Note: The job is a remote job and is open to candidates in USA. Dexian stands at the forefront of Talent + Technology solutions, and they are seeking a Sales Compliance Analyst/Medicare Compliance Analyst to support the Sales Development Action Program. The role involves managing compliance with regulatory requirements and ensuring effective communication among stakeholders.
Responsibilities
- Manage, investigate, document, and track SDAC cases, presenting findings to the committee for final decisions
- Coordinate SDAP activities, including case creation, reporting, CRM updates, and sales support processes
- Conduct compliance research on agent applications, violations, complaints, appeals, and reinstatements, providing recommendations based on policy and sound judgment
- Ensure timely completion of remediation, counseling, and training requirements for SDAP cases
- Maintain compliance with CMS, state, federal, and organizational regulations, ensuring accurate reporting and documentation
- Serve as the subject matter expert for SDAP and Sales Integrity, supporting Sales, Operations, Compliance, and external partners
- Act as liaison between the SDAC Committee, Sales teams, agents, and agencies, facilitating effective communication and issue resolution
- Maintain Sales Integrity databases, process documentation, and support continuous process improvements
- Deliver compliance training and guidance to internal and external stakeholders
- Perform quality reviews, audits, reporting, and ad hoc projects to ensure operational excellence and regulatory compliance
- Mentor team members, support cross-training initiatives, and provide technical guidance
- Build collaborative relationships with internal and external partners while demonstrating professionalism, integrity, and strong communication skills
Skills
- Bachelors degree or equivalent work experience -three to five years of experience in Medicare Advantage
- Knowledge of CMS and HealthSpring compliance policies and procedures
- High attention to detail, quality and accuracy
- Strong coordination and organizational skills
- Ability to communicate effectively and follow-up where needed
- Fast-learner and multi-tasking skills
- Ability to work independently in a matrixed environment
- Strong interpersonal and prioritization skills
- Strong written and verbal communication skills required
- Ability to handle multiple assignments, projects and deliverables simultaneously required
- Ability to work under pressure and flexible hours required
- Sales and/or training experience recommended
Company Overview