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Medicare Compliance Specialist
Integrity Marketing Group LLCMedicare Compliance Specialist ensuring adherence to Medicare regulations at Integrity, an insurance distributor. Responsibilities include audits, regulatory oversight, and compliance training.
About the role
Key responsibilities & impact- Coordinate, prepare, and respond to carrier audit requests
- Gather, review, and submit necessary documentation to meet audit requirements
- Track audit outcomes, corrective actions, and report findings to leadership
- Maintain a comprehensive database of federal and state Medicare regulations
- Monitor updates to CMS guidelines, carrier notices, and other regulatory requirements
- Ensure compliant Medicare selling processes are followed in alignment with CMS and carrier standards
- Review and audit sales and marketing materials for compliance accuracy
- Provide guidance and training to sales staff regarding compliant practices
Requirements
What you’ll need- Minimum 2–4 years of experience in Medicare compliance, auditing, or regulatory oversight
- Strong knowledge of CMS regulations, Medicare Advantage, and Part D programs
- Experience with carrier compliance requirements and audit coordination
- Excellent organizational, communication, and analytical skills
- Ability to manage multiple projects, meet deadlines, and adapt to regulatory changes.
Benefits
Comp & perks- Competitive compensation package
- Health insurance
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare complianceauditingregulatory oversightaudit coordinationcompliance accuracydocumentation reviewcorrective actions trackingsales and marketing materials reviewproject managementanalytical skills
Soft Skills
organizational skillscommunication skillsability to manage multiple projectsadaptabilityguidance and training