Sales Solutions & Compliance Analyst (Remote)
Location: Remote (U.S. Candidates Only – Excludes CA, NY, AK, and HI)
Pay Rate: $27.14/hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM (working in your local time zone)
Equipment Provided
About the Opportunity
A leading healthcare insurance company is seeking a Sales Solutions & Compliance Analyst to perform end-to-end administration and coordination activities supporting agent and agency compliance programs. This role is responsible for managing and documenting cases, researching potential compliance concerns, analyzing findings, and partnering with internal and external stakeholders to ensure compliance requirements are met.
This position requires strong analytical skills, professional judgment, attention to detail, and the ability to independently manage complex compliance-related issues.
Key Responsibilities
- Manage, process, and document Sales Development Action Program (SDAP) cases from initiation through resolution.
- Research potential application and enrollment issues related to agent activity and determine whether compliance violations have occurred.
- Gather, analyze, and document findings for committee review and final determination.
- Review agent history and assess potential risk when evaluating reinstatement and re-contracting requests.
- Investigate complaints, appeals, and compliance concerns submitted by agents, agencies, or internal business partners.
- Make recommendations regarding corrective actions, training, counseling, and remediation requirements.
- Ensure all case activities are completed, documented, and followed through to resolution.
- Communicate with agents, agencies, and internal stakeholders regarding case status, requirements, and outcomes.
- Serve as a liaison between compliance committees, Sales Account Management teams, and internal/external partners.
- Facilitate meetings and discussions with agents and agencies to address concerns and identify opportunities to prevent future issues.
- Conduct training and coaching sessions for agents and sales representatives as needed.
- Perform quality reviews and audits to ensure compliance with CMS, federal, state, and company regulations.
- Support program development, process improvements, and regulatory compliance initiatives.
- Maintain accurate documentation, reports, communication updates, and departmental records.
- Act as a technical resource and mentor to team members while supporting cross-training efforts.
Qualifications
- Experience in compliance, investigations, auditing, quality assurance, risk management, insurance operations, or related fields.
- Strong analytical and critical-thinking skills.
- Ability to independently research issues, evaluate findings, and make recommendations.
- Excellent written and verbal communication skills.
- Strong organizational and documentation abilities.
- Comfortable working with internal and external business partners.
- Ability to manage multiple priorities in a fast-paced environment.
- Proficiency with Microsoft Office applications, including Excel.
Preferred Experience
- Health Insurance or Medicare Operations
- Compliance & Regulatory Programs
- Agent/Broker Oversight
- Appeals & Grievances
- Risk Assessment
- Sales Operations
- Quality Assurance
- Case Management
- Agent Licensing or Credentialing
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