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Medicare Compliance Oversight Manager
2 months ago
My Senior Health Plan is actively seeking a qualified individual with extensive experience in Medicare Compliance, particularly with the Centers for Medicare & Medicaid Services (CMS).
This role is full-time and primarily onsite. Remote work may be considered after an initial training period based on performance and proficiency.
As a leading insurance brokerage focused on Medicare, we are dedicated to providing transparent and impartial comparisons across top insurance carriers. Our specialization in Senior Health Insurance ensures that we remain informed about the latest products, technologies, and industry news.
We are expanding and looking for a seasoned Medicare Insurance Compliance Manager to oversee compliance with CMS and state regulations from our office.
Key ResponsibilitiesThe Medicare Insurance Compliance Manager will:
- Ensure adherence to all CMS and state regulatory requirements, as well as company policies and procedures.
- Develop, conduct, and report on audits and investigations aimed at preventing and identifying fraud, abuse, and waste.
- Maintain up-to-date knowledge of healthcare regulations and compliance requirements.
- Collaborate with various departments to implement effective compliance strategies and internal controls.
- Monitor compliance metrics and report findings to senior management.
The ideal candidate will possess:
- A minimum of 3-5 years of experience in insurance compliance, specifically related to Medicare and Medicaid.
- A comprehensive understanding of healthcare regulations and provider credentialing processes.
- Strong analytical and problem-solving skills, with the ability to manage multiple projects simultaneously.
- Excellent communication and interpersonal skills.
We offer a competitive compensation package, including:
- Base salary and performance-based bonuses.
- Health insurance (Medical, Dental, Life, and Vision) with employer contribution.
- 401(k) matching and profit-sharing options.
- Paid time off, sick leave, and holidays.
- A supportive work environment and wellness programs.
My Senior Health Plan is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or any other characteristic protected by law.
