Build and lead EnrollHere's compliance and sales integrity function
Design auditing, monitoring, and QA frameworks tied to agent behavior and call activity
Oversee fraud, waste, and abuse (FWA) detection, investigation workflows, and incident escalation
Establish clear standards across agencies, partners, and internal teams
Partner with product and engineering to embed compliance directly into EnrollHere's platform
Define and refine AI call-scoring, monitoring, and alerting models
Ensure compliance with CMS, state DOI requirements, and carrier expectations
Support audits, reporting, and external reviews
Build SOPs, governance frameworks, and coaching programs that tie compliance outcomes to sales performance

12+ years in healthcare or insurance compliance
Deep experience in Medicare Advantage or Medicaid sales compliance, sales integrity, or QA
Track record of building or scaling compliance programs tied to agent behavior
Background at a carrier (e.g., Humana, UHC, Aetna) or a large FMO/distribution organization
Comfort working cross-functionally with product, engineering, and executive leadership

Preferred

Direct experience leading FWA investigations and incident management programs
Strong operational background in claims, enrollment, call center, or QA operations
Familiarity with AI/ML-driven compliance tooling or automation

Medical: 4 United Healthcare medical plans (including an HSA option)
Dental: 3 dental plans (Aetna and MetLife)
Vision: 2 Aetna vision plans
Wellness & Mental Health: 5 additional Medical Plus benefits, including telehealth support and an annual Talkspace subscription
Ancillary Coverage: 4 ancillary plans and supplemental life insurance
Retirement: 401(k) with a 4% match (after a 90-day exclusionary period)
PTO & Flexibility: Generous PTO and remote work support
Growth: Learning stipends and opportunities for professional development

Vice President of Compliance, Sales Integrity

Key skills