What are the responsibilities and job description for the Medicare Insurance Compliance Manager (Part-Time Contractor) position at My Senior Health Plan?
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
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.
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
- 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
- Job Type: Part-Time, Contract
- Schedule: Monday–Friday, Day Shift
- Compensation: Competitive, based on experience
- Work Location: Remote
- 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.
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.