Our story

At Alight, we believe a company’s success starts with its people. It’s why we’re so driven to connect passion with purpose. Our team’s expertise in human insights and cloud technology, allows companies and employees around the world to transform and thrive.

With a competitive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team. Because transformation takes a workforce. Learn more at careers.alight.com.

The Alight Retiree Health Solutions Compliance Operations team is looking for a high-performing Medicare compliance specialist to join our collaborative and energetic team. This position will provide critical support to the Retiree Solutions business. The Compliance Operations Specialist is accountable for supporting overall Compliance Operations responsibilities, including timely completion of deliverables, achievement of objectives, and meeting or exceeding operational and contractual performance standards. This includes completing complex tasks and coordination with relevant internal and external stakeholders. The Compliance Operations Specialist will respond promptly, thoughtfully, and effectively to changing work environments, changing priorities, and new situations. They will possess the skills and ability to communicate effectively and appropriately with internal resources, carriers and third parties in a global and virtual working environment.

Job Responsibilities:

• Build Medicare Compliance knowledge through formal learning and on the job learning experiences
• Ensure adherence to all team SOPs and process guides
• Independently handle complex tasks such as general compliance oversight, reporting and data analysis, and communication to key stakeholders
• Assist with compliance support of business objectives
• Review and develop responses to Medicare compliance related questions from internal teams
• Serve as reviewer and contact for carrier complaint requests
• Monitor and track complaint related metrics to ensure timely response, follow-up and trend analysis
• Adhere to deliverable timeline requirements

Required Experience

• Strong written and verbal communication skills
• Strong problem solving and analytical skills
• Demonstrated ability to work effectively and efficiently, both independently and as a team
• Business/financial acumen
• Intermediate level of proficiency with business productivity tools and Microsoft applications
• Skilled at properly researching, identifying and documenting issues

Preferred Experience

• Subject Matter Expert (SME) for Medicare
• Strong understanding of the CRM system and its interactions

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Our commitment to Diversity and Inclusion

Alight believes diversity should be visible, valued, and sustained throughout the organization. And we’re committed to enabling an inclusive culture of belonging that engages all colleagues and grows the diversity of our talent to proudly represent the clients and communities we serve.

As an affirmative action employer, we adhere to the principles of equal employment opportunity in the workplace as defined in our diversity policy statement.

Diversity Policy Statement

Alight does not discriminate against anyone based on sex, gender, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state or local law. In addition, we take affirmative action to employ and advance in employment qualified minorities, women, disabled persons, disabled veterans and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request a reasonable accommodation/modification by contacting his/her recruiter.

Authorization to work in the United States

Applicants for employment in the United States must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

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We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.

DISCLAIMER:

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.