Senior Medicare Compliance Specialist
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full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $90,000 - $115,000 per year
Job Level
About the role
- Ensure the effectiveness of the organization’s Medicare compliance program across Medicare Advantage (MA) and Part D lines of business.
- Provide oversight of Third-Party Marketing Organizations (TPMOs) and First-Tier, Downstream, and Related Entities (FDRs).
- Drive compliance risk management, monitoring, remediation, and continuous improvement.
- Assist with annual and ongoing Medicare compliance risk assessments.
- Develop and deliver targeted training for sales, marketing, operations, customer service, enrollment, and pharmacy teams; track completion and measure effectiveness.
- Prepare clear, accurate compliance dashboards and reports for leadership, Compliance Committee, and Board-level governance.
Requirements
- Bachelor's degree required; advanced degree (JD, MBA, MHA, MPH) preferred.
- 5–8+ years in Medicare Advantage/Part D compliance, auditing/monitoring, or regulatory affairs.
- Strong working knowledge of CMS regulations and guidance.
- Proficient with compliance monitoring tools and data analytics.
- Exceptional written and verbal communication skills.
- Demonstrated ability to lead cross-functional initiatives.
Benefits
- Medical, Dental, and Vision
- Employer-Paid Life Insurance
- Paid Maternal Leave
- Paid Paternal Leave
- 401(K) match up to 4%
- Paid-Time-Off
- Employee Assistance Programs
- Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare compliancecompliance risk managementcompliance monitoringdata analyticsauditingregulatory affairstraining developmentreport preparation
Soft Skills
written communicationverbal communicationleadershipcross-functional collaboration
Certifications
Bachelor's degreeJDMBAMHAMPH