Medicare Compliance Specialist
Job Summary
To support Medicare reporting and compliance activities, the full-time Claims Medicare Compliance Specialist will maintain accurate claim data, run and review Medicare queries, and prepare records for CMS submissions while working remotely from the USA.
Key responsibilities
- Maintain accurate claim data and run Medicare queries
- Prepare records for CMS submissions and investigate reporting exceptions
- Collaborate with claims teams, TPAs, and vendors to resolve issues and support data-quality reviews
Required qualifications
- Experience in operational support, data validation, or compliance
- Strong Excel skills and ability to manage priorities in a regulated environment
- Some Medicare experience or knowledge is essential
- Willingness to pursue relevant Medicare accreditation or qualification
Complete Job Description
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