Medicare Compliance Specialist
4 days ago
About the Role:
We are seeking a highly skilled and experienced Medicare Compliance Specialist to join our team at OneDigital. As a key member of our compliance team, you will play a critical role in ensuring that our organization remains compliant with all relevant Medicare regulations and laws.
Key Responsibilities:
- Medicare Compliance Program Management: Develop, implement, and maintain a comprehensive Medicare compliance program that includes policy management, compliance training, and effective communication channels.
- Regulatory Guidance and Support: Provide expert guidance on Medicare compliance matters, including regulatory requirements, policy interpretation, and compliance best practices.
- Compliance Training and Education: Design and deliver compliance training programs for all levels of staff to ensure awareness and understanding of Medicare requirements.
- Investigations and Corrective Actions: Conduct investigations and implement corrective actions to address any compliance issues or concerns.
- Reporting and Monitoring: Prepare and submit reports to senior leadership on Medicare compliance activities and monitor compliance metrics to identify areas for improvement.
Requirements:
- Experience: Minimum of 3 years' experience as a licensed attorney in good standing with 2+ years of CMS and Medicare Advantage programs experience.
- Education: Bachelor's degree in a related field.
- Skills: Excellent research, writing, presentation, communication, and problem-solving skills with the ability to synthesize complex material into user-friendly end products.
- Business Acumen: Possess general business acumen with a consultative approach to legal and compliance focused on operational efficiency.
- Attention to Detail: Strong attention to detail, organizational, and time management skills with the ability to manage multiple projects concurrently.
What We Offer:
- Competitive Compensation: Your base pay is dependent upon your skills, education, qualifications, professional experience, and location.
- Variable Compensation: Some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company's performance.
- Benefits: Eligible employees receive health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs.
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