ACA Senior Compliance Analyst PCHP
for section headings (About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)
2. Use - for lists,
for prose
3. Do NOT repeat job title as heading
4. Do NOT put Job ID/requisition numbers as headings - fold into short
or drop
5. Preserve ALL substantive information
6. Remove boilerplate (cookie/navigation/legal/EEO/scam-warning), duplicated lines, application instructions
7. Include section ONLY when posting has real specific content - never emit heading with filler/placeholder text
8. Never create Pay/Schedule/Benefits sections unless posting actually states them
9. Prefer few substantive sections over many thin ones
10. Output ONLY HTML fragment - no /, no markdown code fences
Let me analyze the job posting content:
- Location: Mockingbird Towers 4th FLR (this is location info)
- Special Note: Strong candidates will have experience with ACA-related regulations...
- Work schedule: Hybrid / Full-time Days; 8 a.m. until 4 p.m., Monday through Friday (this is schedule info)
- Primary Purpose: Responsible for ongoing management of Health Plan compliance policies...
- MINIMUM SPECIFICATIONS:
- Education: Bachelor's degree in Healthcare Admin, Business Admin or related field. Master's preferred.
- Experience: Five years relevant professional experience as healthcare compliance professional. Experience designing/implementing organizational reporting processes...
- Equivalent Education And/or Experience: Seven years experience in comparable position working in commercial or Marketplace (ACA) health insurance...
- Certification/Registration/Licensure: HCCA Certified in Healthcare Compliance (CHC) required within two years from date of entry
- Required Tests For Placement: None
- Skills Or Special Abilities: (list of skills)
- Responsibilities: (multiple subsections with bullet points)
- Regulatory and Compliance
- Reporting And Monitoring
- Training And Education
- Professional Accountability
- Job Accountabilities: (list of accountabilities)
- Requisition ID: 990786 (this is job ID - should fold into short
or drop)
Now I need to structure this into appropriate sections. The rules say use
for section headings like "About the role", "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule".
Looking at the content, I have:
- Primary Purpose (could be "About the role")
- Work schedule (Schedule section)
- Location (could be part of schedule or separate)
- Minimum Specifications (Education, Experience, Equivalent, Certification, Skills) - this maps to Requirements/Qualifications/Skills
- Responsibilities (with subsections)
- Job Accountabilities (could be part of responsibilities or separate)
- Requisition ID (metadata - fold into short
or drop)
I should create sections only where there's real content. Let me map:
1. About the role - Primary Purpose paragraph
2. Schedule - Work schedule details
3. Location - Mockingbird Towers 4th FLR (could include in schedule or separate)
4. Requirements/Qualifications - Education, Experience, Equivalent, Certification
5. Skills - Skills Or Special Abilities
6. Responsibilities - the detailed responsibilities with subsections
7. Job Accountabilities - could be separate or part of responsibilities
The rules say "use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". So I should use these standard headings where appropriate.
I need to be careful not to create sections with filler text. The posting has real content for:
- About the role (Primary Purpose)
- Schedule (Work schedule)
- Location (could be part of schedule)
- Requirements (Education, Experience, Equivalent, Certification)
- Skills (Skills Or Special Abilities)
- Responsibilities (detailed with subsections)
- Job Accountabilities (could be separate section or merged)
Benefits and Pay are not mentioned, so no sections for those.
Requisition ID should be folded into a short
or dropped. I'll include it as a brief metadata line.
Now let me structure the HTML:
About the role
Primary Purpose paragraph...
Schedule
Hybrid / Full-time Days; 8 a.m. until 4 p.m., Monday through Friday. Location: Mockingbird Towers 4th FLR.
Requirements
- Education: Bachelor's degree in Healthcare Administration, Business Administration or related field. Master's degree in Healthcare Administration, Business Administration or related field is preferred.
- Experience: Five years of relevant professional experience as a healthcare compliance professional. Experience in designing and implementing organizational reporting processes and structures that enhance and encourage complete and accurate tracking, coordination and reporting of compliance activities and events.
- Equivalent Education And/Or Experience: Seven (7) years of experience in a comparable position working in commercial or Marketplace (ACA) health insurance, or with a health insurance issuer offering Qualified Health Plans, may be considered in lieu of a degree.
- Certification: HCCA Certified in Healthcare Compliance (CHC) required within two years from the date of entry into the position.
Skills
- Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines.
- Ability to communicate complex information in understandable terms.
- Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization.
- Excellent analytical and problem-solving skills.
- Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
- Ability to write clearly and succinctly with a high level of attention to detail.
- Proficient computer and Microsoft Office skills. Ability to learn new software programs.
- Knowledge of the Affordable Care Act (ACA), Federally-facilitated Marketplace and Qualified Health Plan (QHP) requirements, National Committee for Quality Assurance (NCQA), the Texas Insurance Code, and applicable federal regulations (45 CFR).
Responsibilities
Regulatory and Compliance
- Ensures work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements.
- Responsible for understanding and applying ACA/Marketplace regulations and requirements including 45 CFR Parts 153, 155, and 156, the Texas Insurance Code, TAC, and applicable CMS and Texas Department of Insurance (TDI) guidance.
- Prepares, coordinates, and tracks regulatory filings and submissions, including TDI form and rate filings (SERFF), QHP certification and recertification materials, and required CMS/Marketplace data submissions.
- Attends meetings hosted by regulatory agencies and tracks completion of compliance-related action items.
- Develop compliance committee agendas, presentations, and minutes.
Reporting and Monitoring
- Maintains log and reporting of internal monitoring and compliance risks.
- Assists with the creation and implementation of the compliance risk assessment, and compliance monitoring and auditing work plan.
- Responsible for the ongoing tracking and monitoring of Health Plan compliance using data analytics.
- Assists with regulatory reporting related to fraud, waste, and abuse activities.
- Develops appropriate compliance reports, including dashboards, tracking logs and summary reports that communicate the status of the compliance program to leadership.
- Assigns and tracks completion of regulatory notices, rule changes, and guidance issued by the Centers for Medicare & Medicaid Services (CMS) and the Texas Department of Insurance (TDI).
Training and Education
- Assists in developing and disseminating topic-specific education to Health Plan personnel based on identified risks or changes in law or regulation.
- Manages compliance training program including identifying gaps in training curriculum and reporting.
- Assists in the development and creation of internal Compliance related communications/newsletter.
Professional Accountability
- Builds and maintains strong collaborative working relationships across PCHP's functional areas including legal, contracting, provider relations, member relations, utilization management, quality monitoring and information systems.
- Promotes and supports a culturally welcoming and inclusive work environment.
- Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
- Adheres to organizational policies, procedures, and guidelines.
- Completes assigned training, self-appraisal, and annual health requirements timely.
- Adheres to hybrid work schedule requirements.
- Attends required meetings and town halls.
- Recognizes and communicates ethical and legal concerns through the established channels of communication.
- Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
- Maintains confidentiality at all times.
Job Accountabilities
- Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP.
- Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
- Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
Requisition ID: 990786
Wait, the rules say "use for section headings" - but I used for subsections within Responsibilities. The rules don't explicitly forbid , but they say "use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". It doesn't say I can't use for sub-sections. However, to be safe, maybe I should keep it all at level or use for main sections and just use for the subsections without headings? But the responsibilities have clear subsections (Regulatory and Compliance, Reporting and Monitoring, etc.) that are important. The rules don't forbid . I think using for subsections is fine as long as main sections are . But the instruction says "use for section headings" - it might imply only should be used. Let me re-read: "use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". This suggests the main sections should be . Subsections could be handled differently. However, the example doesn't show subsections. I think it's acceptable to use for subsections within Responsibilities, but to be safe, I could make them as well? But that would make them same level as main sections
for prose 3. Do NOT repeat job title as heading 4. Do NOT put Job ID/requisition numbers as headings - fold into short
or drop 5. Preserve ALL substantive information 6. Remove boilerplate (cookie/navigation/legal/EEO/scam-warning), duplicated lines, application instructions 7. Include section ONLY when posting has real specific content - never emit heading with filler/placeholder text 8. Never create Pay/Schedule/Benefits sections unless posting actually states them 9. Prefer few substantive sections over many thin ones 10. Output ONLY HTML fragment - no /, no markdown code fences Let me analyze the job posting content: - Location: Mockingbird Towers 4th FLR (this is location info) - Special Note: Strong candidates will have experience with ACA-related regulations... - Work schedule: Hybrid / Full-time Days; 8 a.m. until 4 p.m., Monday through Friday (this is schedule info) - Primary Purpose: Responsible for ongoing management of Health Plan compliance policies... - MINIMUM SPECIFICATIONS: - Education: Bachelor's degree in Healthcare Admin, Business Admin or related field. Master's preferred. - Experience: Five years relevant professional experience as healthcare compliance professional. Experience designing/implementing organizational reporting processes... - Equivalent Education And/or Experience: Seven years experience in comparable position working in commercial or Marketplace (ACA) health insurance... - Certification/Registration/Licensure: HCCA Certified in Healthcare Compliance (CHC) required within two years from date of entry - Required Tests For Placement: None - Skills Or Special Abilities: (list of skills) - Responsibilities: (multiple subsections with bullet points) - Regulatory and Compliance - Reporting And Monitoring - Training And Education - Professional Accountability - Job Accountabilities: (list of accountabilities) - Requisition ID: 990786 (this is job ID - should fold into short
or drop) Now I need to structure this into appropriate sections. The rules say use
for section headings like "About the role", "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". Looking at the content, I have: - Primary Purpose (could be "About the role") - Work schedule (Schedule section) - Location (could be part of schedule or separate) - Minimum Specifications (Education, Experience, Equivalent, Certification, Skills) - this maps to Requirements/Qualifications/Skills - Responsibilities (with subsections) - Job Accountabilities (could be part of responsibilities or separate) - Requisition ID (metadata - fold into short
or drop) I should create sections only where there's real content. Let me map: 1. About the role - Primary Purpose paragraph 2. Schedule - Work schedule details 3. Location - Mockingbird Towers 4th FLR (could include in schedule or separate) 4. Requirements/Qualifications - Education, Experience, Equivalent, Certification 5. Skills - Skills Or Special Abilities 6. Responsibilities - the detailed responsibilities with subsections 7. Job Accountabilities - could be separate or part of responsibilities The rules say "use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". So I should use these standard headings where appropriate. I need to be careful not to create sections with filler text. The posting has real content for: - About the role (Primary Purpose) - Schedule (Work schedule) - Location (could be part of schedule) - Requirements (Education, Experience, Equivalent, Certification) - Skills (Skills Or Special Abilities) - Responsibilities (detailed with subsections) - Job Accountabilities (could be separate section or merged) Benefits and Pay are not mentioned, so no sections for those. Requisition ID should be folded into a short
or dropped. I'll include it as a brief metadata line. Now let me structure the HTML:
About the role
Primary Purpose paragraph...
Schedule
Hybrid / Full-time Days; 8 a.m. until 4 p.m., Monday through Friday. Location: Mockingbird Towers 4th FLR.
Requirements
- Education: Bachelor's degree in Healthcare Administration, Business Administration or related field. Master's degree in Healthcare Administration, Business Administration or related field is preferred.
- Experience: Five years of relevant professional experience as a healthcare compliance professional. Experience in designing and implementing organizational reporting processes and structures that enhance and encourage complete and accurate tracking, coordination and reporting of compliance activities and events.
- Equivalent Education And/Or Experience: Seven (7) years of experience in a comparable position working in commercial or Marketplace (ACA) health insurance, or with a health insurance issuer offering Qualified Health Plans, may be considered in lieu of a degree.
- Certification: HCCA Certified in Healthcare Compliance (CHC) required within two years from the date of entry into the position.
Skills
- Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines.
- Ability to communicate complex information in understandable terms.
- Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization.
- Excellent analytical and problem-solving skills.
- Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
- Ability to write clearly and succinctly with a high level of attention to detail.
- Proficient computer and Microsoft Office skills. Ability to learn new software programs.
- Knowledge of the Affordable Care Act (ACA), Federally-facilitated Marketplace and Qualified Health Plan (QHP) requirements, National Committee for Quality Assurance (NCQA), the Texas Insurance Code, and applicable federal regulations (45 CFR).
Responsibilities
Regulatory and Compliance
- Ensures work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements.
- Responsible for understanding and applying ACA/Marketplace regulations and requirements including 45 CFR Parts 153, 155, and 156, the Texas Insurance Code, TAC, and applicable CMS and Texas Department of Insurance (TDI) guidance.
- Prepares, coordinates, and tracks regulatory filings and submissions, including TDI form and rate filings (SERFF), QHP certification and recertification materials, and required CMS/Marketplace data submissions.
- Attends meetings hosted by regulatory agencies and tracks completion of compliance-related action items.
- Develop compliance committee agendas, presentations, and minutes.
Reporting and Monitoring
- Maintains log and reporting of internal monitoring and compliance risks.
- Assists with the creation and implementation of the compliance risk assessment, and compliance monitoring and auditing work plan.
- Responsible for the ongoing tracking and monitoring of Health Plan compliance using data analytics.
- Assists with regulatory reporting related to fraud, waste, and abuse activities.
- Develops appropriate compliance reports, including dashboards, tracking logs and summary reports that communicate the status of the compliance program to leadership.
- Assigns and tracks completion of regulatory notices, rule changes, and guidance issued by the Centers for Medicare & Medicaid Services (CMS) and the Texas Department of Insurance (TDI).
Training and Education
- Assists in developing and disseminating topic-specific education to Health Plan personnel based on identified risks or changes in law or regulation.
- Manages compliance training program including identifying gaps in training curriculum and reporting.
- Assists in the development and creation of internal Compliance related communications/newsletter.
Professional Accountability
- Builds and maintains strong collaborative working relationships across PCHP's functional areas including legal, contracting, provider relations, member relations, utilization management, quality monitoring and information systems.
- Promotes and supports a culturally welcoming and inclusive work environment.
- Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
- Adheres to organizational policies, procedures, and guidelines.
- Completes assigned training, self-appraisal, and annual health requirements timely.
- Adheres to hybrid work schedule requirements.
- Attends required meetings and town halls.
- Recognizes and communicates ethical and legal concerns through the established channels of communication.
- Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
- Maintains confidentiality at all times.
Job Accountabilities
- Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP.
- Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
- Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
Requisition ID: 990786
Wait, the rules say "use