Senior Compliance Analyst
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Job Description
Senior Compliance Analyst investigating escalated Medicare Advantage sales and marketing compliance cases for Devoted Health. Recommending corrective actions, improving workflows, and supporting compliance analysts.
Responsibilities:
- 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
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