Vice President of Compliance & Sales Integrity
About The Position
EnrollHere is an AI-powered system of record for insurance distribution, purpose-built for the Medicare Advantage ecosystem. We unify marketing, call center infrastructure, agent activity, compliance oversight, policy lifecycle, and commissions into a single platform designed to drive growth, transparency, and operational control. We believe compliance should be proactive, measurable, and embedded directly into the sales process, not reactive and manual. We're hiring a VP of Compliance & Sales Integrity to build and scale a modern compliance organization at the intersection of operations, risk, and technology. You'll report directly to the Chief Innovation Officer. At EnrollHere, compliance is embedded within the technology organization by design, reflecting our belief that compliance and product must evolve together. You'll serve as both a strategic partner to leadership and a hands-on operator who understands how compliance actually works in the field. This is a builder role. You won't inherit a rigid structure. You'll create it. Initially hands-on, you'll build a dedicated compliance team as the organization scales.
Requirements
- 12+ years in healthcare or insurance compliance
- Deep experience in Medicare Advantage or Medicaid sales compliance, sales integrity, or QA
- Track record of building or scaling compliance programs tied to agent behavior
- Background at a carrier (e.g., Humana, UHC, Aetna) or a large FMO/distribution organization
- Comfort working cross-functionally with product, engineering, and executive leadership
Nice To Haves
- Direct experience leading FWA investigations and incident management programs
- Strong operational background in claims, enrollment, call center, or QA operations
- Familiarity with AI/ML-driven compliance tooling or automation
Responsibilities
- Build and lead EnrollHere's compliance and sales integrity function.
- Design auditing, monitoring, and QA frameworks tied to agent behavior and call activity.
- Oversee fraud, waste, and abuse (FWA) detection, investigation workflows, and incident escalation.
- Establish clear standards across agencies, partners, and internal teams.
- Partner with product and engineering to embed compliance directly into EnrollHere's platform.
- Help define and refine AI call-scoring, monitoring, and alerting models, ensuring they align with CMS rules and real-world enforcement expectations.
- Ensure compliance with CMS, state DOI requirements, and carrier expectations.
- Support audits, reporting, and external reviews.
- Build SOPs, governance frameworks, and coaching programs that tie compliance outcomes to sales performance so compliance supports growth, not slows it.
Benefits
- 4 United Healthcare medical plans (including an HSA option)
- 3 dental plans (Aetna and MetLife)
- 2 Aetna vision plans
- 5 additional Medical Plus benefits, including telehealth support and an annual Talkspace subscription
- 4 ancillary plans and supplemental life insurance
- 401(k) with a 4% match (after a 90-day exclusionary period)
- Generous PTO
- Remote work support
- Learning stipends
- Opportunities for professional development
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
