment, or Centers for Medicare and Medicaid Services regulatory requirements 
  • Working knowledge of control frameworks and evidence standards sufficient to support an external audit 
  • Demonstrated ability to manage to firm external deadlines with no tolerance for slippage 
  • Experience coordinating across technology, security, and compliance stakeholders 

Skills 

  • Exceptional attention to detail and documentation discipline 
  • Strong written communication, including control narratives and regulator-facing documentation 
  • Ability to interpret federal regulatory guidance and translate it into operational requirements 
  • Organizational skills sufficient to manage a fixed annual compliance calendar 
  • Collaborative approach across technical and non-technical stakeholders 
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) 
  • Preferred Qualifications 
  • Professional certifications such as CISA, CRISC, CHC, or similar 
  • Healthcare, health insurance, or Centers for Medicare and Medicaid Services compliance background 
  • Direct Audit Readiness Certification, Annual Marketplace Privacy Evaluation, or Direct Enrollment Entity audit experience 
  • Experience with enterprise GRC platforms for control and evidence management 
  • Familiarity with SOC 2, HITRUST, or NIST frameworks 
  • Experience supporting a technology environment subject to federal connectivity requirements

About Integrity

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you’ll love, and we’ll love you back. We’re proud of the work we do and the culture we’ve built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. 

Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are — in person, over the phone or online. Integrity’s employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Skills Required

  • Bachelor's degree in Business, Health Administration, Information Systems, Public Policy, or a related field
  • 5 to 8 years of experience in regulatory compliance, governance, risk and compliance, or audit
  • Direct experience with federal Exchange, Enhanced Direct Enrollment, or Centers for Medicare and Medicaid Services regulatory requirements
  • Working knowledge of control frameworks and evidence standards sufficient to support an external audit
  • Ability to manage firm external deadlines without slippage
  • Experience coordinating across technology, security, and compliance stakeholders
  • Exceptional attention to detail and documentation discipline
  • Strong written communication, including control narratives and regulator-facing documentation
  • Ability to interpret federal regulatory guidance and translate it into operational requirements
  • Organizational skills to manage a fixed annual compliance calendar
  • Collaborative approach across technical and non-technical stakeholders
  • Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint
  • Professional certification such as CISA, CRISC, CHC, or similar
  • Healthcare, health insurance, or CMS compliance background
  • Direct Audit Readiness Certification, Annual Marketplace Privacy Evaluation, or Direct Enrollment Entity audit experience
  • Experience with enterprise GRC platforms for control and evidence management
  • Familiarity with SOC 2, HITRUST, or NIST frameworks
  • Experience supporting a technology environment subject to federal connectivity requirements
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The Company
29,757 Employees
Year Founded: 2006

What We Do

Integrity Marketing Group is a leading omnichannel insurtech platform and one of the nation's largest independent distributors of life and health insurance products. The company leverages data and proprietary technology to provide holistic health, life, and wealth solutions, primarily focusing on the senior market. It offers a broad platform of resources and tools to support its network of independent agents.

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