Insurance Product Compliance Lead

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Insurance Product Compliance Lead in the United States.

This role is a senior compliance position focused on ensuring insurance products meet all applicable federal, state, and regulatory requirements while enabling business growth and product innovation. The Insurance Product Compliance Lead plays a critical role in assessing regulatory risk, interpreting complex insurance laws, and guiding cross-functional teams through product filings, approvals, and ongoing compliance obligations. Acting as a key liaison with internal stakeholders and external regulators, this professional helps shape compliant strategies for product design, service area expansions, and member-facing communications. The role requires strong judgment, regulatory expertise, and the ability to influence decision-making in a highly matrixed environment. You will work independently on complex compliance matters while supporting enterprise-wide initiatives tied to Medicare Advantage and specialty insurance products. This is a high-impact role where regulatory precision directly supports member trust and business continuity.

• Research, interpret, and analyze federal and state insurance regulations, sub-regulatory guidance, and compliance requirements applicable to Medicare Advantage, Part D, and specialty insurance products.
• Support the drafting, filing, and negotiation of regulatory approvals for service area expansions, product updates, contracts, licensing, and member communications.
• Act as a primary compliance liaison between internal business units and external regulatory bodies, ensuring timely and accurate submissions and responses.
• Evaluate product designs, marketing materials, and operational processes to ensure alignment with regulatory requirements and corporate compliance standards.
• Advise business leaders and executives on compliance risks and regulatory implications to support strategic decision-making and product development.
• Collaborate with cross-functional teams to implement and maintain compliant insurance products and ensure ongoing adherence to regulatory obligations.

Requirements:

• Experience working with Medicare Advantage and/or Medicaid products, with strong knowledge of related regulatory frameworks.
• Solid understanding of state and federal insurance regulations, with the ability to interpret and apply complex compliance requirements.
• Strong proficiency in Microsoft Office tools (Word, Excel, PowerPoint, Adobe, Visio) for documentation, analysis, and presentations.
• Ability to independently manage priorities, interpret complex information, and meet strict internal and external deadlines.
• Strong communication skills with the ability to translate technical regulatory content for diverse audiences, including executives and stakeholders.
• Experience influencing decisions within a matrixed organization using data, regulatory insight, and structured arguments.
• Preferred experience with Medicare Advantage plan design, DSNP products, state agency interactions, or healthcare product management.

Benefits:

• Competitive annual salary ranging from $94,900 to $130,500, based on experience and qualifications.
• Eligibility for performance-based bonus incentives.
• Comprehensive benefits package including medical, dental, vision, and supplemental insurance options.
• Retirement savings plan (401(k)) with additional employer contributions.
• Generous paid time off, including holidays, vacation, personal days, parental leave, and volunteer time off.
• Tuition reimbursement and educational support programs for employees and eligible dependents.
• Remote work flexibility with occasional travel for training or meetings.