Supervisor, Compliance

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Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description

Supervises and supports the implementation and day-to-day operation of the Compliance Program and activities while ensuring the company and its affiliates, and/or subsidiaries, comply with relevant industry standards and regulations, contractual requirements, and internal policies.

• Provides guidance, coaching, and day-to-day support to Compliance team.

• Serves as an escalation point for routine compliance questions and operational issues, resolving matters and elevating higher-risk issues as appropriate.

• Coordinates and leads assigned compliance initiatives.

• Identifies and leads the development, maintenance, and implementation of compliance policies, procedures, job aids, and tools.

• Supports leadership in monitoring program effectiveness, audits and regulatory inquiries, and advancing compliance awareness throughout the organization.

• Leads auditing and monitoring activities, including data collection, analysis, documentation, and follow-up remediation tracking.

• Maintains ongoing monitoring of compliance risks and controls, identifying trends and potential gaps and recommending corrective actions.

• Partners with management to support the annual compliance risk assessment and the implementation of related work plans.

• Builds and maintains effective working relationships with internal stakeholders.

• Plans and leads the activities of the team to ensure completion of assigned matters.

• Participates in regulatory exams and market conduct examinations, as necessary.

• Coordinates requests for compliance and ethics investigations.

• Responds to alleged violations of rules, regulations, policies, procedures, and Code of Ethics and Conduct by evaluating or recommending the initiation of investigative procedures.

• Updates compliance training materials as needed, and monitors ongoing completion and effectiveness of compliance training programs

Performs other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

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Minimum Requirements:

Position requires a bachelor’s degree in business administration, health administration, public health/public policy, or a related field and five years of compliance or regulatory experience in the health or insurance industry, with leadership experience preferred. Medicare and/or Medicaid compliance experience preferred. Compliance professional certification preferred. Will accept any suitable combination of education, training, or experience.

Position requires working knowledge of applicable laws and regulations; the ability to provide guidance to others; strong organizational, analytical, verbal, and written communication skills; attention to detail; ability to manage multiple priorities; and the ability to work collaboratively across the organization.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.