Medicare Compliance Lead

Job Summary

Serving as the primary subject matter expert in a fully remote capacity, the full-time Medicare Compliance Program Lead will manage compliance operations, ensuring adherence to CMS regulations and DMEPOS standards while developing and maintaining compliance processes and auditing systems.

Key Responsibilities

• Administer the Medicare compliance program, ensuring adherence to CMS regulations and Medicare guidelines
• Audit Medicare-related operational processes, including intake documentation and billing readiness
• Establish and monitor internal controls and auditing systems to identify compliance risks and operational gaps

Required Qualifications

• Bachelor's degree preferred or equivalent combination of education and experience
• Minimum 5 years of healthcare compliance experience, with strong Medicare, CMS, or DMEPOS experience required
• Minimum 2 years of experience leading cross-functional compliance initiatives and operational workflows preferred
• Strong knowledge of Medicare intake, billing, documentation requirements, and reimbursement processes
• Demonstrated ability to interpret complex healthcare regulations and implement operationally effective solutions