Compliance

• Manage the day-to-day technical aspects of the established compliance program
• Administration of the compliance training program
• Supervision of the compliance process review program
• Work closely with employees of each business unit to foster a team approach to managing compliance risk
• Complete risk assessments and serve as a compliance resource on projects during the implementation of new products, processes, and services
• Facilitate, maintain, and enhance a comprehensive, risk-based compliance training program
• Manage the Bank’s engagements of third party compliance consultants and auditors
• Provide oversight of engagement results
• Plan and conduct compliance reviews within established timeframes
• Prepare working papers and detailed reporting of findings and recommendations
• Ensure corrective action is taken
• Submit monthly compliance department updates
• Provide technical expertise in analysis of corporate compliance risk
• Monitor new and pending changes to laws, regulations, and regulatory guidance documents

Compliance Officer III

• Monitor sales interactions and maintain key relationships internally with IFG leaders
• Oversee resolution and mitigation plans for Complaints to Medicare
• Co-create a robust oversight and monitoring program
• Lead and develop a team of 4 Senior Compliance Professionals
• Develop strategy and provide ongoing oversight and monitoring of agent and agency sales
• Collaborate with Senior Sales leaders, Carriers/Payors, Agency Partners, Agents, and other Enterprise business partners
• Provide consultation and guidance to sophisticated contracted sales partners
• Research compliance issues and recommend changes for compliance with contract obligations

Associate Director, Carrier Compliance

• Own the strategic design and continuous evolution of risk frameworks, the risk registry, and executive risk narratives for Community Support.
• Ensure that investigative outcomes are contextualized within the broader risk ecosystem — informing risk appetite decisions, shaping detection strategy, and driving remediation accountability.
• Serve as the program manager for systemic root cause resolution — ensuring that when investigations, incidents, or risk assessments reveal structural vulnerabilities, those root causes do not languish in a findings log but are tracked, assigned, resourced, and driven to completion across the organization.
• Serve as a risk steward for AI systems that touch Community Support — leading governance and discussions of the implications of deploying AI in high-stakes decision-making environments.
• Design and own the CS Risk Appetite Framework — define guardrails, escalation triggers, and pre-approved response actions.
• Own and evolve the CS Risk Registry as a living strategic instrument. Your job is to challenge what gets prioritized, determine whether risk scores reflect reality, identify risks that automated systems miss entirely, and ensure accountability for remediation.
• Develop and stress-test risk assessment standards — including key risk indicators (KRIs), risk typologies, and emerging threat hypotheses.
• Support the evolution of models and processes used in detection triage and investigation.
• Establish ongoing governance cadences — risk review boards, quarterly risk assessments, and challenge sessions where risk assumptions are pressure-tested by diverse stakeholders, not simply ratified.
• Collaborate closely with the Insider Threat Investigations to ensure investigative outcomes are systematically captured, contextualized, and integrated into risk governance.

Process Risk and Compliance Operations Manager

• Responsible for promoting compliance with regulatory requirements with Healthfirst's different departments
• Meets with the Regulatory department to organize pre-survey deliverables and conduct reviews of materials
• Interacts with and represents the business unit
• Responds to auditor requests and audits outcome results
• Identifies organizational risks and helps implement process improvements
• Manages, coordinates, and participates in the implementation of contract changes for all lines of business
• Ensures that all process and contract changes are reflected in departmental policies and procedures
• Monitors all Utilization Management/Care Management/Appeals & Grievances corrective action plans (CAPs) through completion
• Assists in accreditation submissions, regulatory surveys, and internal audits
• Provides support to Pharmacy Department related to regulatory implementation efforts

Compliance jobs in South Dakota

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Compliance Officer III

Associate Director, Carrier Compliance

Process Risk and Compliance Operations Manager

Regulatory Specialist