About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
Brief Summary of Purpose: The Medicare Sales Compliance & Agent Oversight Specialist is responsible for reviewing, promoting, and evaluating the processes for full compliance is achieved with all laws and regulatory requirements to improve both the quality and efficiency of the Medicare Sales Team and its constituents. This role is responsible for conducting compliance audits and working with the appropriate distribution channels, making recommendations for improvement and developing and implementing internal process controls that are capable of preventing and detecting deficiencies. The Medicare Sales Compliance & Agent Oversight Specialist will identify potential areas of compliance vulnerability and risk, and work with department leaders to develop and implement corrective action plans as needed.
Bachelor's degree or equivalent work experience