EPIC Insurance Brokers & Consultants

Compliance

• Lead the development, implementation, and continuous improvement of a comprehensive healthcare privacy and compliance program.
• Ensure all organizational operations meet and exceed regulatory, governance, and client standards, including HIPAA, HITRUST, SOC2, and Medicare/Medicaid requirements.
• Proactively identify and mitigate compliance risks across the enterprise.
• Foster a culture of accountability, data security, and ethical practices throughout the organization.
• Collaborate with executive leadership, business unit leaders, IT and security teams, internal departments, employees, contractors, and external stakeholders to ensure effective compliance management.
• Promote compliance awareness and provide training to all relevant parties.
• Lead the design, implementation, and ongoing enhancement of a comprehensive healthcare privacy and compliance program, ensuring all divisions consistently meet or exceed regulatory, governance, and client standards, including HIPAA, HITRUST, SOC2, and Medicare/Medicaid requirements.
• Develop, update, and enforce policies, procedures, and monitoring activities to guarantee compliance with all relevant regulations and contractual obligations, proactively adapting to changes in the regulatory landscape.
• Oversee and continuously improve the auditing program, including planning audits, gathering and analyzing evidence, identifying deficiencies, and driving the implementation of corrective actions to strengthen compliance posture.
• Serve as a trusted advisor to business units, providing expert guidance on certifications, regulatory requirements, and best practices for healthcare data privacy and security.
• Chair and manage the compliance committee for relevant business units, facilitating cross-functional collaboration and ensuring alignment on compliance objectives and initiatives.
• Continuously monitor, assess, and document compliance risks across the organization, maintaining a dynamic risk register and prioritizing mitigation strategies to address vulnerabilities and emerging threats.
• Coordinate with internal teams to develop and execute comprehensive risk mitigation plans, ensuring timely resolution of compliance issues and fostering a proactive risk management culture.
• Develop, maintain, and execute an incident response plan for compliance breaches, collaborating with relevant teams to investigate, report, and remediate incidents in accordance with regulatory requirements.
• Design and deliver engaging training programs for employees and contractors, promoting compliance awareness, best practices, and the importance of data security throughout the organization.
• Maintain accurate, up-to-date records, reports, and documentation related to all compliance activities, preparing and submitting detailed compliance reports to senior management and regulatory authorities as required.
• Establish and track performance measures, goals, and reporting methodologies to evaluate and improve the effectiveness and productivity of compliance initiatives.
• Collaborate with business units to ensure business continuity planning is fully aligned with compliance and regulatory requirements, supporting organizational resilience and preparedness.
• Lead the timely and thorough completion of security risk assessments for current and prospective clients, ensuring all client engagements adhere to the highest standards of privacy and compliance.

Senior Manager, Healthcare Privacy and Compliance

Account Executive

• Complete and present strategic business plans to clients.
• Ensure that all service commitments are met.
• Oversee the production, delivery and accuracy of contracts, benefit summaries
• Communicate to employees and/or administrators about their plan benefits
• Evaluate bid results and determine recommendations for clients
• Review renewal actions and discuss/negotiate with carriers
• Resolve client billing, claims and eligibility issues.
• Coordinate client open enrollment.
• Responsible for new case installation.
• Coordinate training sessions for clients with carriers and vendors.
• Work with the underwriting team on all marketing analysis and client presentations.
• Document all client activity in corporate database.
• Other duties as assigned.

Client Executive, Employee Benefits

• Prepares or reviews a variety of tax related documents, ensuring accuracy and compliance with applicable guidelines and regulations.
• Prepares / maintains tax forecasting and other analytical models
• Assists in the preparation and distribution of tax forms.
• Responds to notices or audits from states, including preparing materials for submission, coordination over the phone, etc.
• Researches, interprets, and understands existing or revised tax codes, laws, or forms.
• Modifies work procedures to reflect changes in tax law or code.
• Coordinates with external advisors and other team members to complete projects and meet deadlines.
• Performs tax reconciliations and determines liability for accounts, divisions, or business units.
• Prepares and maintains tax forecasting models, develops tax analytical models using tools such as PowerBI, and helps with other similar analytical projects.
• Files monthly/quarterly/annual non-income tax returns as required.
• Conducts and documents reviews of workpapers/returns provided by external advisors.
• Collaborates with accounting and finance teams to ensure accurate tax reporting.
• Participates in process improvement initiatives to enhance tax department efficiency.
• Provides support for M&A integration activities, including tax data consolidation and compliance alignment.
• Supports annual and quarterly tax provision process

Senior Tax Analyst

Insurance

• We are seeking a dynamic and experienced Insurance Business Applications Trainer to lead training initiatives across our core insurance platforms—Sagitta, ImageRight, BenefitPoint, and Nexsure.
• This role is responsible for designing, developing, and delivering engaging training programs for internal teams, ensuring successful adoption and optimal use of business applications.
• Design and deliver training (virtual and in-person) for new hires and existing staff on Sagitta, ImageRight, BenefitPoint, and Nexsure.
• Develop interactive training content, including manuals, e-learning modules, videos, and quick-reference guides.
• Apply adult learning principles to ensure effective knowledge transfer and retention.
• Conduct needs assessments to identify skill gaps and customize training accordingly.
• Collaborate with SMEs and department leads to ensure training aligns with business processes.
• Maintain and update training materials to reflect system upgrades and process changes.
• Provide ongoing support and coaching to users with varying technical proficiency.
• Track training effectiveness through feedback, assessments, and performance metrics.
• Assist with onboarding processes and contribute to the development of a learning culture.

Business Application Trainer

Client Partner

• Work with clients, vendors, producers and other team members to implement a comprehensive customer service plan
• Establish and maintain the day-to-day business relationship with the client and the first point of contact for client service needs
• Prepare the Request for Proposal (RFP) for presentation including analysis of current and/or proposed benefit plan designs, market comparison data, and contribution strategies
• Support the CE to negotiate with carriers on clients’ behalf for best available premiums, commissions and coverage
• Coordinate details and support clients regarding open enrollment meetings, including preparation of communication materials
• Distribute resource information to clients to continually keep them informed of benefit trends, state and federal legislation regulations
• Advise clients on government reporting compliance issues, as appropriate
• Assist with the preparation of client-specific compliance resources
• Set priorities and manage workflow to ensure all goals are met
• Maintain up-to-date proposals, workflow logs, update all benefits information on agency management system, manuals or other required documentation
• Be responsive and Interact with others effectively utilizing communication skills, cooperating purposefully, and providing information and guidance as needed to achieve business goals
• Stay informed regarding industry information, new product/program developments, coverages, legislation, and technology to continuously improve knowledge and performance
• Project a professional image in action and appearance

Client Manager, Employee Benefits

• The Client Manager works with and supports Producers, Client Advocates, and account team to manage client service delivery throughout the insurance renewal and policy period on an assigned book of business.
• The role is client facing and team focused, using professional skills in commercial property and casualty insurance to enhance and expand large and complex client relationships.
• Ensure timely and consistent review of expiration list.
• Processes (during non-renewal periods) applications, policies, endorsements, binders/notice of elections, certificates, auto ID cards, audit requests/review, and other items related to the servicing of clients.
• Research and compile answers to client’s policy, coverage, exclusions and related questions, incorporating support from other team members as needed.
• Assists broader service team and broking team in servicing clients.
• Provides support to Producers/Client Advocate and, if applicable, Client Executives, including preparing presentations and proposals, and participating in meetings with prospective clients as part of team.
• Prepares all invoicing and client allocations directly with EPIC Accounting. Resolve client billing issues with support from team members as appropriate.
• Provides standard office/administrative support as needed.
• Maintains Agency Management Systems and Share Drive files in real time.
• Establish and maintain open items lists with internal and external clients to ensure all deliverables are proactively managed.
• Prepare and maintain, schedules of insurance, summaries of insurance, and coverage illustrations.
• Consistently establishes and maintains high levels of trust and confidence with clients by promptly responding and resolving client questions and issues.
• Meet all quality and timeliness standards in the Agency Management Systems while properly documenting all activity.
• Oversee AR report for all assigned accounts, engaging Producer/ Client Advocate, Client Executive as needed.
• Access/manage third party certificate sites and carrier websites.
• Renewal process duties including internal strategy meetings, supporting submissions, coordinating proposals, managing policy checking, certificates, binding and post-binding processes, obtaining premium financing options, invoicing renewals and allocations.

Client Manager, P&C Insurance

Consultant

• Serve as the primary/lead consultant on strategic clients and lead multi-level client relationships to implement pharmacy strategy.
• Identify business needs and create custom solutions for sophisticated clients including overall pharmacy benefit strategy to create cost effective solutions.
• Lead vendor strategies including procurement, contract negotiation and ongoing vendor management, while providing industry expertise and insight related to trends and opportunities.
• Manage client relationships, renewal strategy, scope of services and appropriate fee structure to match client needs.
• Manage client and PSG resources; lead and participate in ongoing client meetings including vendor review, independent strategy and performance assessment meetings, and on-going operational and strategic meetings.
• Use analytical skills/tools to identify opportunities to support trend management, cost savings, identify wasteful spending and potential FWA.
• Navigate internal PSG experts on custom projects.
• Support clients that wish to create and use customized clinical programs (PA, Formulary, Utilization Management, etc).
• Review PBM and other vendor provided pharmacy program indicators and reports for ongoing opportunities and program performance; maintain ongoing reports and documentation.
• Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client needs.
• RFP Process Management: Lead the development and management of the RFP process for clients including RFP creation, vendor selection meetings and contract execution (in conjunction with internal RFP processes) and participate in non-client specific annual RFI process via scoring and client meeting.
• Contract Review and Execution: Lead the review process for new and renewing vendor contracts through final execution to ensure current terms, definitions and compliance with RFP, and lead creation and renewal of PSG client agreements to create appropriate scope of services and fee terms.

Senior Pharmacy Benefit Consultant

Location: We are opening offices in Portland and Seattle within the next few months. This role will be remote until our offices open, then hybrid 2x a week in office. Please note that we are only considering candidates local to Portland or Seattle.\n\nSUMMARY: The Client Manager works with and supports Producers, Client Advocates, and account team to manage client service delivery throughout the insurance renewal and policy period on an assigned book of business. The role is client facing and team focused, using professional skills in commercial property and casualty insurance to enhance and expand large and complex client relationships.\nYou will find EPIC to be a fast-paced and fun environment and a workplace in which you truly can make a difference. Creativity and independent thinking is valued throughout our organization. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.\nESSENTIAL DUTIES AND RESPONSIBILITIES:\nOverall Ongoing Service Duties Include:\n• Ensure timely and consistent review of expiration list.\n• Processes (during non-renewal periods) applications, policies, endorsements, binders/notice of elections, certificates, auto ID cards, audit requests/review, and other items related to the servicing of clients.\n• Research and compile answers to client’s policy, coverage, exclusions and related questions, incorporating support from other team members as needed.\n• Assists broader service team and broking team in servicing clients.\n• Provides support to Producers/Client Advocate and, if applicable, Client Executives, including preparing presentations and proposals, and participating in meetings with prospective clients as part of team.\n• Prepares all invoicing and client allocations directly with EPIC Accounting. Resolve client billing issues with support from team members as appropriate.\n• Provides standard office/administrative support as needed.\n• Maintains Agency Management Systems and Share Drive files in real time.\n• Establish and maintain open items lists with internal and external clients to ensure all deliverables are proactively managed.\n• Prepare and maintain, schedules of insurance, summaries of insurance, and coverage illustrations.\n• Consistently establishes and maintains high levels of trust and confidence with clients by promptly responding and resolving client questions and issues.\n• Meet all quality and timeliness standards in the Agency Management Systems while properly documenting all activity.\n• Oversee AR report for all assigned accounts, engaging Producer/ Client Advocate, Client Executive as needed.\n• Access/manage third party certificate sites and carrier websites.\n• Other duties may be assigned.\nRenewal Process\n• Upon review of expiration list and in conjunction with Producer/CA/CE/Senior CM, schedule internal strategy meeting. Document meeting and subsequent next-steps with internal team.\n• Support Producer/CA/CE/Senior CM/Broking Team with external strategy meeting presentation and materials.\n• Prepare and review current program and expiring exposures for information gathering process with client.\n• Request updated exposures from client and coordinate client responses with multiple client contacts as required.\n• Request loss runs and compile loss summaries for renewals and on ad-hoc basis as required.\n• Support submission process as required by assigned accounts.\n• Coordinate proposal process in conjunction with Producer/CA/CE/Senior CM/Broking as required by assigned accounts.\n• Manage policy checking process, including carrier corrections as needed, and policy delivery to clients within established timeframe.\n• Manage the certificates of insurance, auto ID cards, and posting notices renewal process with clients to ensure timely and accurate issuance/distribution.\n• Coordinate binding and post-binding processes, including order to bind, confirmation of coverage, evidence of coverage, etc.\n• Obtain premium financing options, invoice the renewal and premium allocations.\n• Other duties may be assigned.