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EnrollHere, Inc.

Vice President of Compliance, Sales Integrity

EnrollHere, Inc.

VP of Compliance & Sales Integrity at EnrollHere managing compliance and sales integrity functions with a focus on technology and operational excellence.

Posted 4/28/2026full-timePinehurst • North Carolina • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact
  • Build and lead EnrollHere's compliance and sales integrity function
  • Design auditing, monitoring, and QA frameworks tied to agent behavior and call activity
  • Oversee fraud, waste, and abuse (FWA) detection, investigation workflows, and incident escalation
  • Establish clear standards across agencies, partners, and internal teams
  • Partner with product and engineering to embed compliance directly into EnrollHere's platform
  • Define and refine AI call-scoring, monitoring, and alerting models
  • Ensure compliance with CMS, state DOI requirements, and carrier expectations
  • Support audits, reporting, and external reviews
  • Build SOPs, governance frameworks, and coaching programs that tie compliance outcomes to sales performance

Requirements

What you’ll need
  • 12+ years in healthcare or insurance compliance
  • Deep experience in Medicare Advantage or Medicaid sales compliance, sales integrity, or QA
  • Track record of building or scaling compliance programs tied to agent behavior
  • Background at a carrier (e.g., Humana, UHC, Aetna) or a large FMO/distribution organization
  • Comfort working cross-functionally with product, engineering, and executive leadership
  • Preferred
  • Direct experience leading FWA investigations and incident management programs
  • Strong operational background in claims, enrollment, call center, or QA operations
  • Familiarity with AI/ML-driven compliance tooling or automation

Benefits

Comp & perks
  • Medical: 4 United Healthcare medical plans (including an HSA option)
  • Dental: 3 dental plans (Aetna and MetLife)
  • Vision: 2 Aetna vision plans
  • Wellness & Mental Health: 5 additional Medical Plus benefits, including telehealth support and an annual Talkspace subscription
  • Ancillary Coverage: 4 ancillary plans and supplemental life insurance
  • Retirement: 401(k) with a 4% match (after a 90-day exclusionary period)
  • PTO & Flexibility: Generous PTO and remote work support
  • Growth: Learning stipends and opportunities for professional development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
compliance programsauditing frameworksmonitoring frameworksQA frameworksFWA detectionincident managementAI call-scoringreportinggovernance frameworkscoaching programs
Soft Skills
leadershipcross-functional collaborationoperational managementcoachingcommunication