Senior Compliance Analyst

Job Description

A bit about this role: 

• The Sales and Marketing Compliance team is responsible for driving and maintaining internal and external compliance for the business as well as corporate policy as we continue to build and scale our company and culture. This team develops and executes external audits to ensure sales and marketing activities are in compliance with CMS guidelines and conducts investigations related to agent/agency activity.  

• In this role, the Senior Compliance Analyst is responsible for the escalated and more complex agent and agency investigations related to sales and marketing, including recommending and assigning corrective actions.  The Senior Compliance Analyst will train Devoted associates who join the compliance team during the high volume season and conduct quality assurance reviews to ensure compliancy standards are met.  They will serve as a resource to other analysts on investigative approach, documentation standards and escalation decisions.

• This position will report to the Sales & Marketing Compliance Manager.

Your Responsibilities and Impact will include: 

• Serve as a compliance investigator for escalated and complex case investigations, corrective action recommendations and remediation activities related to sales and marketing

• Communicate with both internal and external partners to drive results, keeping key stakeholders informed of case status, emerging risk and barriers to resolution

• Draft and update complex compliance policies, procedures and investigative job aids, and recommend changes based on trends observed across cases and audits

• Present case findings to an Agent Review Board in a clear and concise manner that allows for quick and 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 across cases and recommend process, training and system improvements that reduce investigation cycle time and pending case volume

• Partner with cross-functional teams, including Sales, Sales Operations, Legal and Technology, to gather input, resolve issues and support enhancements to the investigative workflow system

Required skills and experience: 

• 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

Desired skills and experience: 

• 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

#LI-Remote
Salary Range: $58,000-$96,000 / year

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• 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; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.