Medicare Compliance Director

Job Summary

A company is looking for a Director of Medicare and Data Compliance.

Key Responsibilities:

• Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations
• Ensure data accuracy and compliance with CMS guidelines and reporting requirements
• Lead process improvement through developing strategies to enhance data collection, reporting, and analysis efficiency

Qualifications, Training, and Education:

• Bachelor's Degree in a related field, or equivalent experience
• 7+ years' experience in pharmacy benefit management, health insurance, or related industry
• Experience with Medicare Part D data, including PDE and MMR reporting
• Strong understanding of CMS regulations and healthcare analytics
• Intermediate to expert in SQL, SAS, R, Python, or other database languages