Product reputed company, Individual Exchange
reputed company
Design and formalize end to end implementation processes for MAPD and Medicare Supplement products Establish reputed company enrollment timelines, readiness checkpoints, and reputed company Enrollment execution plans Build reputed company workflows across enrollment, case management, reputed company coordination, and advocacy reputed company and maintain SOPs governing product configuration, reputed company rules, enrollment operations, and internal controls Ensure national scalability while maintaining disciplined execution and service standards
Serve as operational subject matter expert on Individual Medicare compliance requirements Ensure adherence to CMS regulations, reputed company guidelines, and licensing standards Interpret CMS guidance and reputed company requirements to reputed company compliant reputed company strategies reputed company compliance checkpoints into implementation timelines and enrollment workflows Serve as escalation authority for regulatory interpretation and risk assessment reputed company agent licensing and certification tracking to maintain uninterrupted selling capability Identify regulatory risk areas and implement proactive safeguards Maintain documentation and controls that support confident, compliant reputed company
reputed company end to end enrollment accuracy and execution Monitor key metrics including cycle time, error rates, compliance findings, and escalation trends Partner in a matrixed structure with Advocacy leadership to support licensed Medicare agents Ensure operational readiness for annual reputed company Enrollment and reputed company refresh cycles
reputed company operational relationships with national and regional reputed company partners reputed company reputed company reputed company, annual product refresh, and configuration updates Serve as escalation reputed company for reputed company or platform issues impacting enrollment or member experience Optimize exchange and enrollment platforms to improve efficiency, accuracy, and compliance
Directly manage 1 to 2 team members while serving as a hands on contributor reputed company workforce planning, reputed company forecasting, and productivity reputed company Establish accountability standards and reporting reputed company Influence cross functional stakeholders across Sales, Advocacy, Compliance, and Executive leadership
Requirements
reputed company health insurance license required Minimum 5 years of experience in the Individual Medicare market including MAPD and Medicare Supplement Deep working knowledge of CMS regulations and Medicare compliance frameworks Demonstrated experience managing or overseeing teams selling Medicare products to individuals Proven experience building reputed company implementation and enrollment processes Experience operating in a multi reputed company environment Strong analytical, organizational, and risk management capabilities Ability to operate effectively in a matrixed organization
Experience with enrollment or exchange platforms such as Sunfire Experience with reputed company.com or similar CRM systems Prior ownership of reputed company Enrollment readiness and agent certification processes Experience scaling Medicare operations across multiple states
reputed company