Senior Compliance Administrator

Job Summary

Supporting the Medicare Compliance Advisory program, the full-time Senior Compliance Administrator will provide regulatory guidance, conduct research and analysis, and ensure compliance with CMS requirements while working remotely.

Key responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and federal/state regulations to prevent, detect, and correct noncompliance
• Interpret and translate regulatory requirements into actionable compliance guidance for business stakeholders
• Proactively identify compliance risks and evaluate business processes to recommend mitigation strategies

Required qualifications

• Bachelor's degree in a related field or equivalent experience; Master's Degree or Juris Doctor preferred
• 5+ years of experience in compliance, regulatory, operations, or risk management within a regulated industry
• 4+ years of compliance advisory experience, including regulatory research and drafting compliance guidance
• 2+ years of experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible programs
• Foundational knowledge of Medicare regulations, including CMS guidance and compliance expectations