SUMMARY: The Security Compliance Administrator is responsible for developing, implementing, and overseeing the organization’s security compliance program to ensure adherence to applicable laws, regulations, industry standards, and internal policies. This role partners cross-functionally with IT, HR, Legal, Risk Management, and executive leadership to mitigate security risks, maintain regulatory compliance, and protect organizational assets. The ideal candidate is highly organized, detail-oriented, proactive, and experienced in managing compliance frameworks and audit processes.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Develop, implement, and maintain the organization’s information security compliance program.MANDATORY knowledge of HIPAA compliance (RxDC, Gag Clause, CMS)Ensure compliance with applicable regulatory requirements (e.g., HIPAA, SOX, PCI-DSS, state privacy laws, etc., as applicable).Monitor changes in laws, regulations, and industry standards and recommend updates to policies and procedures.Conduct internal risk assessments and compliance audits.Coordinate and manage external audits and assessments.Develop and maintain security policies, standards, and procedures.Partner with IT and business units to ensure appropriate security controls are in place.Lead incident response documentation and ensure proper reporting procedures are followed.Track remediation efforts and ensure timely resolution of compliance findings.Provide training and guidance to employees on security and compliance requirements.Maintain documentation to demonstrate compliance readiness.Report compliance status, risks, and mitigation strategies to executive leadership.
Knowledge, Skills & Abilities:
Strong understanding of cybersecurity frameworks (NIST, ISO 27001, SOC 2, etc.).Knowledge of data privacy regulations and industry security standards.Annual RxDC reportingAnnual Gag Clause Attestation coordination & submissionSOC 2 AuditVendor ManagementExcellent analytical and risk assessment skills.Strong written and verbal communication skills.Ability to work cross-functionally and influence stakeholders.Strong project management and organizational skills.High level of integrity and discretion in handling sensitive information.
Supervisory Responsibilities: This position has no supervisor responsibilities
Qualifications:
Certifications (Preferred)
CISA (Certified Information Security Administrator)CISSP (Certified Information Systems Security Professional)CISA (Certified Information Systems Auditor)CRISC (Certified in Risk and Information Systems Control)
Education and/or Experience:
Bachelor’s degree in Information Security, Cybersecurity, Business Administration, Risk Management, or related field (Master’s preferred).5+ years of experience in information security, compliance, audit, or risk management.Experience managing regulatory audits and compliance programs.
Language Skills: Ability to read, speak, and write effectively in English. Ability to interpret complex documents. Ability to write routine reports and correspondence. Ability to speak effectively before customers or employees of organization. Ability to effectively address or resolve customer service issues within guidelines of the position.
Mathematical Skills: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs.
Reasoning Ability: Requires an ability to analyze complex information, identify patterns, and solve novel problems with minimal supervision. Key responsibilities include evaluating evidence, thinking critically to identify root causes, and forecasting future business needs.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. This position requires the employee to work in the office 2-3 days per week.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet.
\nCompany Description
Established in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.
One of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits
Company DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.\r\n\r\nOne of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits Read LessSummary: The Implementation Specialist I position is directly responsible for delivering purchased benefit solutions and implementing MyHealthBenefits to BRMS clients. The Implementation Specialist I will work with the Client Implementation Team to deliver solution components, which includes collaborative consultation with the client, requirements definition, solution design, configuration, integration testing and rollout. Throughout the implementation process, the Implementation Specialist I may collaborate with BRMS internal departments, external client and third parties to ensure a successful delivery of BRMS services and systems.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Implementation:
· Work directly with BRMS Sales Coordinator and Internal Stakeholders to identify a new client’s purchased services.
· Translate purchased services requirements into detailed workflows, implementation plan and associated documentation.
· Manage multiple implementation projects simultaneously while maintaining established timelines, priorities, and deliverables.
· Develop and maintain project plans, track milestones, identify risks, and communicate project status updates to internal and external stakeholders.
· Serve as primary implementation contact for clients and client representatives, including brokers, insurance carriers, and vendor partners.
· Facilitate implementation meetings, document action items, and ensure timely follow-up and resolution of outstanding items.
· Obtain and enter required benefit plan rules information into MyHealthBenefits.
· When applicable, obtain required benefit plan information and claims history to implement self-funded health plans and work with Claims and IT departments to establish self-funded health plans.
· Obtain necessary member enrollment data and work with IT department to import data into MyHealthBenefits. Population of enrollment data into MyHealthBenefits may, on occasion, require manual data entry.
· When applicable, coordinate FSA and/or COBRA administration services with business partner.
· Contact applicable insurance carriers to establish and implement Electronic Data Interchanges.
· Monitor implementation progress to ensure project scope, timelines, and client expectations are met.
· Identify implementation challenges, troubleshooting issues, and collaborate with appropriate departments to develop effective solutions.
· Maintain accurate project documentation, implementation records, and status reporting throughout the implementation lifecycle.
· Provide end-user support and guidance during implementation and transition to ongoing account management.
Client Renewals:
Work with BRMS Sales Coordinator and Account Executive to identify client renewal requirements.Assist Client Manager in the translation of clients’ renewal requirements into detailed processes and associated documentation.Obtain and enter new benefit plan information and changes to existing benefit plans into MyHealthBenefits.Contact applicable insurance carriers to establish and implement new or modify existing Electronic Data Interchanges.Work directly with client and IT department to establish MyHealthBenefits Online Open Enrollment when applicable for Employee Open Enrollment Self-Service.Maintain appropriate internal documentation.
Knowledge, Skills, & Abilities:
Travel as needed; less than 10%Experience in the employee benefits industry Required2-4 years project management experience and technical troubleshooting RequiredAbility to quickly learn new applications and technical skills, including implementation functions.Strong verbal and written communication skills.Ability to collaborate and consult with internal team members as well as external clients.Proven ability to document requirements, issues and outcomes.Demonstrated proficiency in Microsoft Office productsAbility to grow with the changing needs and demands of the position and BRMS.Must be dependable and maintain excellent attendance.Strong analytical skills and problem-solving skills.
Reasoning and Analytical Ability: Strong reasoning and analytical ability, including
· Ability to interpret a variety of instructions furnished in written, oral or diagram form.
· Ability to exercise reason and logic to resolve practical problems and create effective solutions.
· Ability to analyze all relevant information and a variety of concrete variables in situations where only limited standardization exists.
Supervisory Responsibilities: This job has no supervisory responsibilities.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: High School Degree or G.E.D; and minimum of two years related experience and/or training; or equivalent combination of education and experience.
Language Skills: Ability to read, speak, and write effectively in English. Ability to interpret documents such as plan documents, memos, letters, and procedure manuals. Ability to write routine reports, meeting notes, project documentation, and correspondence. Ability to speak effectively before customers or employees of organization. Ability to effectively address or resolve customer service issues within guidelines of the position.
Certificates, Licenses, Registrations: Valid, class C license in state working with no adverse driving record.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and to be able use a computer for up to two hours at a time with no break. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
\nCompany DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.
One of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits
Company DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.\r\n\r\nOne of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits Read LessSUMMARY: The Client Coordinator will support the Client Services Team in serving and responding to clients needs on a daily basis.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Works on site with consistent attendance.Data entryMaintain Eligibility (Enrolls, Terms, Changes)Maintain MHB updates (Premiums, Contributions, Plan Builds, etc.)Daily FulfillmentsRetro ReportsOAD ReportsCat 5 reportsAssist with RenewalsAssist with Open EnrollmentsDiscrepancy ResolvingProcess Incoming Faxes and Mail, including returned mailAssist With Outbound CallsWork Import Error LogCreating new and/or maintaining export mapping documentsHIPAA Certifications, as neededReceive incoming requests for research from Account Executives and Client Managers.Research all claim questions as requestedGather all necessary information for claim research purposesProvide timely and detailed responses to requestor(s)Build strong relationships with Account Executives and Client ManagersBuild strong relationships with Claims Management personnelManage claim research and details from beginning-to-end.Assist With Outbound Calls Make calls to members or providers as needed to gather or provide information as directed by Account Executives and Client ManagersReview Summary Plan Descriptions/Documents for all benefit information as neededExhibit strong technical knowledge of industry, products, and compliance requirements, including plan deductibles and datesAppropriately escalate issues and opportunities to Upper Management as needed.Ensure proper handling of customer issues and concerns.Navigate and understand BRMS claims systemAdministrative duties in support to Client Services teamPerforms other duties and responsibilities as assigned by Management
Knowledge, Skills, & Abilities:
Strong computer skills, including Word, Excel, and OutlookExcellent verbal and written communication skillsGood analytical skillsPositive problem-solving skills.Ability to provide effective leadership in all aspects of position.Must be dependable and maintain excellent attendance and punctuality.Ability to grow with changing demands of the position and the company.
Supervisory Responsibilities: This job has no supervisor responsibilities
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: High School diploma or G.E.D; and minimum of 6 months related experience and/or training; or equivalent and any combination of education, training, and/or experience, which demonstrates ability to perform the duties described
Language Skills: Ability to read, speak, and write effectively in English. Ability to interpret documents such as plan documents, memos, letters, and procedure manuals. Ability to write routine reports, meeting notes, project documentation, and correspondence. Ability to speak effectively before customers or employees of organization. Ability to effectively address or resolve customer service issues within guidelines of the position.
Mathematical Skills: Ability to add and subtract, multiply and divide with 10's and 100's.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Certificates, Licenses, Registrations: Valid, class C license in state working with no adverse driving record.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. This position requires the employee to work in the office.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
\nCompany DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.
One of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits
Company DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.\r\n\r\nOne of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits Read LessSummary: The Client Manager 1 works closely with the Account Executive to service a portion of the BRMS client base. The Client Manager 1 is the day-to-day point of contact for each client account. The CM 1 strives to ensure service levels and expectations are being met by executing regular and proactive communication with all client administration and upper level on a day-to-day basis.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Organize regularly scheduled communications with all existing clients and internal contacts to determine how BRMS can meet their business needs.Review accounts on a monthly basis.Build strong relationships with clients’ HR teams, senior managers, and other key stakeholders.Manage BRMS client and benefit plan renewals from beginning-to-end with input from the AE.Responsible for obtaining and revising necessary information on the account and completing all activity as required.Work on new client implementations.Prepare, Manage and understand and provide critical review of monthly reportsEnsure execution of contract and any renewal adjustments by working with finance and sales.Exhibit strong technical knowledge of industry, products, and compliance requirements, including plan deductibles and datesWork internally to create and maintain plan documents.Mediate between client and carrier.Create and update plan documents during and after ImplementationCreate and update ID cards during and after ImplementationMaintain PPO Network contract application and Plan Cost ReportsRespond to Anthem Blue Cross Utilization Management update requestsAppropriately escalate issues and opportunities to Upper Management as need be.Provides feedback to assist in the creation of performance improvement goals and development of training programs.· Ensure proper handling of customer issues and concerns.
· Conduct ongoing training to team members to make certain the quality of service delivered to BRMS customers achieves and exceeds company and productivity standards.
Review daily and monthly reports, transactions, and trends, and provide feedback to team members and Upper ManagementPerforms other duties and responsibilities as assigned by Management.
Knowledge, Skills, & Abilities:
Subject-matter expert within field.Excellent verbal and written communication skills.Strong analytical skills.Positive problem-solving skills.Display a polished and professional appearance at all timesStrong computer skills, including Word, Excel and Outlook.
Supervisory Responsibilities: This job has no supervisor responsibilities
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: High School Degree or G.E.D.; and minimum of two years experience working in a related Customer Support Role; or equivalent combination of education, training, and/or experience in self-funded employee benefits industry, which demonstrates ability to perform the outlined duties above.
Language Skills: Ability to read, speak, and write effectively in English. Ability to interpret documents such as safety rules, memos, letters, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before customers or employees of organization. Ability to effectively address or resolve customer service issues within guidelines of the position.
Mathematical Skills: Ability to add and subtract, multiply and divide with 10's and 100's.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Certificates, Licenses, Registrations: Valid, class C license in state working with no adverse driving record.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. This position requires the employee to work in the office.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
\nCompany Description
Established in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.
One of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits
Company DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.\r\n\r\nOne of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits Read LessSUMMARY: The Group Billing Representative is responsible for performing procedures associated with billing, premium distribution, and account reconciliation
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Works on site (Not a Remote Position)Process all invoices, statements, and bills for client accounts as assigned.Review monthly billing reports for accuracy.Reconcile process and enter carrier payment information.Ensure that all invoices pursuant to the billing cycle are mailed in accordance with practice guidelines.Reconcile and Reimburse COBRA and Retiree Premiums to assigned clients.Monitor all third parties billing, communicate with carriers and Account Representatives or Account Executives to expedite the collection process.Research, resolve and respond to customer/group account problems and discrepancies in a timely, accurate and professional manner.Document and maintain all procedures and processes for groups assigned to you.Report weekly progress or status of regular and special projects to the Supervisor and Manager.Maintain and organize all monthly group-billing folders.Reconciliation of General Ledger accounts to be performed on a monthly basis.All General Ledger discrepancies to be documented and maintained in the appropriate Group Binder.Complete monthly carrier reconciliations.Performs other duties and responsibilities as assigned by Management.
Knowledge, Skills, & Abilities:
Functional understanding of the billing process system.PC proficiency with Word, Excel (test required), Outlook, Access, and QuickBooks.Excellent verbal and written communication skills.Strong math, problem-solving, and analytical skills required.Must be able to follow directions, work with minimal supervision, and interact with all departments and levels of management.Must be able to maintain confidentiality.Ability to prioritize and multi-task.Professionalism and respect for co-workers at all times.Knowledge of Benefits Industry preferred.
Supervisory Responsibilities: This job has no supervisory responsibilities.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Associate's degree (A. A.) or equivalent from two-year college or technical school; minimum one to three years related experience in a fast paced accounting environment and/or training; or equivalent combination of education and experience.
Language Skills: Ability to read, speak, and write effectively in English. Ability to interpret documents such as plan documents, memos, letters, and procedure manuals. Ability to write routine reports, meeting notes, project documentation, and correspondence. Ability to speak effectively before customers or employees of organization. Ability to effectively address or resolve customer service issues within guidelines of the position.
Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, and commissions.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized or non-standardized situations.
Certificates, Licenses, Registrations: Valid, class C license in state working with no adverse driving record.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit for extended periods in front of a computer. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk and use hands to finger, handle, or feel. The employee may frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. This position requires the employee to work in the office.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
\nCompany Description
Established in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.
One of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits
Company DescriptionEstablished in 1993, Benefit & Risk Management Services, Inc. (BRMS) is a leading benefit administrator and healthcare risk manager that delivers innovative technology and administration solutions to control rising healthcare costs.\r\n\r\nOne of the first to introduce employee benefit administration technology solutions, our services are powered by our exclusive Virtual Benefits Administration System (Vbas) a proprietary database and administration system that allows employers to save time and money by automating management of the benefit supply chain and empowering employees to self-service their benefits Read Less