Centerfield

Sr. Medicare Compliance Manager

Remote, United States. Posted a month ago

The role

This person will lead compliance program administration, regulatory implementation, and technology enablement across Medicare Advantage, Part D, and Medigap distribution channels. They will bridge regulatory requirements and insurance technology by partnering with Compliance, Business Operations, and Technology teams.

What you will do

  • Leverage technology, analytics, automation, and AI to strengthen compliance oversight and efficiency.
  • Support implementation and optimization of compliance technology platforms and regulatory libraries.
  • Translate regulatory mandates into technical business requirements and automated compliance rules.
  • Manage core compliance program administration to enhance framework maturity and scalability.
  • Direct compliance investigations, corrective action plans, and regulatory reporting.
  • Develop and analyze compliance dashboards, KPIs, and metrics.
  • Conduct root-cause analysis on compliance deviations and customer grievances.
  • Coordinate the implementation of federal and state regulatory changes.
  • Develop implementation documentation, training materials, and communication plans.
  • Serve as the primary compliance liaison between Business Operations, Sales, QA, and Engineering teams.

Required qualifications

  • Bachelor’s Degree in Healthcare Administration, Business Administration, Information Systems, Compliance, Health Informatics, Project Management, or a related field (or equivalent combination of educa
  • 5+ years of progressive experience in healthcare compliance, Medicare Advantage (Part C & D), regulatory operations, business systems, or technology implementation.
  • Strong knowledge of CMS Medicare Marketing Guidelines (MMG), TPMO regulations, telesales compliance, and health plan partner standards.
  • Demonstrated experience gathering business/technical requirements, supporting software/system deployments, and developing data dashboards and analytics.

Benefits

  • Unlimited PTO
  • Medical, dental, and vision plans
  • Generous parental leave
  • 401(k) company match plan – fully vested day 1
  • Paid charity and volunteer days

Before you apply

  • Must reside in California, Florida, Minnesota, New Jersey, New York, Ohio, Oregon, or Washington.
  • Interviews will take place after resumes have been screened for the minimum requirements.
  • The use of AI tools to generate responses during live interviews, technical assessments, or written submissions is not permitted.

About the company

Centerfield delivers outcome-based digital marketing solutions and personalized omnichannel experiences for leading brands. The company is headquartered in Silicon Beach.