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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.
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
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
compliance programsauditing frameworksmonitoring frameworksQA frameworksFWA detectionincident managementAI call-scoringreportinggovernance frameworkscoaching programs
Soft Skills
leadershipcross-functional collaborationoperational managementcoachingcommunication