Job Description: Our health insurance client is seeking a Medicare Compliance Analyst to join their compliance team. This is a contract role through the end of the year. The Medicare Compliance Analyst will be responsible for monitoring regulatory changes, supporting internal audits, and ensuring adherence to CMS, stateand federal guidelines across operational areas. Responsibilities:
- Monitor and interpret CMS regulations, guidanceand updates relevant to Medicare Advantage.
- Support the development, implementationand maintenance of the compliance program, policiesand procedures.
- Conduct internal audits and monitoractivities to ensure regulatory compliance.
- Assist with CMS program audits and data validation activities.
- Investigate potential non-compliance issues and support corrective actions.
- Maintain compliance logs, reports, and documentation for oversight and audit purposes.
- Facilitate carrier audits and collaborate with internal departments to gather documentation.
- Review marketing materials, member communicationsand vendor contracts for CMS compliance.
- Assist in the preparation and submission of regulatory reports and filings.
- Support compliance training and education initiatives.
- Complete Secretary of State annual reports.
- Renew TPA licenses and manage other regulatory filings.
- Build and maintain relationships with state regulators
- Proofread contracts and legal documents.
- Maintain contract records and update internal policies and procedures.
Requirements:
- Bachelor's degree or equivalent combination of education and experience
- 3+ years of experience in insurance or Medicare compliance
- Prior experience in legal or paralegal support (preferred)
- Strong organizational skills and the ability to manage multiple priorities
- Excellent written and verbal communication skills
- Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint) and Adobe Acrobat
- Ability to work independently and maintain discretion with confidential information
- Comfortable drafting letters, responding to complaints, and managing regulatory deadlines
- Detail-oriented and emotionally mature with a solution-focused mindset
Pay Range: The anticipated pay range for this position is $28 - $33 per hour. We understand salary is an important factor in a job search, and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs. Benefits:
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement savings plan
Contact: Karrie Ruch +1 (312) ###-####
[email protected]: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! EqualOpportunityEmployer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at
[email protected] or +1 (800) ###-#### to make a request.