Compliance Specialist

Heathos is transforming the healthcare insurance landscape through a connected, data-driven ecosystem that simplifies complexity and drives long-term success. Built on trust, innovation, and integrity, we provide technology, services, and insights that support agencies, carriers, and members at every stage. Our family of brands—FirstEnroll, AdminOne, and SonicMarketing—works together to streamline operations and deliver a seamless insurance experience.

Reports To: Sr. Director, Compliance • Location: Atlanta, Georgia • Entity: FirstEnroll, LLC, a Heathos company

About the role

Role Summary: We're looking for a Compliance Specialist who thinks clearly, asks good questions, and uses sound judgment — these qualities are critical to success in this role. In this role, you'll help FirstEnroll LLC, a third-party administrator (TPA), handle day-to-day compliance work for our health insurance products, including Limited Medical, Short-Term Medical, Minimum Essential Coverage (MEC), and supplemental plans. You'll manage complaints and compliance matters from start to finish — gathering the facts, building timelines, and drafting clear, accurate correspondence. You'll work closely with carriers, product providers, agencies, and internal teams. You'll report directly to the Sr. Director, Compliance, who reviews complex or regulator-facing matters with you and is there when you need guidance. This role suits someone who is organized, detail-oriented, comfortable working independently within established procedures, and not afraid to ask questions or flag something that doesn't add up.

Responsibilities

• Monitor Compliance inboxes and handle incoming complaints, regulatory correspondence, and requests from carriers, product providers, and other business partners — identifying deadlines, required documentation, and next steps.
• Manage assigned matters from intake through resolution, including complaints and inquiries from Departments of Insurance, Attorneys General, the Better Business Bureau, carriers, agencies, and other business partners.
• Gather relevant records (enrollment, payment, cancellation, electronic signature, licensing, and similar information), build accurate timelines, and document your findings — including anything that looks missing, inconsistent, or unusual.
• Draft clear, accurate correspondence based on verified records, including draft responses to regulators. The Sr. Director, Compliance reviews and approves complex matters and formal regulator responses before they go out; routine, straightforward correspondence you can send yourself.
• Recognize the type of plan or product involved in a matter — for example, telling an ERISA-covered or association health plan apart from a standard insured product — so your correspondence uses accurate terminology. If you're not sure, that's a good question to bring to the Sr. Director, Compliance.
• Keep case trackers, case-management systems, and electronic files complete, organized, and current, including correspondence, documentation, approvals, and final responses.
• Double-check your own work — names, dates, amounts, account details, attachments