IFG Associate Director, Carrier Compliance
About The Position
Innovative Financial Group (IFG), a wholly owned Field Marketing Organization (FMO) and subsidiary of Humana, is looking for an experienced leader who specializes in Medicare Advantage to join the Compliance Team as an Associate Director of Carrier Compliance. Reporting to the Director of Compliance, you will. As an Associate Director, you will be part of a fast-growing team who monitors sales interactions and maintains key relationships internally with IFG leaders as well as externally with our business partners and agents. In this role, you will oversee resolution, and mitigation plans for Complaints to Medicare (CTM) complaints and allegations. You will co-create a robust oversight and monitoring program, drive insights and plans designed to minimize compliance risk exposure for IFG and agency partners. While working within assigned areas to optimize business results you will: Lead and develop a team of 4 Senior Compliance Professionals aligned with Health Plan carriers to ensure carrier expectations are met Develop strategy and provide ongoing oversight and monitoring of agent and agency sales to ensure compliance and minimize risk for the Enterprise Oversee processes to review agent/agency sales and allegations and determine the most appropriate and effective course of corrective action Collaborate with Senior Sales leaders, Carriers/Payors, Agency Partners, Agents, and other Enterprise business partners Provide consultation and guidance to sophisticated contracted sales partners Research compliance issues and recommends changes that ensure compliance with contract obligations Maintain relationships with Health Plan carriers Coordinate carrier compliance implementations, as needed To be successful in this role, you will have a proven track track record as a strong, effective communicator with Senior Leadership. Additionally, the ability to thrive in a very fast-paced environment is also critical to success. Use your skills to make an impact
Requirements
- Bachelor's Degree
- 6+ years of experience with Medicare Advantage
- 2+ years of management experience
- Advanced experience working in compliance, risk management, or managed-care field
- Strong communication skills with the ability to influence effectively
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Nice To Haves
- MBA, Juris Doctor, or other graduate degree
Responsibilities
- Lead and develop a team of 4 Senior Compliance Professionals aligned with Health Plan carriers to ensure carrier expectations are met
- Develop strategy and provide ongoing oversight and monitoring of agent and agency sales to ensure compliance and minimize risk for the Enterprise
- Oversee processes to review agent/agency sales and allegations and determine the most appropriate and effective course of corrective action
- Collaborate with Senior Sales leaders, Carriers/Payors, Agency Partners, Agents, and other Enterprise business partners
- Provide consultation and guidance to sophisticated contracted sales partners
- Research compliance issues and recommends changes that ensure compliance with contract obligations
- Maintain relationships with Health Plan carriers
- Coordinate carrier compliance implementations, as needed
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- medical, dental and vision benefits
- short-term and long-term disability
- life insurance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
