Sales Compliance Analyst/ Medicare Compliance Analyst

Job Title: Sales Compliance Analyst/ Medicare Compliance Analyst

Location: Remote

Duration: 12 months Contract

Job Description:

Support the Sales Development Action Program (SDAP) by managing end-to-end SDAC administration, ensuring agent and agency compliance with regulatory, organizational, and operational requirements.

Key Responsibilities:

• Manage, investigate, document, and track SDAC cases, presenting findings to the committee for final decisions.
• Coordinate SDAP activities, including case creation, reporting, CRM updates, and sales support processes.
• Conduct compliance research on agent applications, violations, complaints, appeals, and reinstatements, providing recommendations based on policy and sound judgment.
• Ensure timely completion of remediation, counseling, and training requirements for SDAP cases.
• Maintain compliance with CMS, state, federal, and organizational regulations, ensuring accurate reporting and documentation.
• Serve as the subject matter expert for SDAP and Sales Integrity, supporting Sales, Operations, Compliance, and external partners.
• Act as liaison between the SDAC Committee, Sales teams, agents, and agencies, facilitating effective communication and issue resolution.
• Maintain Sales Integrity databases, process documentation, and support continuous process improvements.
• Deliver compliance training and guidance to internal and external stakeholders.
• Perform quality reviews, audits, reporting, and ad hoc projects to ensure operational excellence and regulatory compliance.
• Mentor team members, support cross-training initiatives, and provide technical guidance.
• Build collaborative relationships with internal and external partners while demonstrating professionalism, integrity, and strong communication skills.

Knowledge/Skills Required

• Bachelors degree or equivalent work experience -three to five years of experience in Medicare Advantage
• Knowledge of CMS and HealthSpring compliance policies and procedures
• High attention to detail, quality and accuracy
• Strong coordination and organizational skills
• Ability to communicate effectively and follow-up where needed
• Fast-learner and multi-tasking skills
• Ability to work independently in a matrixed environment
• Strong interpersonal and prioritization skills
• Sales and/or training experience recommended
• Strong written and verbal communication skills required
• Ability to handle multiple assignments, projects and deliverables simultaneously required
• Ability to work under pressure and flexible hours required

Competencies

• Informing
• Organizing
• Priority Setting
• Perseverance
• Problem solving
• Customer Focus
• Organizational Agility
• Interpersonal Savvy

Dexian stands at the forefront of Talent + Technology solutions with a presence spanning more than 70 locations worldwide and a team exceeding 10,000 professionals. As one of the largest technology and professional staffing companies and one of the largest minority-owned staffing companies in the United States, Dexian combines over 30 years of industry expertise with cutting-edge technologies to deliver comprehensive global services and support.

Dexian connects the right talent and the right technology with the right organizations to deliver trajectory-changing results that help everyone achieve their ambitions and goals.To learn more, please visit https://dexian.com/.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.