Compliance Specialist

Overview

This Compliance Specialist role supports the organization’s operational integrity and regulatory presence by leading the acquisition, maintenance, and renewal of essential state licenses and regulatory registrations across business units. The position monitors evolving state legislation, regulations, and industry standards to ensure adherence to complex medical review laws, including URO and IRO mandates. The specialist also serves as a liaison to external state agencies and during client compliance audits, providing accurate, timely responses that support audit readiness and organizational compliance.

Responsibilities

Licensure & Regulatory Strategy

• Lead end-to-end application, acquisition, and renewal processes for state licenses and registrations, including Utilization Review Organization (URO) and Independent Review Organization (IRO) filings.
• Identify, monitor, and research state-specific laws, administrative rules, and emerging legislation impacting lines of business to maintain proactive compliance.

Customer & External Compliance Operations

• Respond to internal and external customer compliance requests and regulatory audits by preparing and delivering high-quality, precise written deliverables.
• Act as a direct liaison with state licensing agencies, regulatory bodies, and external compliance auditors to support smooth interactions and maintain positive working relationships.

Corporate & Financial Compliance Support

• Manage diversity spend compliance requirements in collaboration with the Finance team, including gathering, analyzing, and presenting accurate reporting data.
• Coordinate with the organization’s registered agent to submit accurate state Secretary of State annual reports on a timely basis across all operating jurisdictions.

Administrative & Cross-Functional Operations

• Maintain centralized compliance documentation, tracking systems, and renewal calendars to prevent lapses in state authorizations.
• Provide administrative and research assistance to leadership on special regulatory or legal projects as needed.

First 90 Days (What Success Looks Like)

• First 30 days: Complete onboarding to understand lines of business, internal systems, and current state licensing footprint. Shadow current compliance processes, review active URO/IRO licensing documentation, and build familiarity with registered agent tools and tracking workflows.
• First 31–60 days: Take direct ownership of upcoming state license renewals and Secretary of State annual filings. Independently field routine internal/external compliance inquiries, begin collaborating with Finance on diversity spend metrics, and establish a rhythm for tracking state legislative updates.
• First 61–90 days: Lead complex licensing applications and state audit response deliverables with minimal oversight. Evaluate existing compliance workflows to recommend process improvements, demonstrating mastery of regulatory research and cross-departmental coordination.

Requirements

Education/Credentials

• Bachelor’s Degree (BS/BA) or formal Paralegal Certification.

Must Haves

• Demonstrated experience in Regulatory Compliance, state filings, or a paralegal role.
• Strong legal research, investigative, and analytical problem-solving abilities.
• Proficiency in MS Office and compliance documentation tools.
• Proven track record of working independently, managing tight deadlines, and maintaining exceptional organization.
• Strong written and verbal communication skills across all organizational levels and with external stakeholders.

Preferred Qualifications

• Prior background working in the medical review, insurance, or general liability claims industry.
• Direct experience with Utilization Review Organization (URO) or Independent Review Organization (IRO) state registrations.

Working Conditions / Physical Demands

• Ability to perform job duties that may involve lifting, bending, and traveling as required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Examples of typical working conditions:

• Prolonged periods sitting or remaining stationary at a desk and working on a computer.
• Constant operation of a computer, keyboard, mouse, and other digital productivity tools.
• Close visual acuity required to view computer screens, analyze data, and read extensive digital documentation.
• Frequent communication with team members, leadership, and external partners via email, chat, phone, and video conferencing platforms.
• Occasional moving or positioning of office equipment or files weighing up to 10–15 pounds.

Work From Home Technical Requirements

• Provide and support own internet services.
• Maintaining an uninterrupted internet connection is required for all work from home positions.

Compensation & Benefits

Comprehensive benefits are provided, including:

• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Generous paid time off.
• 401k plan with company match.
• Apple equipment and a media stipend for remote workspace.

Location

Remote (work from home).