Medicare Compliance Consultant

• Maintain an in-depth working knowledge of the health plan’s contractual, regulatory, and program policy related obligations as a Medicare Advantage organization
• Assist with the oversight and monitoring activities used to evaluate the levels of compliance with the Medicare Part C and Part D regulations
• Provide support for compliance department responsibilities required under the Medicare Compliance Program
• Effectively escalate identified risks, concerns, and other issues through appropriate channels
• Maintain the systems and tools used to track, monitor, review, and communicate Medicare Advantage Part C and D contract deliverables
• Review, interpret, and distribute regulatory guidance materials, and track required health plan implementation timeframes
• Support external and internal audit processes in conjunction with senior members of the team
• Utilize systems unique to job functions, including Microsoft products and compliance specific tools
• Maintain positive, productive relationships with internal and external constituents to effectively communicate and influence ethical and compliant outcomes
• Other duties as assigned

2+ years of experience in regulatory compliance in Medicare Advantage Managed Care

• Previous experience with Medicare Part C and D regulations and Medicare Advantage Managed Care
• Previous project management experience
• Previous experience in auditing
• Strong written and verbal communication skills
• Detail-oriented

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling, and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access