Senior Compliance Analyst

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $58k - $96k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Conduct escalated and complex agent and agency investigations related to sales and marketing • Recommend corrective actions and support remediation activities • Communicate with internal and external partners, keeping stakeholders informed of case status, emerging risks, and resolution barriers • Draft and update complex compliance policies, procedures, investigative job aids, and recommend changes based on case and audit trends • Present case findings to an Agent Review Board for objective decision-making • Serve as a subject matter resource to Compliance Analysts on investigative methodology, evidence standards, documentation quality, and corrective action precedent • Identify trends and recommend process, training, and system improvements to reduce investigation cycle time and pending case volume • Partner with Sales, Sales Operations, Legal, and Technology on issue resolution and investigative workflow system enhancements • Train Devoted associates joining the compliance team during high-volume season • Conduct quality assurance reviews to ensure compliance standards are met • Report to the Sales & Marketing Compliance Manager

🎯 Requirements

• Bachelor’s degree • 2+ years experience in a Medicare Advantage marketing, sales, or compliance role, including hands-on experience conducting investigations • Attention to detail, organized and thorough with a desire for continuous process improvements • Self-motivated with the ability to adapt to change quickly and strong ability to problem solve • Takes initiative to organize work effectively and manage a high volume, mixed complexity caseload against defined turnaround times • Ability to critically assess information from multiple sources, reach a defensible conclusion, and recognize when a matter needs to be escalated • Demonstrated record of reliably delivering work and projects that meet defined objectives with limited day to day oversight • Desire and flexibility to collaborate with co-workers in a virtual environment as a team player • Experience in conducting monitoring and auditing activities of TPMO’s

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Parental leave program • 401K program