Director of Individual Insurance Compliance & Regulatory Affairs

Alera Group•UNAVAILABLE, UNAVAILABLE

9d•Remote

About The Position

Alera Group is seeking a strategic and operationally focused compliance leader to oversee enterprise compliance and regulatory affairs across our growing Individual Insurance segment. This role will lead the development, implementation, and oversight of scalable compliance programs supporting Medicare Advantage, Medigap, Part D, ACA, and ancillary insurance products across a national distribution platform. This is a highly visible leadership role responsible for strengthening regulatory governance, reducing enterprise risk, supporting audit readiness, and enabling sustainable growth through standardized and defensible compliance practices. The ideal candidate brings deep expertise in Medicare and individual insurance compliance, strong regulatory knowledge, and experience building scalable compliance frameworks within complex, multi-site insurance or healthcare environments. This is an opportunity to build and shape enterprise compliance strategy within a rapidly growing national organization. The Director of Individual Insurance Compliance & Regulatory Affairs will play a critical role in strengthening governance, enabling operational scalability, and supporting long-term growth across the Individual Insurance segment.

Requirements

10+ years of compliance, regulatory affairs, risk management, or governance experience within insurance, healthcare, financial services, or related industries
Deep knowledge of Medicare Advantage, Part D, Medigap, ACA, and individual insurance regulatory environments
Strong understanding of CMS regulations, marketing guidelines, audit processes, and corrective action plans
Experience building and scaling compliance programs across decentralized or multi-site organizations
Proven success managing regulatory audits, investigations, remediation efforts, and operational compliance initiatives
Knowledge of state insurance regulations, licensing, and consumer protection requirements
Strong leadership, communication, and cross-functional partnership skills
Ability to translate complex regulatory requirements into practical operational processes and business controls
Bachelor’s degree required

Nice To Haves

advanced degree or compliance-related certification preferred

Responsibilities

Lead enterprise compliance and ethics programs across all individual insurance product lines, including Medicare, ACA, Life, Dental, Vision, and supplemental products
Serve as the primary compliance leader for the Individual Insurance segment, partnering closely with executive leadership, Legal, Operations, Marketing, IT, and Carrier Relations
Monitor and interpret federal and state regulatory changes impacting Medicare and individual insurance products
Serve as primary contact for CMS-related compliance communications, audits, corrective actions, and regulatory inquiries
Develop and implement enterprise-wide compliance policies, standards, controls, and monitoring programs
Establish scalable compliance protocols aligned with regulatory requirements, carrier agreements, and operational best practices
Partner with business leaders and local agencies to identify compliance risks and implement corrective actions and remediation plans
Oversee compliance related to marketing, disclosures, consumer communications, consent requirements, and producer oversight
Lead compliance training, attestations, documentation standards, and audit readiness initiatives
Manage consumer complaint processes, investigations, and issue resolution efforts
Coordinate third-party audits, regulatory reviews, and compliance reporting activities
Partner with Legal and IT on privacy, data governance, and risk mitigation initiatives
Support integration and standardization efforts across a growing national platform