CommonSpirit Health · 20 hours ago
Medicare Compliance Officer
Phoenix, AZ
Full-time
Onsite
Senior Level
$43.10/hr - $64.11/hr
5+ years expCommonSpirit Health is a healthcare organization seeking a Medicare Compliance Officer responsible for developing and overseeing the compliance program for Medicare Advantage and Part D activities. This role involves ensuring adherence to regulations, reporting to the Board of Directors, and promoting a culture of integrity within the organization.
Health CareMedicalNon Profit
Responsibilities
Provide formal reports to the Board of Directors, CEO, and Compliance Committee at least quarterly, and more frequently as needed, detailing the status of Mercy Care Plan’s Medicare Compliance Program implementation, identification and resolution of compliance issues, and oversight and audit activities
Oversee the development and administration of the Board of Directors’ annual Code of Conduct and compliance training program, including program design, content creation, distribution, tracking, and ongoing maintenance to ensure full compliance with regulatory and organizational standards
Develop and implement programs and mechanisms that promote a culture of integrity by encouraging managers and employees to report suspected fraud, waste, abuse, or other misconduct, ensuring confidentiality and protection against retaliation
Respond promptly to reports of potential Medicare fraud, waste, or abuse, (FWA) including coordinating internal investigations and developing appropriate corrective or disciplinary actions when necessary. Maintain the FWA reporting mechanism and collaborate closely with the Internal Audit Department and the Special Investigations Unit (SIU), as applicable
Exercise flexibility in designing and managing internal investigations (e.g., addressing suspected violations or reported issues) and implementing resulting corrective measures, such as policy enhancements and disciplinary actions to ensure compliance and mitigate risk
Coordinate with the Plan’s Human Resources department (or equivalent) to ensure thorough screening of the DHHS OIG and GSA exclusion lists for all employees, officers, directors, managers, and contracted entities, including first-tier, downstream, and related entities, confirming none are listed on these exclusions
Qualification
Required
Bachelors Other or an equivalent combination of directly related work experience and/or education
Five (5) years of experience that demonstrates solid Medicare compliance program development, operation and administration responsibilities
Preferred
Registered Nurse: AZ
Strong Business acumen and healthcare industry
Company
CommonSpirit Health
Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Wright Lassiter
Chief Executive Officer
Christine Brocato
System VP, Strategic Innovation
Recent News
2026-01-20
alleywatch.com
2026-01-20
Company data provided by crunchbase