100% Remote. Equipment will be issued
M-F 8:00-5:00. Workers schedule will be in their time zone.

• To perform standardized end-to-end SDAC administration and coordination functions to ensure ongoing agent and agency (internal and external) compliance requirements are met.
• The primary function of this role is to manage, process, and document cases for the Sales Development Action Program and committees. The research findings are presented to the committee for a final determination.
• Research potential application issues related to application timeliness for agents. The position uses analytical skills and individual judgement in determining if a violation actually occurred. Research and documentation is critical since it can affect not only the agent but the customer. Individual reports may be generated and analyzed in this research process in order to make recommendations and future actions in a proactive approach.
• Research past history of agents, apply personal judgment to determine if any risk is involved in re-contracting the agent. These reinstatements are critical to the business and must happen quickly in order to support the rapid growth models that the Sales Department set each year. If a step is missed, this could have a critical impact and the agent cannot sell or be certified to sell until this is completed.
• Use professional knowledge and judgement with both internal and external partners regarding compliance and/or sales related issues and review complaint summaries generated by the Compliance Department. Based on the information provided, work independently on complex issues and provide resolution or decisions regarding training and future remediation requirements for agent violations. Decisions are made based on experience and guidelines. The guidelines are used as a template, but individual judgement is needed on a case-by-case basis. This includes initial review of complaints and appeal requests received by agents, agencies, or internal staff.
• Accountable to ensure all steps of each SDAP case are covered which included following up with the agent or agency on completed remediation and/or completing counseling or training.
• Send correspondence to agents, agencies, both internal and external, regarding SDAC cases and training
• Serves as liaison between SDAC Committee and internal/external partner, as well, as the Sales Account Management team. Direct contact with agents and agencies.
• Proactively communicate with internal and external partners to facilitate the SDAP process. This may include meetings with the agents and/or agencies to discuss possible issues or trends to prevent future issues.
• Communicate effectively with internal and external partners to demonstrate the value that HealthSpring brings to the market and be partner friendly to develop and build relationships
• Subject matter expert for SDAP or Sales Integrity related issues for both internal and external partners including Sales, Sales Operations, Sales Account Management, CARL Escalations, or Broker Strategist teams.
• Supports program development, maintenance activity and provides highly technical advice on regulatory issues
• Perform training as needed with agents and sales representatives, both internal and external, in order to close SDAC cases
• Maintain knowledge of State, Federal, and HealthSpring rules and regulations to utilize in all functions, processes, and communication
• Perform quality checks to ensure compliance with CMS and HealthSpring policies and procedures
• Act as a technical resource, coach, trainer and/or mentor to matrix team members. Mentor and cross train team members
• Perform ad hoc audits and projects for the department outside of normal duties
• Negotiate or resolve complex issues with customers, internal agents and/or external matrix partners using consistent independent judgement and discretion and being assertive when necessary
• Routinely coordinates data compilation requests, process communication updates and document maintenance projects
• Be honest and respectful in all dealings with internal and external partners