Quartz Health Solutions

Compliance Analyst

Quartz Health Solutions  •  $65k - $82k/yr  •  Madison, WI (Onsite)  •  1 month ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

We are seeking a Compliance Analyst to support the ongoing development, enhancement, and maintenance of a robust and effective compliance program at Quartz. In this role, you will play a key role in strengthening our compliance framework and ensuring that we uphold our commitment to ethical, transparent, and member-focused healthcare.

This is a dynamic opportunity to work as a compliance generalist while building deeper expertise across key areas of the health insurance industry. You’ll collaborate with teams across the organization, helping to identify risks, perform regulatory research, implement solutions, and continuously improve compliance practices in an evolving regulatory environment.

Benefits:

  • Expand your expertise in the health insurance and regulatory landscape

  • Gain exposure to a wide range of business areas and internal teams

  • Grow your career with clear pathways to more senior roles

  • Starting salary is based upon skills and experience: $65,300 - $81,700 plus robust benefits package

Responsibilities

  • Review and complete Legal and Compliance Requests (LCRs), including marketing material reviews, ensuring timely and accurate responses; escalate complex issues as needed.

  • Identify opportunities to enhance compliance tools and systems (e.g., LCR software) and produce reports for leadership, the Compliance Committee, and key stakeholders.

  • Develop, implement, and maintain compliance policies, procedures, and training initiatives to promote awareness and ensure adherence to regulatory requirements.

  • Support regulatory filings and submissions, including health plan policy forms and documentation for existing and new markets.

  • Advise business partners on regulatory requirements and filing obligations.

  • Manage corporate licensing activities, including registrations, renewals, and filings (e.g., URO, PPA, PBM, TPA), and serve as a primary point of contact for regulatory agencies.

  • Conduct regulatory research to support organizational initiatives.

  • Monitor and analyze proposed and enacted regulatory and legislative changes; assess business impact and support implementation of new requirements.

  • Communicate regulatory updates, compliance requirements, and deadlines across the organization.

  • Plan and execute internal compliance audits, including defining scope, analyzing findings, and partnering with stakeholders to implement corrective actions.

  • Support external regulatory audits and examinations by coordinating documentation and serving as a liaison with external agencies.

  • Contribute to enterprise compliance risk assessments and support execution of the annual compliance work plan.

  • Build and maintain strong relationships with internal stakeholders and external partners, including regulators and vendors.

  • Create and maintain documentation, tools, and resources to improve consistency, efficiency, and transparency in compliance processes.

  • Track and document compliance activities, ensuring systems and records are accurate and up to date.

  • Identify process improvement opportunities and support cross-functional compliance initiatives and projects.

Qualifications

  • High School Equivalency with 8 years of successful professional experience in the health insurance industry.

Or

  • Associate's Degree with 5 years of successful professional experience in the health insurance industry.

Or

  • Bachelor’s Degree with 2 years of successful professional experience in the health insurance industry.

  • Strong research, editorial and proofreading skills, including the ability to read and interpret state and federal law

  • Proficiency in Microsoft Office tools (Outlook, Word, Excel, PowerPoint)

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.

Quartz Health Solutions

About Quartz Health Solutions

We believe that the health insurance industry should do far more than just provide access to doctors and cover or administer claims. We believe health care plans should help people live healthier. Which is exactly what makes us different. As a health plan management and administrative services company, we’re leading the charge on everything from expanding network physician and provider options to creating innovative approaches to wellness, prevention and community well-being. That’s because at Quartz, we’re a company committed to good health.

Beginning in mid-2017, Gundersen Health Plan, Unity Health Insurance and Physicians Plus joined forces under the Quartz brand name, with Advocate Aurora Health joining us in 2021. Together, we provide our members with high-quality service and affordable coverage.

We manage services for those health insurance plans as well as provide administrative services for self-funded health plans as Quartz ASO, while serving 350,000+ customers who live in southern, eastern and western Wisconsin, parts of Illinois, Iowa, and Minnesota from offices located in Onalaska and Fitchburg, Wisconsin.

For more information visit: QuartzBenefits.com.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Fitchburg, Wisconsin
Year Founded
2016
Social Media