Senior Manager – Medicare Compliance

🕒 Outubro 12

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $75.000 - $95.000 / ano

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

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Esta empresa já patrocinou vistos H1B no passado.

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Centerfield

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🛡️ Seguros

📦 Logística

💼 Consultoria

💰 $136.000.000 Debt Financing em 2017-02

Insurance • Logistics • Consulting

A Centerfield é uma empresa de aquisição de clientes e marketing digital que oferece serviços de marketing, operações de vendas e soluções proprietárias de audiência e plataformas para ajudar marcas a adquirir e reter clientes em grande escala. A empresa opera marcas digitais orientadas para desempenho e uma plataforma chamada The Dugout™ para alcançar consumidores no mercado, otimizar a descoberta (incluindo canais impulsionados por GEO/SEO e IA) e apoiar indústrias como serviços domésticos, seguros, serviços empresariais e e-commerce. A Centerfield faz parcerias com grandes clientes empresariais, incluindo empresas da Fortune 100, para gerar ROI mensurável a partir de programas de mídia digital e marketing.

Descrição

• Lead compliance program administration, regulatory implementation, and technology enablement across Medicare Advantage, Part D, and Medigap distribution channels • Leverage technology, advanced analytics, workflow automation, and artificial intelligence to strengthen compliance oversight and operational efficiency • Support implementation, administration, optimization, and continuous improvement of compliance technology platforms, regulatory libraries, QA solutions, and workflow management tools • Translate regulatory mandates into technical business requirements, system specifications, sales scripts, and automated compliance rules inside CRMs and dialing systems • Direct compliance investigations, corrective action plans, departmental communications, and regulatory reporting across captive and independent sales channels • Develop, maintain, and analyze compliance dashboards, KPIs, and metrics • Conduct root-cause analysis on compliance deviations, agent misrepresentation allegations, and customer grievances • Coordinate and monitor implementation of federal and state regulatory changes across sales, marketing, and operations • Develop implementation documentation, training materials, communication plans, and user adoption strategies • Serve as primary compliance liaison between Business Operations, Sales Leadership, Quality Assurance, and Engineering/Tech teams • Facilitate workgroups, governance meetings, and stakeholder sessions; manage project milestones, risks, dependencies, and business outcomes • Analyze operational and sales workflows to standardize, optimize, and streamline compliance checkpoints

🎯 Requisitos

• Bachelor’s Degree in Healthcare Administration, Business Administration, Information Systems, Compliance, Health Informatics, Project Management, or a related field (or equivalent combination of education and experience) • 5+ years of progressive experience in healthcare compliance, Medicare Advantage (Part C & D), regulatory operations, business systems, or technology implementation • Strong knowledge of CMS Medicare Marketing Guidelines (MMG), TPMO regulations, telesales compliance, and health plan partner standards • Demonstrated experience gathering business/technical requirements, supporting software/system deployments, and developing data dashboards and analytics

🏖️ Benefícios

• Competitive salary + generous quarterly bonus • Unlimited PTO • Industry-leading medical, dental, and vision plans • Generous parental leave • 401(k) company match plan – fully vested day 1 • Award-winning culture & unprecedented team spirit • Paid charity and volunteer days • Career growth – we enjoy promoting from within!

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