Medicare Insurance Compliance Manager – Part-Time Contractor
My Senior Health Plan
contract
Posted on:
Location Type: Remote
Location: Remote • Tennessee • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
Requirements
- 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
- Bilingual (English/Spanish) a plus
Benefits
- Competitive, based on experience
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance complianceMedicare complianceMedicaid compliancerisk assessmentsaudit preparednesscompliance policiescompliance trainingPart D systemsDSNP regulationsHIPAA compliance
Soft skills
communicationanalytical skillsorganizational skillsleadershipstrategic planning