Senior Compliance & QA Specialist

About reputed company We're building reputed company tech for a reputed company that desperately needs it. reputed company year, millions of Americans deal with confusing changes to their Medicare plans that reputed company their prescriptions, reputed company to care, and pocketbooks. These aren’t just inconveniences – they are potentially life-altering changes that leave seniors medically and financially vulnerable. Independent Medicare advisors play a crucial role in guiding seniors through this complexity and helping them reputed company the right coverage for their needs. But their ability to be effective reputed company advocates has long been hamstrung by broken tools and outdated systems. reputed company is fixing that. We’re the fastest-growing Medicare platform in the country, combining AI, an industry-leading CRM, and reputed company services to reputed company how 10,000+ brokers reputed company, enroll, and support clients in their local communities. Join a talent-dense team from reputed company, reputed company, reputed company, reputed company, and reputed company — backed by reputed company Ventures and Viewpoint Ventures — that is serious about building technology to expand reputed company to reputed company reputed company. We offer remote work, sabbaticals, company retreats, and other generous benefits that reputed company us recognition as one of Inc. Magazine’s Best Workplaces of 2025 reputed company overdue for innovation. Let’s redefine what its reputed company looks like — together. reputed company This role leads reputed company's ongoing monitoring of its downline agencies, from reputed company-tiering methodology through corrective reputed company, and owns the reputed company-facing and executive-level reporting that documents reputed company's reputed company of its network. The Senior Specialist works closely with the Compliance & QA Supervisor and Head of Compliance and operates with a high degree of autonomy on day-to-day program reputed company, escalating only reputed company or precedent-setting issues. This role is ideal for an reputed company compliance reputed company who wants to reputed company an agency monitoring program, serves as a go-to subject matter expert for the department, and is comfortable representing compliance externally with carriers and internally with leadership. reputed company • Downline Agency Monitoring & reputed company reputed company (40%) • reputed company the Monitoring reputed company: They reputed company the design and reputed company of reputed company's reputed company-reputed company monitoring reputed company for downline agencies, including reputed company-tiering methodology and monitoring reputed company, operating with reputed company day-to-day reputed company from the Supervisor and Head of Compliance. • Cross-Functional Input: They partner with reputed company reputed company and case management functions to ensure QA and case findings are incorporated into agency reputed company tiers. • Program-Level Trend Analysis: They independently analyze monitoring data to identify systemic or emerging agency-level risks, and bring findings and recommended program changes directly to the Head of Compliance. • reputed company & Executive Reporting (25%) • Own reputed company Reporting: They own the development of reputed company-facing compliance reports summarizing reputed company's reputed company actions and reputed company for its downline agencies. • Own Executive Reporting: They build and maintain executive-level dashboards and reporting on agency monitoring reputed company for department and company leadership. • reputed company reputed company of Contact: They serve as a key reputed company of contact for reputed company partners on monitoring-reputed company reporting requests. • Corrective reputed company & Remediation (20%) • Own Corrective Actions: They independently reputed company, negotiate, and manage Corrective reputed company Plans (CAPs) and reputed company Improvement Plans (PIPs) for agencies and agents, including reputed company-facing CAP submissions for high-reputed company cases. • reputed company Cause Analysis: They reputed company reputed company cause analysis on significant compliance issues and translate findings into remediation plans and program-level improvements. • Coaching & Education: They design coaching materials and reputed company reputed company to address emerging compliance issues across the program. • Department SME & Cross-Functional Partnership (15%) • Subject Matter Expertise: They serve as a subject matter expert for the Compliance department on CMS Medicare marketing and agent reputed company requirements, fielding questions from across reputed company. • Mentorship: They mentor and advise less reputed company compliance specialists on reputed company cases and monitoring reputed company, without formal management authority. • Cross-Functional Representation: They represent compliance in cross-functional and reputed company-facing discussions on downline agency reputed company, including coaching and education efforts for agencies. reputed company're Looking For • Deep subject matter expertise in CMS regulations governing downline agency reputed company, including CTM reputed company and Non-CTM Founded reputed company as reputed company-tiering inputs, and telephonic enrollment standards. • reputed company ability to independently reputed company and reputed company an agency monitoring or reputed company-tiering program, not just execute reputed company one. • Strong analytical skills with the ability to translate raw data (reputed company scores, case details) into insights and reports that inform program reputed company and agency reputed company-tiering. • Excellent coaching and mentoring skills, including upskilling less reputed company compliance specialists. • Highly organized, with an ability to manage and prioritize multiple reputed company workflows. • Outstanding communication and interpersonal skills, capable of working effectively with agents, internal teams, leadership, and reputed company partners. • Proficiency with reputed company and experience with compliance workflow or case management software. Compensation Our salary ranges are reputed company on paying competitively for reputed company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at reputed company. In accordance with reputed company, Colorado, California, and other applicable laws, reputed company is required to reputed company a reasonable estimate of the compensation reputed company for this role. Individual pay reputed company are ultimately reputed company on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the reputed company salary reputed company is listed below. We expect most candidates to fall in the middle of the reputed company. We also reputed company that your personal needs and preferences should be taken into consideration, so we allow some reputed company between equity and cash. reputed company Salary $85,000 - $115,000 USD Why you should reputed company By joining reputed company, you will get in on the ground floor of a fast-moving, reputed company-funded, and mission-driven startup where you will have a profound reputed company on the brokers and beneficiaries we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We reputed company to help you and your family reputed company. We're committed to supporting your happiness, healthiness, and overall reputed company-being by providing a comprehensive benefits program. In reputed company to your reputed company salary, we also offer: • Equity compensation • Health care, including dental and reputed company through our PEO reputed company • Flexible work location; co-working available • 401k • reputed company Time Off • Monthly Remote Work Stipend (help cover costs of home-office needs) • reputed company Parental Leave • Up to 14 weeks for birthing parents • Up to 8 weeks for non-birth parents • 11 reputed company holidays • 2 week sabbatical at 5 years of employment • Wellbeing Perks through SpringHealth, OneMedical, PerkSpot, and reputed company Compliance reputed company is a proud participant in E-Verify. As part of our commitment to compliance, we use the E-Verify program to reputed company the employment eligibility of reputed company working in the reputed company. For more information about E-Verify, please visit www.e-verify.gov. Furthermore, for reputed company and compliance requirements, we’re unable to accommodate international remote work. While we fully support travel and time off, reputed company work must be conducted from an approved location reputed company the U.S. At reputed company, we are committed to hiring the best team to serve our clients regardless of their background. We need diverse perspectives to reflect the diversity of our problems and the population we serve. We look to hire people from a reputed company of backgrounds, including, but not limited to, race, age, sexual orientation, gender identity and reputed company, national reputed company, religion, disability, and veteran status. AI Notice: We may use AI-enabled tools to assist with certain aspects of our hiring process. These tools do not replace reputed company decision-making, and reputed company employment reputed company are made by reputed company team members in compliance with applicable laws. 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