Medicare Compliance Specialist

Location: Remote
Compensation: To Be Discussed
Reviewed: Mon, Apr 28, 2025
This job expires in: 21 days
GRC Tool Data Analytics Microsoft Office Corrections Reporting

Job Summary

A company is looking for a Senior Compliance Corrections Specialist - Medicare.

Key Responsibilities
  • Participates in the corrections process for the Medicare line of business, including intaking and triaging suspected non-compliance issues
  • Collaborates with stakeholders to develop corrective action plans and oversees progress towards remediation
  • Develops and refines corrections reporting to provide trend analysis on compliance issues and regulatory sanctions
Required Qualifications
  • Bachelor's Degree in Healthcare or a related field
  • 5+ years of experience in Managed Care/Health Insurance or related fields
  • Excellent Microsoft Office skills and experience with data analytics preferred
  • Certified in HealthCare Compliance (CHC) preferred
  • Certified Compliance & Ethics Professional (CCEP) preferred

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