Claims Medicare Compliance Specialist

Compre Group; New Hampshire; Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Flex First

Remote work

Health insurance

401k with company match

Bonus eligible

Job summary

Compre Group is seeking a Medicare Compliance Specialist to support Medicare reporting and compliance. The role is remote with North America coverage, based in the USA (New Hampshire). You will help manage Medicare queries, CMS submissions, and data-quality initiatives within a Claims environment.

This is a development-friendly role, offering opportunities to gain Medicare accreditation and grow in a regulated setting, with strong Excel capabilities and attention to detail required.

Qualifications

• Strong Excel skills and attention to detail are essential.
• Experience or knowledge of Medicare is essential.
• Ability to manage priorities in a regulated environment.

Responsibilities

• Maintain accurate claim data, run and review Medicare queries, and prepare records for CMS submissions.
• Investigate reporting exceptions and collaborate with claims teams, TPAs and vendors to resolve issues.
• Support data-quality reviews, remediation projects and meet reporting deadlines.

Skills

Excel skills

Data validation

Attention to detail

Regulated environment

Tools

CMS portals

Job description

Claims Medicare Compliance Specialist

Department: Claims

Employment Type: Full Time

Location: USA (New Hampshire / Remote)

Description

Claims Medicare Compliance Specialist

North America Remote

remote East Coast

full-time

We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America.

Due to growth, we’re now looking for our first dedicated Medicare specialist to support Medicare reporting and compliance activity.

Key Responsibilities

Reporting to the Claims Compliance and Quality AVP, you’ll help maintain accurate claim data, run and review Medicare queries, prepare records for CMS submissions, investigate reporting exceptions and work with claims teams, TPAs and vendors to resolve issues. You’ll also support data-quality reviews, remediation projects and reporting deadlines.

Candidate requirements

This is an excellent development opportunity for someone to develop their Medicare insurance claims skills, ideally coming from operational support, data validation or compliance. You’ll need strong Excel skills, attention to detail and the ability to manage priorities in a regulated environment.

Having some Medicare experience or knowledge is essential. We’ll support you to build your knowledge and complete a relevant Medicare accreditation or qualification as part of your development in the role.

Benefits

Fulfil your potential in a collaborative environment with some of the best talent in the industry, while enjoying:

• Flex First
• Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration.
• Benefits
• Competitive salary and bonus eligible
• Medical, EAP, dental, & vision insurance for individuals and families
• Excellent HSA plan with Compre funding Life Insurance
• 401k with Company Match
• Company Off-Site Meetings
• Remote Worker Expenses
• Health and Wellbeing Programs
• Employee Referral Program
• Personal Development
• Advancing your professional development through ongoing learning opportunities.
• Time Off
• Generous vacation and holiday schedule STD & LTD coverage