Sr. Medicare Compliance Manager

Centerfield; United States; Remote; USD 120,000 - 160,000; Full time

Benefits offered by this job

Competitive salary

Generous quarterly bonus

Unlimited PTO

Industry-leading medical, dental, and

Vision plans

401(k) company match

Paid charity and volunteer days

Job summary

Centerfield is seeking a Sr. Medicare Compliance Manager to lead compliance program administration and regulatory implementation across MA, Part D, and Medigap distribution channels.

You will bridge regulatory requirements with insurance technology, partnering with Compliance, Operations, and Tech teams to embed CMS rules into sales workflows and CRM platforms. You will drive data analytics, automation, and AI-enabled solutions to elevate oversight, optimize agent efficiency, and enable

Qualifications

• Bachelor’s degree or equivalent in a health/compliance/IT field and 5+ years in healthcare compliance, Medicare Advantage, regulatory operations, or tech deployment.
• Strong knowledge of CMS Medicare Marketing Guidelines (MMG), TPMO regulations, telesales compliance, and health plan partner standards.
• Experience gathering business/technical requirements, supporting software deployments, and developing data dashboards and analytics.

Responsibilities

• Leverage technology, analytics, workflow automation and AI to strengthen compliance oversight and efficiency.
• Lead and manage core compliance program administration activities; direct investigations, CAPs, and regulatory reporting.
• Develop and analyze dashboards, KPIs, and metrics for leadership to drive improvements.
• Coordinate federal (CMS) and state regulatory changes across sales, marketing, and operations; prepare documentation and training.
• Serve as primary compliance liaison between Operations, Sales, QA and Engineering to align projects with regulations.

Skills

CMS regulations

Telesales compliance

Regulatory operations

Data dashboards

Requirements gathering

Education

Bachelor’s degree in Healthcare Administration, Business Administration, Information Systems, Compliance, Health Informatics, Project Management, or related field

Tools

CRM platforms

QA tools

AI analytics tools

Job description

Hi, We're Centerfield! Supercharged customer acquisition. Centerfield delivers outcome-based digital marketing solutions and personalized omnichannel experiences for the world’s leading brands. Powered by our proprietary Dugout platform, Centerfield acquires customers at scale for leading residential service, insurance, e-commerce, and B2B brands. Centerfield’s digital experiences and digital brands, such as Business.com and BroadbandNow.com , reach more than 150 million in-market shoppers annually. Centerfield is headquartered in Silicon Beach and is proud to be recognized by Built in LA as a Best Place to Work in Los Angeles.

Role Overview...

QuoteManage is seeking an innovative, technology-driven Sr. Medicare Compliance Manager to lead compliance program administration, regulatory implementation, and technology enablement across our Medicare Advantage (MA), Part D, and Medigap distribution channels. In this role, you will bridge the gap between regulatory requirements and modern insurance technology. You will partner directly with Compliance, Business Operations, and Technology/Product teams to ensure CMS rules and state Department of Insurance (DOI) guidelines are seamlessly embedded into our sales workflows, telesales systems, CRM platforms, and AI quality assurance platforms. We seek a forward-thinking leader who leverages data analytics, workflow automation, and artificial intelligence to elevate program oversight, optimize agent efficiency, and drive continuous improvement.

Core Responsibilities...

Technology, Automation AI Enablement: Identify and execute opportunities to leverage technology, advanced analytics, workflow automation, and artificial intelligence (e.g., real-time agent guidance, speech analytics, automated auditing tools) to strengthen compliance oversight and operational efficiency. Support the implementation, administration, optimization, and continuous improvement of compliance technology platforms, regulatory libraries, QA solutions, and workflow management tools. Translate complex regulatory mandates into technical business requirements, system specifications, sales scripts, and automated compliance rules inside CRMs and dialing systems.

Compliance Program Administration Strategy: Lead and manage core compliance program administration activities to enhance the maturity, effectiveness, and scalability of QuoteManage’s compliance framework. Direct compliance investigations, corrective action plans (CAPs), departmental communications, and regulatory reporting across captive (W2) and independent (1099) sales channels. Maintain expert-level knowledge of CMS regulations, Third-Party Marketing Organization (TPMO) rules, Scope of Appointment (SOA) mandates, and call recording requirements.

Data Analytics, Reporting Insights: Develop, maintain, and analyze compliance dashboards, KPIs, and metrics to provide leadership with actionable insights into agent performance, risk trends, and program effectiveness. Conduct root-cause analysis on compliance deviations, agent misrepresentation allegations, and customer grievances (CTM/CMS complaints) to drive systemic solutions.

Regulatory Implementation Change Management: Coordinate, track, and monitor the end-to-end implementation of federal (CMS) and state regulatory changes across sales, marketing, and operations. Develop implementation documentation, training materials, communication plans, and user adoption strategies to ensure operational teams successfully adopt compliance technologies and process enhancements.

Cross-Functional Program Leadership Governance: Serve as the primary compliance liaison between Business Operations, Sales Leadership, Quality Assurance, and Engineering/Tech teams to facilitate project execution and regulatory alignment. Facilitate workgroups, governance meetings, and stakeholder sessions; proactively manage project milestones, risks, dependencies, and business outcomes. Analyze operational and sales workflows to standardize, optimize, and streamline compliance checkpoints without creating friction for sales agents.

Job Requirements...

Bachelor’s Degree in Healthcare Administration, Business Administration, Information Systems, Compliance, Health Informatics, Project Management, or a related field (or equivalent combination of education and experience). 5+ years of progressive experience in healthcare compliance, Medicare Advantage (Part C D), regulatory operations, business systems, or technology implementation. Strong knowledge of CMS Medicare Marketing Guidelines (MMG), TPMO regulations, telesales compliance, and health plan partner standards. Demonstrated experience gathering business/technical requirements, supporting software/system deployments, and developing data dashboards and analytics.

Life at Centerfield...

This is a remote position open to applicants who currently reside in one of the following states: California, Florida, Minnesota, New Jersey, New York, Ohio, Oregon, or Washington.

Competitive salary + generous quarterly bonus Unlimited PTO – take a break when you need it! Industry-leading medical, dental, and vision plans + generous parental leave 401(k) company match plan – fully vested day 1 Award-winning culture unprecedented team spirit (featured in LA Business Journal Built In LA) Paid charity and volunteer days (local mentor programs, adopt a pet, beach cleanup, etc.)

Career growth – we enjoy promoting from within! #LI-CC1 #LI-Remote

AI Interview Policy...

At Centerfield, we use AI tools internally to support efficiency and fairness in our hiring process, including resume screening and administrative tasks. Candidates are welcome to use AI tools ethically to prepare for interviews, such as practicing responses or researching questions. However, all responses during the interview process should reflect your own knowledge, experience, and judgment. The use of AI tools to generate responses during live interviews, technical assessments, or written submissions is not permitted unless explicitly stated otherwise. To learn more, visit us Here . Interviews will take place after resumes have been screened for the minimum requirements. Please note that this position is not restricted solely to the responsibilities listed above and that the job scope and responsibilities are subject to change. For more information about our collection, use, and disclosure of your personal information in connection with our evaluating your candidacy, please visit our Privacy Policy at https://www.centerfield.com/privacy-policy/ . Centerfield Media is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected under federal, state or local law.