Medicare Compliance Specialist
Medicare Compliance Specialist – Monitoring
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eHealthInsurance has many exciting career opportunities in a number of locations, across various functions. Come join us today!
eHealth is the nation’s largest online health insurance marketplace for individuals, families and small businesses. Through our platform, we have insured over 4 million Americans and we are continuing to scale! We are in the middle of health care as it exists today and as it is changing for the future. We are a publicly-traded company (Nasdaq:EHTH) headquartered in Santa Clara, CA with offices in San Francisco and Gold River, CA, Austin, TX, Salt Lake City, UT and Indianapolis, IN.
The Medicare Compliance Specialist will report to the Compliance Supervisor and will assist with the implementation of the Medicare Compliance Plan including but not limited to the sales agent oversight.
This is a remote position based within the United States.
With supervision from the Medicare Compliance Supervisor, execute compliance monitoring (CM) assessments of sales agents, and document results within established repository in accordance with defined departmental policies and procedures.
Participate in conference calls with eHealth Clients to discuss Compliance Monitoring results to foster a strong partnership with the client and validate the CM efforts taken on behalf of client.
Assist in retrieving call recordings at the request of eHealth clients and submitting them within the client’s established timeframes.
Assist in communication of compliance monitoring results from eHealth Clients to Sales Leadership and coordinate any follow-up requested.
Partner and collaborate with the Sales Team on communicating the CM results in an effective and thoughtful manner.
Assist with sales agent coaching and formal and informalre-training via conference calls, meetings, written communications such as memorandums andtraining presentations.
Maintain working knowledge of all applicable Centers for Medicare & Medicaid Services (CMS) regulatory guidance with the ability to interpret and communicate to others in layman’s terms.
Works with call center business units to increase awareness of the importance of the compliance, FWA plans and the Code of Conduct.
2+ years prior experience at a Medicare Advantage Organization or Prescription Drug Plan Sponsor. (Prior experience with audit and monitoring preferred).
Must be detail oriented with good organization, written and verbal communication skills.
Ability to work in a fast-paced environment and effectively prioritize work to meet deadlines.
Proficiency in Microsoft applications (Word, Excel, PowerPoint and Outlook)
eHealth is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, national origin, age, marital status, sexual orientation, genetic information, disability, protected veteran status, or any other consideration made unlawful by applicable federal, state or local laws. The foundation of these policies is our commitment to treat everyone fairly and equally and to have a bias-free work environment.
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