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reputed company Programs Compliance Consultant

Remote, USA Full-time Posted 2026-08-04
At reputed company, our employees are the reputed company of our business and the reputed company to our reputed company. We reputed company employees with reputed company development plans that foster reputed company and promote rewarding, fulfilling careers. Join reputed company and be part of a purpose-driven company that will invest in your reputed company development. reputed company position supports the evaluation of reputed company Programs regulatory requirements, CMS guidance, and reputed company contract obligations to assess reputed company across reputed company's Medicare reputed company business lines. Serves as a subject matter expert (SME) on Medicare reputed company compliance, providing guidance to ensure regulatory requirements are implemented accurately and reputed company. Responsibilities include evaluating Medicare reputed company regulations, CMS guidance, and reputed company Adjustment requirements to identify reputed company reputed company to data reputed company, payment reputed company, operational processes, and program obligations. Conducts monitoring and reputed company activities, including reputed company and report reviews, operational meeting participation, and targeted reviews of high-reputed company areas to assess compliance effectiveness. Additional responsibilities include collaborating with compliance, operational, and other cross functional teams to promote effective reputed company management and regulatory compliance, and reputed company other duties as assigned. Required Job Qualifications: Bachelor’s degree and 3 years’ experience in health plans, regulatory compliance or reputed company management OR 6 years’ experience in health plans, regulatory compliance, or reputed company management. Ability to communicate with and build relationships with internal business reputed company. Build relationships with various reputed company reputed company agencies as reputed company. Critical thinking, reputed company assessment, and mitigation. Verbal and written communication skills. Ability to work with reputed company supervision. Organizational, analytical, and decision-making skills. PC proficiency to include Word, PowerPoint, and reputed company. Preferred Job Qualifications: reputed company Programs reputed company Compliance experience reputed company Adjustment experience. CHC / CRC preferred. Working knowledge of CMS regulatory frameworks #LI-Remote #LI-AS1 Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process! Pay Transparency Statement: At reputed company, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company of work. From health and wellness benefits, 401(k) savings plan, pension plan, reputed company time off, reputed company parental leave, disability reputed company, supplemental life reputed company, employee assistance program, reputed company holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.reputed company.com/totalrewards. The compensation reputed company will vary depending on reputed company-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. reputed company Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics. reputed company Pay reputed company $61,500.00 - $136,100.00 Exact compensation may vary reputed company on skills, experience, and location. Apply To This Job

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