My Senior Health Plan
Medicare Insurance Compliance Manager (Part-Time Contractor)
My Senior Health Plan, Brentwood, Tennessee, United States, 37027
MySeniorHealthPlan.com is a direct-to-consumer insurance brokerage specializing exclusively in Medicare and Senior Health Insurance. We provide honest, unbiased plan comparisons by representing top insurance carriers. Our focused expertise keeps us up to date on the latest Medicare products, regulations, and technology.
Position Overview We’re seeking an experienced Medicare Insurance Compliance Manager to oversee CMS and state regulatory compliance and support company-wide compliance initiatives. This fully remote role reports to the Sales Manager.
Key Responsibilities
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
Qualifications
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
Details
Job Type: Part-Time, Contract
Schedule: Monday–Friday, Day Shift
Compensation: Competitive, based on experience
Work Location: Remote
Equal Employment Opportunity My Senior Health Plan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, gender, sexual orientation, gender identity, gender expression, transgender, pregnancy, marital status, national origin, ancestry, citizenship status, age, disability, protected Veteran Status, genetics or any other characteristic protected by applicable federal, state, or local law.
*All offers of employment are contingent upon successfully passing a pre-employment drug test and background check. My Senior Health Plan participates in E-Verify.
AI Use Disclosure To make our hiring process smooth and efficient, we use tools like BambooHR (application tracking), Hireflix (on-demand interviews), Calendly (scheduling), and TestGorilla (skills assessments). These tools help us stay organized, but all applications and results are carefully reviewed by real people. AI supports our process, it doesn’t replace human judgment. We also take steps to reduce potential bias in the tools we use, so every candidate is considered fairly.
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Position Overview We’re seeking an experienced Medicare Insurance Compliance Manager to oversee CMS and state regulatory compliance and support company-wide compliance initiatives. This fully remote role reports to the Sales Manager.
Key Responsibilities
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
Qualifications
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
Details
Job Type: Part-Time, Contract
Schedule: Monday–Friday, Day Shift
Compensation: Competitive, based on experience
Work Location: Remote
Equal Employment Opportunity My Senior Health Plan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, gender, sexual orientation, gender identity, gender expression, transgender, pregnancy, marital status, national origin, ancestry, citizenship status, age, disability, protected Veteran Status, genetics or any other characteristic protected by applicable federal, state, or local law.
*All offers of employment are contingent upon successfully passing a pre-employment drug test and background check. My Senior Health Plan participates in E-Verify.
AI Use Disclosure To make our hiring process smooth and efficient, we use tools like BambooHR (application tracking), Hireflix (on-demand interviews), Calendly (scheduling), and TestGorilla (skills assessments). These tools help us stay organized, but all applications and results are carefully reviewed by real people. AI supports our process, it doesn’t replace human judgment. We also take steps to reduce potential bias in the tools we use, so every candidate is considered fairly.
#J-18808-Ljbffr