Associate Director, Carrier Compliance
New
Based in the United StatesFull-TimeDirector
Salary$138,900 – $191,000 USD
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Job Details
- Experience
- 6+ years
- Required Skills
- ComplianceRisk ManagementStakeholder management
Requirements
- Bachelor’s degree required.
- 6+ years of experience in Medicare Advantage, managed care, compliance, or risk management within a regulated healthcare environment.
- 2+ years of leadership or people management experience.
- Strong understanding of Medicare Advantage regulations, carrier requirements, and sales compliance frameworks.
- Proven ability to manage complex stakeholder relationships across internal teams and external partners.
- Strong communication and influencing skills, with experience engaging senior leadership and external executives.
- Ability to analyze compliance risks, investigate issues, and recommend actionable corrective measures.
- Experience working in fast-paced, high-volume environments with strong operational discipline.
- Preferred: MBA, Juris Doctor, or other advanced degree.
Responsibilities
- Lead and develop a team of compliance professionals responsible for monitoring carrier-aligned agent and agency sales activities and ensuring adherence to Medicare Advantage compliance standards.
- Design and oversee enterprise compliance monitoring strategies to identify, assess, and mitigate regulatory and contractual risk across sales operations.
- Manage resolution processes for Complaints to Medicare (CTM) and other compliance allegations, ensuring timely and appropriate corrective actions.
- Partner with sales leadership, carriers, agency partners, and internal stakeholders to ensure alignment on compliance expectations and execution standards.
- Develop and maintain strong relationships with health plan carriers while coordinating compliance requirements and implementation efforts.
- Provide expert guidance and consultation to sales partners on regulatory obligations, risk areas, and compliant sales practices.
- Research emerging compliance issues and recommend policy or process changes to strengthen enterprise risk controls.
- Drive cross-functional collaboration to ensure consistent enforcement of compliance frameworks and continuous improvement of oversight processes.
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