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Compliance Manager – Medicare, Health Insurance

ComplianceComplianceFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

34 days ago

Salary

$80K - $100K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Maintain deep understanding of CMS guidelines and other regulatory requirements impacting the sales and marketing of Medicare and related health insurance products. • Prepare, review, and file required marketing materials and documents in HPMS within mandated timelines. • Ensure continual development, implementation, and management of the organization’s compliance program, ensuring adherence to relevant laws, regulations, and contract standards. • Provide guidance and actionable summaries of CMS updates and Code of Federal Regulations (CFR) changes. • Manage / conduct audits of marketing materials and internal processes to identify and mitigate compliance risks. • Manage and perform ongoing compliance monitoring to ensure accuracy, timeliness, and adherence to procedures. • Develop and refine Standard Operating Procedures (SOPs) and analyze key performance indicators to measure compliance effectiveness. • Lead process improvement initiatives to enhance compliance outcomes and operational efficiency. • Partner with Marketing, Legal, and Operations teams to ensure regulatory compliance throughout campaign development and execution. • Provide training, tools, and clear regulatory updates to internal teams to foster a culture of compliance and accountability. • Partner with Training and Sales leaders to ensure compliance education is embedded into onboarding, ongoing training, and remediation workflows.

Job Requirements

  • Strong working knowledge of and experience with CMS marketing regulations, HPMS filing systems, and federal/state health plan compliance requirements.
  • 5-7+ Prior experience in Medicare compliance, marketing, auditing, investigations, or regulatory oversight.
  • Demonstrated experience managing others in a compliance, quality, or regulated environment.
  • Excellent written and verbal communication skills with strong documentation discipline.
  • High attention to detail, organizational skills, and ability to manage multiple priorities.
  • Bachelor’s degree in Business, Law, Healthcare Administration, or related field (Master’s preferred).
  • Previous people-management or team-lead experience.
  • Experience working with HPMS and Medicare marketing material submissions.
  • Experience partnering cross-functionally with Sales, Training, and Operations teams.
  • Familiarity with call monitoring, agent compliance scorecards, or quality programs.
  • Certified in Healthcare Compliance (CHC) or related credential preferred.

Benefits

  • Paid Time Off.
  • Paid Company Holidays.
  • Medical, Dental, Vision, Life Insurance, HSA, FSA, and more.
  • 401 (K) savings plan with company matching up to 3%.
  • Work-Life Resources for you and your family.
  • Discounts with Hotels, Rental Cars, Entertainment, Attractions, & More!
  • Maternity/Paternity/Adoption paid leave.
  • Referral program.
  • Company-supplied computer equipment.

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