Compliance Analyst

amerilife; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

PTO

Medical, dental, vision

Retirement plan

Life insurance

Job summary

AmeriLife is seeking a Compliance Analyst to support Medicare Advantage and PartD regulatory compliance. You will monitor CMS updates, interpret guidance, maintain documentation, and assist with audits across sales, billing, clinical, and operations teams.

The role requires strong analytical skills, attention to detail, and the ability to clearly communicate regulatory information across departments. Collaboration and training support are key.

Qualifications

• Bachelor’s degree in healthcare administration, business, public health, regulatory affairs, or related field.
• 2–4 years of Medicare compliance, auditing, regulatory oversight, or health plan operations.
• Working knowledge of CMS regulations, Medicare Advantage and PartD requirements.
• Ability to interpret complex CMS regulations and identify compliance risks.
• Experience with internal audits and regulatory reporting.

Responsibilities

• Monitor CMS updates and interpret Medicare regulations to assess operational impact.
• Provide regulatory guidance to internal teams (sales, billing, clinical, operations).
• Maintain compliance tracking logs and regulatory files; prepare status reports for leadership and regulators.
• Conduct internal compliance reviews; identify gaps and recommend corrective actions.
• Assist in preparing CMS or carrier audit responses and track remediation progress.
• Review workflows to ensure alignment with Medicare requirements across departments.
• Assist in developing Medicare compliance and training for staff and partners; maintain training logs.
• Support investigations into compliance concerns and potential FWA cases; perform exclusion screenings.
• Assist communications with CMS and Medicare carriers regarding compliance expectations.

Skills

Regulatory interpretation

CMS regulations

Audits

Risk assessment

Education

Bachelor’s degree in healthcare administration

Regulatory certifications (CHC/CPCO/CHPC)

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 PartD 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 Description

Job Responsibilities

1. 1. Monitor & Interpret Medicare Regulations

   Review, analyze, and interpret CMS, Medicare Advantage, and PartD regulatory updates to assess operational impacts.

   Maintain awareness of carrier notifications and CMS guidance to support organizational compliance.

2. 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. 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. 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. 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. 6. Operational Compliance Integration

   Review operational workflows to confirm alignment with Medicare requirements.

   Collaborate with cross‑functional teams to reinforce compliance expectations.

7. 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. 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 elevate issues.

9. 9. CMS & Carrier Liaison Support

   Assist in communications with Medicare Advantage and PartD 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 PartD carrier compliance requirements is highly beneficial.

Regulatory Knowledge

Working knowledge of CMS regulations, Medicare Advantage and PartD 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

• A comprehensive benefits package that includes PTO, medical, dental, vision, retirement savings, disability insurance, and 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 wi