Compliance Analyst

Amerilife Group, LLC; Nashville (TN); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

PTO

medical

dental

vision

retirement savings

disability insurance

life insurance

Job summary

AmeriLife is seeking a Compliance Analyst to ensure adherence to CMS requirements for Medicare Advantage and Part D. The role involves monitoring regulatory updates, supporting audit readiness, conducting reviews, and helping teams interpret Medicare guidance.

You will maintain documentation, identify risks, and strengthen oversight through cross‑functional collaboration, training, and timely reporting. The ideal candidate has strong analytical skills, attention to detail, and 2–4 years of

Qualifications

• Bachelor’s degree in healthcare administration, business, public health, regulatory affairs, or a related field.
• Compliance certifications (e.g., CHC, CPCO, CHPC) preferred but not required.
• 2–4 years of experience in Medicare compliance, auditing, regulatory oversight, or health plan operations.
• Working knowledge of CMS regulations, Medicare Advantage and Part D program requirements.
• Familiarity with fraud, waste, and abuse (FWA) and CMS audit protocols.

Responsibilities

• Monitor CMS, MA, and Part D updates to assess operational impact.
• Provide regulatory guidance to internal teams on CMS rules.
• Maintain compliance logs and prepare status reports.
• Conduct internal compliance reviews to identify gaps and risks.
• Assist CMS or carrier audits with evidence gathering and remediation tracking.
• Review workflows to ensure alignment with Medicare requirements.
• Assist in Medicare compliance training for staff and partners.
• Support FWA monitoring and exclusion screenings (OIG/GSA).
• Liaise with CMS and carriers regarding compliance expectations.

Skills

Regulatory interpretation

CMS regulations

Auditing

Analytical skills

Communication

Education

Bachelor’s degree in healthcare administration

Tools

Microsoft Office

Compliance tracking tools

Job description

Our Company Explore how you can contribute at AmeriLife. For over 50 years, AmeriLife has been a leader in the development, marketing and distribution of annuity, life and health insurance solutions for those planning for and living in retirement. Associates get satisfaction from knowing they provide agents, marketers and carrier partners the support needed to succeed in a rapidly evolving industry.

Job Summary

The Compliance Analyst plays a critical role in ensuring the organization adheres to the regulatory requirements governing Medicare Advantage (MA) and Part D programs. This position is responsible for monitoring CMS regulatory updates, supporting audit readiness, conducting compliance reviews, and helping operational teams interpret and implement Medicare guidance. The analyst serves as a key contributor to the organization’s compliance program by maintaining documentation, identifying risks, and strengthening oversight efforts. The ideal candidate combines strong analytical skills with attention to detail and an ability to communicate regulatory information clearly across departments.

Job Responsibilities

• 1. Monitor & Interpret Medicare Regulations Review, analyze, and interpret CMS, Medicare Advantage, and Part D regulatory updates to assess operational impacts. Maintain awareness of carrier notifications and CMS guidance to support organizational compliance.
• 2. Provide Regulatory Guidance to Internal Teams Communicate regulatory changes and compliance expectations to functional areas such as sales, billing, clinical teams, and operations. Support business units in applying CMS rules to processes and workflows.
• 3. Compliance Documentation & Reporting Maintain compliance tracking logs, regulatory files, and required documentation in alignment with CMS program elements. Prepare compliance status reports for leadership, audit teams, and regulatory bodies.
• 4. Internal Audits & Risk Monitoring Conduct internal compliance reviews to assess adherence to Medicare program requirements. Identify potential compliance gaps, evaluate risks, and recommend corrective action.
• 5. Audit Coordination & Response Assist in preparing responses to CMS or carrier audit requests by gathering evidence and supporting documentation. Track audit activities, deadlines, and remediation progress.
• 6. Operational Compliance Integration Review operational workflows to confirm alignment with Medicare requirements. Collaborate with cross‑functional teams to reinforce compliance expectations.
• 7. Training & Education Support Assist in developing and delivering Medicare compliance and FWA training for staff and contracted partners. Maintain training logs and verify completion of required CMS modules.
• 8. Fraud, Waste & Abuse (FWA) Monitoring Support investigations into compliance concerns and potential FWA cases. Perform or validate monthly exclusion list screenings (OIG/GSA) and escalate issues.
• 9. CMS & Carrier Liaison Support Assist in communications with Medicare Advantage and Part D carriers regarding compliance expectations. Support responses to CMS inquiries and operational oversight activities.

Qualifications

Education

Bachelor’s degree in healthcare administration, business, public health, regulatory affairs, or a related field. Compliance certifications (e.g., CHC, CPCO, CHPC) preferred but not required.

Experience

2–4 years of experience in Medicare compliance, auditing, regulatory oversight, or health plan operations. Experience with Medicare Advantage and/or Part D carrier compliance requirements is highly beneficial.

Regulatory Knowledge

Working knowledge of CMS regulations, Medicare Advantage and Part D program requirements, and carrier compliance standards. Familiarity with fraud, waste, and abuse (FWA) requirements and CMS audit protocols.

Key Skills

• Technical & Analytical Skills Ability to interpret complex CMS regulations and identify compliance risks. Strong analytical capability for audits, compliance reviews, and regulatory analysis.
• Communication & Collaboration Strong written and verbal communication skills to translate regulatory requirements for diverse internal teams. Ability to work collaboratively across departments, providing guidance and support.
• Organizational Skills High attention to detail; ability to maintain complete and accurate compliance records. Strong time‑management skills with the ability to manage multiple priorities.
• Problem‑Solving Ability to identify compliance issues and develop well‑reasoned recommendations.

Technical Tools

Proficiency with Microsoft Office Suite and compliance tracking tools commonly used for regulatory reporting and audits.

What AmeriLife Offers

• PTO
• medical
• dental
• vision
• retirement savings
• disability insurance
• life insurance

Equal Employment Opportunity Statement

We are an Equal Opportunity Employer and value diversity at all levels of the organization. All employment decisions are made without regard to race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), sexual orientation, gender identity or expression, age, national origin, ancestry, disability, genetic information, marital status, veteran or military status, or any other protected characteristic under applicable federal, state, or local law. We are committed to providing an inclusive, equitable, and respectful workplace where all employees can thrive.

Americans with Disabilities Act (ADA) Statement

We are committed to full compliance with the Americans with Disabilities Act (ADA) and all applicable state and local disability laws. Reasonable accommodations are available to qualified applicants and employees with disabilities throughout the application and employment process. Requests for accommodation will be handled confidentially. If you require assistance or accommodation during the application process, please contact us at [e-mail].

Pay Transparency Statement

We are committed to pay transparency and equity, in accordance with applicable federal, state, and local laws. Compensation for this role will be determined based on skills, qualifications, experience, and market factors. Where required by law, the pay range for this position will be disclosed in the job posting or provided upon request. Additional compensation information, such as benefits, bonuses, and commissions, will be provided as required by law. We do not discriminate or retaliate against employees or applicants for inquiring about, discussing, or disclosing their pay or the pay of another employee or applicant, as protected under applicable law. Pay ranges are available upon request.

Background Screening Statement

Employment offers are contingent upon the successful completion of a background screening, which may include employment verification, education verification, criminal history check, and other job‑related inquiries, as permitted by law. All screenings are conducted in accordance with applicable federal, state, and local laws, and information collected will be kept confidential. If any adverse decision is made based on the results, applicants will be notified and given an opportunity to respond.

About Us

Since 1971, AmeriLife has served the needs of its clients. Today, we are a national leader in the development, marketing and distribution of annuity, life and health insurance solutions, with more than 1,000 associates across the country. AmeriLife partners with leading carriers to support consumers’ financial‑wellness goals.

Our Mission

AmeriLife offers insurance and retirement solutions to provide peace of mind and help people live longer, healthier lives.

Our Values

• Honesty – We deal truthfully with all of our clients
• Integrity – We always do what is right for our clients
• Accountability – We put our clients’ needs first by taking take ownership of our actions
• Excellence – We do more than our jobs by going the extra mile for our clients
• Courage – We stand up for what is right