Sales and Standards Manager

Overview

Oversees and ensures the adherence to sales and marketing policies, procedures and regulatory standards across all sales and marketing activities. Monitors sales/marketing events in Salesforce or other applicable systems, reviews policies for ongoing compliance, oversees the CTM process, conducts sales audits and serves as the department liaison for the Secret Shopper program to promote ethical sales standards. Serves as the liaison for Health Plan sales and marketing with both internal and external partners.

Manages and supports the activities of the Compliance/Regulatory Programs for VNS Health Health Plans Sales and Marketing departments to ensure compliance with all applicable local, state, and federal laws and regulations. Works under general supervision.

• Referral bonus opportunitiesli>
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

• Oversees sales and marketing activities to ensure regulatory compliance, which includes audits and monitoring various activities.
• Audits and monitors all sales/marketing events entered in Salesforce or other applicable systems to ensure compliance with company policies and regulatory requirement.
• Assists in coordinating and responding to regulatory policy changes affecting VNS Health operations.
• Collaborates with sales and marketing leadership in developing, reviewing, and revising departmental policies, procedures and related activities for the business. Ensures that VNS Health Health Plans sales and marketing staff are aware of and in compliance with policies and procedures.
• Collaborates with sales operations to implement corrective actions and implement controls related to identified compliance concerns; evaluates the efficacy of the controls.
• Oversees the CTM process, ensuring consistent adherence to compliance standards among team members.
• Monitors sales audits program to identify any discrepancies or non-compliant activities, recommending corrective actions as needed.
• Engages with third party vendors who perform auditing of Health Plan sales and marketing teams to ensure accuracy and consistency in scoring methodology.
• Prepares and presents compliance reports to sales senior management highlighting risks and areas of improvement.
• Collaborates with Human Resources and VNS Health leadership to ensure consistency of disciplinary actions related to matters of non-compliance, especially those related to fraud, waste and abuse and privacy violations.
• Reviews data for patterns and/or trends that may indicate workstream or process concerns involving errors or quality related issues. Prepares reports to communicate key patterns and/or trends and their implications from a compliance/risk perspective. Provides recommendations to address the identified concerns and follows-up with any implemented changes.
• Utilizes data to develop process improvement recommendations. Ensures that regulatory changes or other updates are incorporated into process flows and that concerns are resolved across the appropriate process teams.
• Assists with responses to external requests including, but not limited to, government audits and record requests from oversight agencies.
• Creates an environment that encourages the reporting of compliance concerns and allegations.
• Keeps up-to-date regarding compliance, privacy, and vendor oversight laws, regulations, and trends for all VNS Health entities and programs. Serves as a resource to staff regarding compliance-related matters and questions.
• Proactively works to identify appropriate Special Election Periods (SEPs) for sales and marketing teams to effectively and compliantly drive growth for the Health Plan.
• Participates in special…