Senior Manager, Medicare Sales Compliance Advisory

Role Overview

• Serves as a strategic compliance leader and subject matter expert responsible for overseeing and advancing the Medicare Sales Compliance Program in alignment with CMS requirements and applicable federal and state regulations
• Provides trusted advisory support to business and compliance leadership by interpreting regulatory guidance, assessing risk, and translating complex requirements into practical, compliant business solutions
• Leads compliance strategy execution, regulatory interactions, risk mitigation activities, and continuous improvement initiatives while managing a team of compliance professionals and fostering a strong, risk‑based compliance culture across Medicare programs
• Develops, implements, and oversees compliance strategies, policies, and processes that promote ethical conduct, regulatory adherence, and sustainable compliance across Medicare business
• Identifies regulatory risks, analyzes trends, escalates issues, oversees corrective action plans (CAPs), and contributes to risk assessments, auditing and monitoring activities as necessary
• Maintains in depth knowledge of Medicare regulations, contracts, and CMS operational guidance, monitoring regulatory changes and advising leadership on compliance impact and implementation needs
• Partners with cross functional stakeholders to embed compliance requirements into business processes which support compliant execution of Medicare programs
• Supports compliance training and education initiatives for employees, leadership, and FDRs, ensuring awareness of Medicare regulatory program requirements, standards of conduct, and reporting obligations
• Analyzes and reports Medicare compliance risks, issues, and trends to senior leadership and compliance committees, supporting informed decision making and regulatory transparency

Requirements

• Bachelor’s degree in healthcare administration, compliance or related experience or equivalent experience required
• Master's Degree or Juris Doctor (JD) preferred
• 5+ years Compliance experience including reading and interpreting regulatory guidance and assessing risk, overseeing the development and implementation of compliance strategies, administration of correction action plans, and managing regulatory relationships required
• 2+ years Managed care required
• Management experience including responsibilities for hiring, training, assigning work and managing staff performance required

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules