Lead and manage Medicare Compliance staff, including workload prioritization, performance management, and development.
Oversee the Medicare Compliance Program for MA‑PD and D‑SNP in accordance with CMS Part C & D requirements.
Monitor, interpret, and communicate CMS regulatory guidance; serve as a compliance subject matter expert to internal teams.
Maintain Medicare Compliance policies, procedures, and governance processes.
Lead Medicare compliance risk assessments, monitoring, and auditing activities; oversee CAP development and validation.
Coordinate and support CMS Program Audits, internal audits, and external reviews.
Oversee compliance training, communications, and required regulatory reporting.

Proven people‑management experience, including leading compliance staff or analysts.
Strong knowledge of CMS audit protocols, compliance program requirements, and regulatory reporting.
Strong planning, execution, problem‑solving, and decision‑making skills.
Ability to collaborate effectively with cross‑functional partners, senior leadership, and external regulators.
Bachelor’s degree in healthcare administration, business, compliance, or a related field and/or a minimum of 5–7 years of progressive Medicare compliance experience in lieu of a degree.

Manager, Medicare Business Compliance

Key skills