Med Supp (Medigap) Compliance Program Manager
Core
Independent oversight of Medicare Advantage and Medigap compliance programs, ensuring adherence to federal and state Department of Insurance regulations.
Role type
Senior IC compliance program manager (healthcare/insurance)
Builds
Sustainable compliance frameworks and regulatory readiness for Medicare Advantage and Medigap products
Domain
Healthcare insurance (Medicare Advantage, Medigap) + US State Insurance Regulation
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medicare/Medigap regulatory expertise, state Department of Insurance compliance, regulatory risk assessment, audit coordination, cross-functional stakeholder influence, policy development, regulatory interpretation
Preferred skills
Experience with Washington or Oregon Department of Insurance regulations, AI curiosity
Technologies
None stated
Responsibilities
Monitor and assess federal and state regulatory requirements for Medigap and MAPD; serve as subject matter expert on guaranteed issue rules and enrollment rights; coordinate implementation of state insurance regulatory requirements; support regulatory examinations, audits, and market conduct reviews; lead compliance impact assessments for new requirements; recommend revised compliance policies and controls; provide targeted compliance education to functional areas.
Seniority
Senior, hands-on IC