Medicare Compliance Project Manager
Core
Lead regulatory audit readiness and execution for Medicare Advantage and healthcare compliance, coordinating responses to CMS and federal/state audits.
Role type
Senior compliance project manager (audit & regulatory)
Builds
Audit readiness dashboards, status reports, risk logs, and project plans
Domain
Healthcare / Medicare Advantage / Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Regulatory audit management, Corrective action plan (CAP) development and tracking, Audit universe maintenance, Project management, Root cause analysis, Stakeholder coordination
Preferred skills
PMP, CHC, CCEP, CIA certifications
Technologies
Audit management tools, Reporting dashboards
Responsibilities
Coordinate regulatory audits (CMS, federal, state) from intake to close; Maintain audit universes and evidence inventories; Develop and track Corrective Action Plans (CAPs); Prepare audit documentation and responses; Support Enterprise Compliance Committee reporting.
Seniority
Mid-Senior, hands-on IC