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Medicare Insurance Compliance Manager (Part-Time Contractor)

Remote, USA Full-time Posted 2025-11-24
MySeniorHealthPlan.com is a direct-to-consumer insurance brokerage specializing exclusively in Medicare and Senior Health Insurance. We provide honest, unbiased plan comparisons by representing top insurance carriers. Our focused expertise keeps us up to date on the latest Medicare products, regulations, and technology. Position Overview: We’re seeking an experienced Medicare Insurance Compliance Manager to oversee CMS and state regulatory compliance and support company-wide compliance initiatives. This fully remote role reports to the Sales Manager. Key Responsibilities: • Develop and maintain compliance with CMS, Medicare Advantage, Part D, and DSNP regulations • Lead compliance strategy and internal audit programs • Stay current on federal and state healthcare laws and regulations • Create, update, and enforce company compliance policies • Conduct risk assessments and oversee audit preparedness • Provide compliance guidance and training to staff • Coordinate responses to audits, regulatory requests, and investigations Qualifications: • 3–5 years of insurance compliance experience (Medicare/Medicaid focus) • Strong understanding of CMS, HIPAA, and healthcare regulatory requirements • Experience with Medicare managed care, Part D systems, and DSNP • Proficiency with Salesforce or similar CRM systems • Excellent communication, analytical, and organizational skills • Bachelor’s degree required; Master’s preferred • Bilingual (English/Spanish) a plus Details: • Job Type: Part-Time, Contract • Schedule: Monday–Friday, Day Shift • Compensation: Competitive, based on experience • Work Location: Remote My Senior Health Plan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, gender, sexual orientation, gender identity, gender expression, transgender, pregnancy, marital status, national origin, ancestry, citizenship status, age, disability, protected Veteran Status, genetics or any other characteristic protected by applicable federal, state, or local law. • All offers of employment are contingent upon successfully passing a pre-employment drug test and background check. My Senior Health Plan participates in E-Verify. AI Use Disclosure To make our hiring process smooth and efficient, we use tools like BambooHR (application tracking), Hireflix (on-demand interviews), Calendly (scheduling), and TestGorilla (skills assessments). These tools help us stay organized, but all applications and results are carefully reviewed by real people. AI supports our process, it doesn’t replace human judgment. We also take steps to reduce potential bias in the tools we use, so every candidate is considered fairly. Apply tot his job Apply To this Job

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