Government Programs Compliance Consultant - Remote
Core
Evaluate Government Programs regulatory requirements, CMS guidance, and government contract obligations to assess compliance risks across Medicare Advantage business lines.
Role type
Government Programs Compliance Consultant
Builds
Compliance risk assessments and monitoring reports for Medicare Advantage programs
Domain
Healthcare / Government Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Regulatory compliance assessment, Risk management, Data integrity analysis, Operational process review, Cross-functional collaboration, Government agency liaison
Preferred skills
Risk Adjustment, Government Programs Healthcare Compliance, CMS regulatory frameworks
Responsibilities
Evaluate Medicare Advantage regulations and CMS guidance to identify compliance risks; Conduct monitoring and oversight activities including universe and report reviews; Collaborate with compliance, operational, and cross-functional teams to promote effective risk management.
Seniority
Mid-level, hands-on IC
