Senior Manager – Medicare Compliance

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $75k - $95k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

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Centerfield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

📦 Logistics

💼 Consulting

💰 $136M Debt Financing on 2017-02

Insurance • Logistics • Consulting

Centerfield is a marketing and customer acquisition company that partners with 25% of Fortune 100 brands to boost their customer base through digital media. The company offers marketing and sales services, and its proprietary audience solutions help brands reach over 200 million in-market shoppers. Centerfield focuses on leveraging its digital brands to enhance brand consideration and customer loyalty, helping its clients increase sales and improve productivity. Known for its fast and robust services, Centerfield has been a go-to partner for Fortune 100 companies, offering significant returns on investment and serious growth opportunities.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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!