MyPlanAdvocate

Medicare Compliance Analyst II

MyPlanAdvocate

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $65,000 per year

Job Level

Mid-LevelSenior

About the role

  • Ensure compliance with CMS Medicare Marketing Rules.
  • Investigate and resolve compliance problems, questions, or complaints received internally, from customers, or carriers.
  • Conduct internal audits and monitoring to ensure compliance with rules and regulations, policies and procedures, code of conduct, and training for MyPlanAdvocate.
  • Generate, update, review and file marketing materials in HPMS.
  • Initiate and remediate corrective action plans, as needed.
  • Maintain and update an internal tracking system of compliance activities, such as complaints received or investigation outcomes.
  • Conduct agent coaching and training.
  • Perform other duties as assigned.

Requirements

  • Bachelor’s Degree or 3 + years of equivalent professional experience.
  • Strong background in Medicare, health insurance, and regulatory compliance.
  • Expertise in CMS Medicare Marketing Rules and Medicare brokerage.
  • Proven ability to investigate, resolve, and audit compliance issues.
  • Proficiency with HPMS, corrective action plans, and compliance tracking systems.
  • Strong communication skills for agent training and coaching.
  • Ability to work independently.
  • Ability to keep all company-sensitive data secure.
  • Required to have a dedicated work area separated from other living areas and provide information privately without disruption.
  • Must live in a location that can receive a high-speed internet connection or leverage an existing high-speed internet service.
  • Subject to reference checks and past employment verifications for shortlisted candidates.
  • E-Verify Employer – employment eligibility verification required.
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