JOB DETAILS

• On-Site in Nashville, TN
• Full Time Permanent Position
• Relocation Package Available
• Competitive Salary + Excellent Benefits
• Medical Group

JOB SUMMARY

As the Medicare Compliance Officer, you are the primary contact for Centers for Medicare and Medicaid Services (CMS) for Medicare compliance communications for one or more of our portfolio of companies. You are responsible for ensuring overall compliance with all Medicare compliance activities and programs as we stand up our program and as we scale operations. As the face of compliance, you’re focused on building a brand for your function that creatively reaches our teams through trainings on Medicare topics and their requirements. You are committed to creating a culture where compliance is viewed as a team effort, and everyone plays their part. You reach our teams through thoughtful training programs. You manager our program requirements such as Health Plan Management System (HPMS) submissions.

REQUIREMENTS 

• Bachelor’s Degree in Health Care Administration or other related field required, Master’s degree in Health Care Administration, Business Administration, Public Administration, Clinical Area, etc.
• Five (5) years’ of experience with Medicare Managed Care programs is required. 
• Knowledge of CMS and Medicare Advantage Prescription Drug Plans and Special Needs Plans and Health Care Compliance Certification is preferred.
• Five (5) years’ functioning as a Medicare Compliance Officer. 
• Experience standing up a compliance department preferred, as well as time in position leading the compliance team.
• Must be able to evaluate and analyze regulations, interpret significance, and recommend policies to comply and apply and ensure compliance to applicable regulations. 
• Excellent communication skills, you must be comfortable leading group meetings, including training events for employees.

Apply with Registry Ally now!

Call: (424) 488-2577  

Email: [email protected]