Healthcare Compliance Manager (Hybrid - Fort Lauderdale, FL)
About The Position
We are looking for a highly experienced Compliance Manager to join our dynamic team at Health Insurance Alliance, LLC. We are a rapidly growing technology focused Insurance sales company whose employees maintain a competitive nature and a desire to succeed above all. Our philosophy is to provide a quality service to our clients, offering an easy and seamless experience from start to finish. We compassionately strive to take all of our client’s needs into consideration, which helps lead us to having a well-rounded understanding of who they are and what they want, so we can offer them the highest level of quality healthcare products out there. At HIA, we recognize that our most valuable asset is our people. We prioritize creating an inclusive and diverse workforce, where every individual feels valued, respected, and empowered.
Requirements
- 5+ years in compliance within health insurance distribution — agency, brokerage, or carrier.
- Demonstrated experience executing a compliance program, including running tests, finding problems, and closing them.
- Command of the regulatory environment for health insurance sales: ACA and marketplace requirements, CMS Medicare marketing rules, state licensing and appointments, and the telemarketing and consent rules that govern a lead-driven operation.
- Evidence of owning technology rather than tolerating it, such as automating a workflow, building self-running reporting, administering a system end to end, putting AI tools to substantive use, or querying a database.
- Strong analytical judgment to identify process breakdowns and recommend data-supported fixes.
- Ability to write clear guidance that is easily understood and actionable by sales managers.
Nice To Haves
- Experience building compliance coverage out of systems not designed for it.
- Experience using AI tools on real work and describing their benefits and limitations.
- Preference for rapid prototyping and learning over lengthy scoping.
- Experience holding a line with a revenue team while maintaining the relationship.
- Comfort being the most technical person on compliance and the most compliance-literate on technology.
- Willingness to own scope rather than headcount.
- SQL, Python, or a low-code automation platform such as Power Automate, Zapier, or Airtable.
- Experience with speech analytics or conversation intelligence tooling.
- Exposure to GRC platforms.
- Prior work in a lead-generation or performance-marketing regulatory environment.
Responsibilities
- Executing the annual compliance work plan.
- Conducting control testing and internal reviews across sales, marketing, and licensing.
- Designing and documenting controls where they're missing or immature, and driving remediation of the gaps monitoring surfaces.
- Managing remediation efforts when testing finds a problem.
- Reporting work plan status, testing results, open items, and trend lines to leadership.
- Maintaining compliance documentation, audit trails, and records against retention requirements.
- Conducting partner due diligence, including intake, questionnaires, documentation, and ongoing monitoring.
- Reviewing marketing materials, scripts, and disclosures against applicable federal and state requirements, including CMS Medicare marketing rules.
- Handling carrier, consumer, and regulatory inquiries, including complaints routed through third parties.
- Monitoring regulatory changes and translating them into actionable decisions.
- Managing Do-Not-Call and opt-out handling, OIG/SAM exclusion screening, and background check, licensing, and appointment eligibility.
- Building compliance monitoring on top of existing systems.
- Replacing manual spot-checks with systematic coverage, including script and call review at scale, exception-based sampling, and evidence collection as a byproduct of work.
- Utilizing automation and AI tools where they extend coverage, and identifying where they are not appropriate.
- Developing self-updating compliance reporting for leadership.
- Evaluating and recommending tools and systems for compliance, with budget influence.
Benefits
- Competitive Compensation
- 20 PTO days accrued per calendar year after 3 months of employment.
- Health, Dental, Vision Group Insurance after 3 month Probationary Period (Optional)
- 401K + Matching program after 3 month Probationary Period (Optional)
- Great Career development opportunities
- Biannual Company Events & Weekly Team Lunches
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
