Medicare Insurance Compliance Manager (Part-Time Contractor) jobs in United States
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My Senior Health Plan · 1 month ago

Medicare Insurance Compliance Manager (Part-Time Contractor)

My Senior Health Plan is a direct-to-consumer insurance brokerage specializing in Medicare and Senior Health Insurance. They are seeking an experienced Medicare Insurance Compliance Manager to oversee CMS and state regulatory compliance and support company-wide compliance initiatives.

Health CareInsurance

Responsibilities

Develop and maintain compliance with CMS, Medicare Advantage, Part D, and DSNP regulations
Lead compliance strategy and internal audit programs
Stay current on federal and state healthcare laws and regulations
Create, update, and enforce company compliance policies
Conduct risk assessments and oversee audit preparedness
Provide compliance guidance and training to staff
Coordinate responses to audits, regulatory requests, and investigations

Qualification

Insurance compliance experienceCMS regulationsMedicare managed care experienceProficiency with SalesforceAnalytical skillsBilingual (English/Spanish)Communication skillsOrganizational skills

Required

3–5 years of insurance compliance experience (Medicare/Medicaid focus)
Strong understanding of CMS, HIPAA, and healthcare regulatory requirements
Experience with Medicare managed care, Part D systems, and DSNP
Proficiency with Salesforce or similar CRM systems
Excellent communication, analytical, and organizational skills
Bachelor's degree required
Master's preferred

Preferred

Bilingual (English/Spanish) a plus

Company

My Senior Health Plan

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My Senior Health Plan partners with hospitals, medical groups, and IPAs to help engage the medicare-eligible population.

Funding

Current Stage
Early Stage
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