Compliance Manager

Integrity; Dallas (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation package

Benefits for peace of mind

Supportive company culture

Job summary

A leading insurance distributor is seeking a Compliance Manager in Dallas, Texas. This role involves ensuring compliance with Medicare regulations, conducting oversight of downline agents, and collaborating with carriers. Ideal candidates should possess a bachelor's degree and 4-6 years of Medicare compliance experience. The position requires strong communication skills and the ability to manage compliance activities effectively. Join a company committed to innovative solutions and rewarding careers.

Qualifications

• 4 - 6 years of experience in Medicare compliance.
• Proven record in managing compliance and regulatory audits.
• Ability to assess risks in agent behavior.

Responsibilities

• Monitor compliance activities of downline agents.
• Support agents with compliance review of materials.
• Collaborate with insurance carriers for audits.

Skills

Understanding of CMS guidelines for insurance

Managing agent compliance

Strong written and verbal communication

Time management and attention to detail

Comfortable with technology platforms

Education

Bachelor’s degree in a related field

Professional certifications (CHC, PMP)

Job description

About Copeland

Founded in 1962, Copeland Insurance Group is a national Field Marketing Organization (FMO) focused on serving senior Americans with their life and health insurance needs and is a leader in providing quality service to agencies and independent agents. As part of Integrity, LLC, Copeland offers a suite of proprietary, innovative omnichannel solutions, empowering their agents and agencies with the best technology in the industry.

Position Summary

We are looking for a Compliance Manager to support the organization’s Health and Life & Annuities insurance sales activities. This individual will play a critical role in ensuring all insurance marketing and sales activities adhere to federal and state regulations, particularly those set forth by the Centers for Medicare & Medicaid Services (CMS) and state Departments of Insurance, as well as the requirements of the insurance providers whose products we sell. This candidate should be knowledgeable of the various marketing and enrollment periods relative to compliance. This role directly supports the CEO of Copeland Insurance Group and the Chief Compliance Officer of Integrity Health and is responsible for day-to-day compliance operations at Copeland, including agent training, auditing, material reviews, and reporting. A key focus is the oversight of downline agents to ensure regulatory adherence across all field operations. The person should have a general understanding of federal and state regulations related to the marketing and advertising of health and life insurance products, including Medicare, Medicare Advantage, Medicare Supplement, Prescription Drug Plans, Affordable Care Act (ACA), Final Expense, and other ancillary products. This position will collaborate with members of the Integrity Compliance and Enterprise Risk Management (ERM) teams to align with overall enterprise-wide strategies and objectives.

Primary Responsibilities

• Proactively monitor and report on the compliance activities of downline agents, including sales practices, event compliance, lead and referral generation, call monitoring, and other oversight activities as required
• Provide compliance updates to downline agents related to regulatory or carrier guidance and/or changes
• Support agents/agencies with compliance review of communications materials
• Collaborate with insurance carriers for successful agent complaint tracking, agent coaching, audits, HIPAA risk assessments, and corrective action plans
• Participate in monthly carrier compliance calls and provide reports on compliance monitoring activities and metrics
• In conjunction with Integrity Compliance, review marketing and communications materials for compliance, including consumer-facing and agent-facing materials
• Submit required marketing materials to carriers for approval
• File required marketing materials to the CMS Health Plan Management System (HPMS) and ensure adherence to filing and usage rules
• In conjunction with Integrity, ensure compliance at all Copeland offices including the completion of required training, policy management, adherence to Do Not Call registries, OIG/SAM exclusion screenings, issue reporting, and other tasks as required
• In conjunction with Integrity Legal, manage Business Associate Agreements (BAA) with applicable vendors
• Attendance at virtual Integrity Health and Life Council meetings
• Participation in and completion of annual Compliance Officer summit and annual Spring Training
• Work within the Integrity governance, risk, and compliance (GRC) platform to complete various privacy and IT risk assessments and related risk mitigation plans.
• Stay advised regarding relevant regulatory updates
• Collaborate with Integrity ERM team to mitigate risks for Copeland Insurance Group
• Collaborate effectively with management of Copeland, Integrity Health and Life segments, and other Integrity business unit compliance officers for assigned compliance initiatives and to achieve strategic objectives
• Travel once a month to office locations in Texas for onsite compliance reviews
• 5% travel expectations to Copeland offices in North and East Texas.

Required Competencies

• Thorough understanding of CMS guidelines and regulatory requirements for the sales and marketing of Medicare Advantage, Part D, MedSupp, ACA, End of Life plans, and other ancillary products
• Proven record of managing agent compliance, marketing reviews, and regulatory audits
• Ability to assess agent behavior and audit findings for compliance risks
• Strong written and verbal communication skills to train agents, report findings, and collaborate across departments and with carrier partners with the highest standards of professionalism and integrity
• Comfortable using technology platforms for compliance tracking, audit tools, and CMS submissions
• Ability to establish productive, trusting working relationships with individuals and teams both inside and outside the organization
• Excellent time management, records management, and attention to detail

Education And Experience

• Bachelor’s business degree in a related field preferred
• 4 - 6 years of experience in Medicare compliance, preferably within a field marketing organization
• Professional certifications such as CHC (Certified Healthcare Compliance), PMP (Project Management Professional) or similar are highly desirable

About Integrity

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity you can start a new career path at company you’ll love, and we’ll love you back. We’re proud of the work we do and the culture we’ve built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are — in person, over the phone or online. Integrity’s employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.