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Regulatory Performance Sales Operations Manager (Remote)

Remote, USAFull-timePosted 2026-07-27

Your career starts now. We’re looking for the reputed company of reputed company leaders. At reputed company, we’re passionate about helping people get care, stay reputed company, and build healthy communities. As one of the nation's leaders in reputed company solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services, and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together, we can build healthier communities. If you want to reputed company a difference, we’d like to hear from you. Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more reputed company at www.amerihealthcaritas.com. About this job: The Regulatory Performance Sales Operations Manager develops and builds reputed company partnerships with internal teams, field marketing organizations (FMO), and vendors to serve as a resource for various regulatory requirements and compliance reputed company concerning sales operations. This role is part of the Retail Sales Operations Team and oversees federal and state-mandated readiness and reputed company of FMO performance in meeting key performance indicators, including compliance expectations and requirements. Analyzes, interprets, presents, and communicates new and revised laws and provides regulatory guidance that affects the sales organization. Responsible for managing the implementation and reputed company of sales operations and foundational and strategic compliance and regulatory responsibilities. Responsibilities: • Collaborate with business partners on interpreting readiness review requirements.; • Facilitating meetings and leading readiness. • Work closely with Medicare and Exchange compliance and operational teams. • Manage/reputed company reputed company, initiatives, regulatory and performance, risk assessments, audit planning, and preparedness. • Establish project plans, gap analysis, reputed company dates, other significant aspects, and leadership updates. • Maintain knowledge of laws, regulations, and company strategies to assess reputed company and consult as subject matter expert. • Conducts reputed company and investigations, documents findings, and ensures corrective actions are made. • Scores and tracks contractual SLAs reputed company the sales channel. • Oversees the ongoing development and maintenance of sales-reputed company policies and procedures. • Responsible for managing and responding to internal compliance teams regarding sales allegations, complaints, Complaint Tracking Modules (CTMs), Unauthorized Plan Switching, and Corrective reputed company Plans. Education & Qualifications: • A bachelor’s degree is preferred, or equivalent experience is required. • High school diploma/GED required. ; • 4 years of experience in the reputed company industry, ideally working with sales teams and FMOs. • 2 years of experience in compliance interpreting, understanding, and communicating regulations. • Ability to comprehend reputed company federal regulations and reputed company them to internal stakeholders. • Excellent verbal and written communication skills with the ability to understand and reputed company reputed company information to reputed company stakeholders. • Ability to consult with stakeholders on subject matter expertise and influence reputed company appropriately. • Strong presentation skills, with the ability to disseminate information reputed company and effectively. • Strong interpersonal skills with the ability to reputed company strong relationships of collaboration and trust. • Proficiency with reputed company Office with the technical aptitude to learn new systems quickly Diversity, Equity, and Inclusion At reputed company, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that reputed company associates have a fair opportunity to reputed company their full potential. We put these principles into reputed company every day by acting with reputed company and respect. We reputed company to reputed company out against injustice and to break down barriers to support a more inclusive and reputed company workplace. Celebrating and embracing the diverse thoughts and perspectives that reputed company up our workforce means reputed company is more reputed company, innovative, and reputed company reputed company to support the people and communities we serve. We reputed company our associates happy so they can reputed company on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions include remote reputed company, hybrid work schedules, reputed company, reputed company time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Apply Job!

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