Medicare Compliance Operations Manager

AT A GLANCE

RVO Health is looking for a Medicare Compliance Operations Manager to improve the Medicare consumer’s shopping experience. You’ll be responsible for ensuring our experiences provide accurate information to consumers and liaise with SMEs to ensure continued regulatory compliance.

RVO is the world’s largest and fastest-growing digital health platform, with 1,400+ employees. At the core of RVO Health is Healthline Media and Distribution, a business that attracts nearly 90MM unique visitors per month in the US (#41 on Comscore’s top 50 list), and 200MM globally to its science and evidence-based, yet easy to understand content. Our Medicare platform is focused on improving the Medicare Advantage experience for the consumer, from plan enrollment to plan retention and across both online and telesales environments. We operate digital experiences in both the branded Payer and e-broker space.

Where You'll Be

To prioritize togetherness, culture, and accountability, RVO Health operates on a hybrid in-office work schedule. We expect employees to work from our South Charlotte office Tuesday, Wednesday and Thursday each week. You are welcome to work remotely Mondays and Fridays if you wish.

1101 Red Ventures Dr Fort Mill, SC 29707

What You’ll Do

• Implement Compliance Strategy: Execute the strategic compliance roadmap to scale our Medicare Advantage compliance organization. This includes coordination with product, developers, content, and legal teams to implement necessary changes or updates.
• Content Review: Thoroughly review and examine all Medicare-related information shown to consumers to ensure it's up-to-date, accurate, and compliant with current regulations. Support the on time delivery of marketing communications across multiple channels and work streams, including the development and review of CMS-required regulatory documents in preparation for each Annual Enrollment Period (AEP).
• Regulatory Monitoring: Own ongoing process improvement to continually improve the state of compliance within  the team in partnership with legal.  This will involve working with legal SMEs to review CMS updates, and develop and implement action plans to ensure compliance. 
• Audit: Regularly review and assess Medicare products to ensure continued compliance with Compliance requirements. Prepare reports for legal and leadership, highlighting compliance issues and recommending improvements. 
• Training and Upskilling: Collaborate with SMEs to provide guidance or training to other team members on Medicare compliance requirements for web content. 

What We’re Looking For

• 3+ years' experience in a Medicare Advantage marketing, sales, or compliance role. Including an intimate knowledge of Medicare plan details, including benefits, coverages, member costs, etc.
• Must be able to work with cross-functional teams such as Legal, Product, Content, and other business leaders on an ongoing basis.
• Experience creating processes to proactively identify risks and solve potential issues before they enter production environment
• Must thrive in a highly-regulated, highly collaborative, high-speed environment; comfortable making decisions based on incomplete information.
• Willingness to collaborate with business leadership to challenge and align on business and financial objectives and KPIs that then fuel the compliance strategy
• Strong communication skills are a must

Pursuant to various state Fair Pay Acts, below is a summary of compensation elements for this role at the company. The following benefits are provided by RVO Health, subject to eligibility requirements.

• Starting Salary: $104,000- $125,000 
  *Note actual salary is based on geographic location, qualifications and experience
• Access to a Free Udemy for Business subscription—thousands of hours of learning content on hundreds of different subjects at your fingertips
• Health Insurance Coverage (medical, dental, and vision)
• Life Insurance
• Short and Long-Term Disability Insurance
• Flexible Spending Accounts
• Paid Time Off
• Holiday Pay
• 401(k) with match
• Employee Assistance Program
• Paid Parental Bonding Benefit Program
• Pharmacy Benefits
• Income Protection Plans
• Pet Services Plans
• Mental Health Support
• Wellness Coaching
• HSA- Health Savings Account
• Commuter Benefits
• Gym & Fitness Center Discount Program

Who We Are: 

Founded in 2022, RVO Health is a new healthcare platform of digital media brands, services and technologies focused on building relationships with people throughout their health & wellness journey. We meet people where they are in their personal health journeys and connect them with both the information and the care they need. RVO Health was created by joining teams from both Red Ventures and UnitedHealth Group’s Optum Health. Together we’re focused on delivering on our vision of a stronger and healthier world. 

RVO Health is comprised of Healthline Media (Healthline, Medical News Today, Psych Central, Greatist and Bezzy), Healthgrades, FindCare and PlateJoy; Optum Perks, Optum Store and the virtual coaching platforms Real Appeal, Wellness Coaching, and QuitForLife. 

We offer competitive salaries and a comprehensive benefits program for full-time employees, including medical, dental and vision coverage, paid time off, life insurance, disability coverage, employee assistance program, 401(k) plan and a paid parental leave program. 

RVO Health is an equal opportunity employer that does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or any other basis protected by law. Employment at RVO Health is based solely on a person's merit and qualifications.  

We are committed to providing equal employment opportunities to qualified individuals with disabilities. This includes providing reasonable accommodation where appropriate. Should you require a reasonable accommodation to apply or participate in the job application or interview process, please contact [email protected].

We do not provide visa sponsorship for this role at this time.

#LI-hybrid

#LI-JH1