Senior Regulatory Compliance Advisor – Employee Benefits

The Fedeli Group (TFG) is a Cleveland-based firm specializing in employee benefits consulting, property and casualty insurance, and risk management solutions. We provide services to a wide range of industries, governmental entities, and non-profit organizations.

We have a culture built on integrity, work ethic, and teamwork. We are in a dynamic and often complex business that presents an exciting environment for those interested in continuous learning, personal improvement, and excellence in client delivery.

The senior regulatory compliance advisor serves a key role in helping clients adhere to applicable federal, state, and local laws and regulations as it pertains to the employee benefits. The senior regulatory compliance advisor will perform the following functions.

REPORTS TO

Managing Director of Employee Benefits

ESSENTIAL FUNCTIONS

• Compliance Program Development: Create and implement comprehensive compliance audit programs that ensure adherence to relevant laws and regulations, including HIPAA, FMLA, State laws, ERISA and other employee benefits regulations.
• Assist clients with calculating PCORI fees, conducting Affordability tests, guide clients through non-discrimination testing and filing requirements.
• Monitoring and Auditing: Regularly review and audit employer programs to identify potential compliance issues and recommend corrective actions as necessary. Ensure proper documentation and record-keeping of compliance activities.
• Training and Education:

- Conduct regulatory compliance training sessions for the Human Resources staff of clients, enabling key staff to be aware of their responsibilities.

- Develop and implement a regulatory compliance training program (including contract review) for internal employee benefits staff of The Fedeli Group.

- Provide regulatory updates to clients in the following formats:

Seminars / Webinars

Written posts through the Fedeli Digest

At a minimum of once per year produce a high-quality compliance update white paper

COMPETENCIES

• A deep understanding of regulatory compliance issues in employee benefits, including IRS code Sec 125, ERISA, COBRA, HIPAA, ACA, and Benefit Plan regulations. Especially critical to success in this position is the ability to “connect the dots” with respect to multiple and sometimes conflicting regulations.
• A solid understanding of corporate taxation and business structures and their impact on employee benefit plans.
• Collaborative problem solving and project management ability.
• Employee benefit plan program knowledge: funding methods and contract features.
• Strong presentation skills: ability to clearly explain complex concepts and regulatory terms, adapting to the backgrounds of different audiences (CFO, HR Director, CEO).
• Excellent writing skills
• Excellent PowerPoint skills, including concept visualization

SUPERVISORY RESPONSIBILITY

None

WORK ENVIRONMENT

Flexibility for hybrid work schedule.

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, cell phones, photocopiers, filing cabinets and fax machines.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

POSITION TYPE / EXPECTED HOURS OF WORK

Full Time Position – 40-hour work week

TRAVEL

Travel is minimal, although some out-of-area and overnight travel may be expected.

REQUIRED EDUCATION & EXPERIENCE

• At least seven years of experience in health care / employee benefits compliance
• Extensive client interaction, including presentation delivery to organizational leaders.
• Bachelor’s degree with a concentration in one or more of the following areas: health care, economics, business law, political science (pre-law).
• CEBS designation and/or CHC (Certified Health Compliance) is a plus.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.