Senior Compliance Administrator - Enrollment, Billing, Finance, DIR
Core
Subject matter expert supporting the day-to-day execution of the Medicare Compliance Advisory program, ensuring alignment with CMS requirements and federal/state regulations.
Role type
Senior individual contributor compliance administrator
Builds
Regulatory guidance, compliance workplans, audit readiness, and corrective action plans for Medicare Advantage/Part D programs
Domain
Healthcare / Medicare compliance
Required skills
Medicare regulations knowledge, regulatory research, risk assessment, audit support, policy review, stakeholder liaison, corrective action planning
Preferred skills
Master's degree or Juris Doctor, CHC certification, CMS audit protocol familiarity, matrixed environment experience
Technologies
CMS guidance systems, regulatory reporting tools
Responsibilities
Execute Medicare Compliance Program, interpret federal/state requirements, develop regulatory communications, support audit readiness, identify compliance risks, lead root cause analysis, contribute to compliance training, monitor regulatory developments
Seniority
Senior, hands-on IC
