Compliance Coordinator

AppleOne Employment Services; Orlando (FL); Remote; USD 40,000 - 63,000; Full time

Job summary

An established industry player is seeking a detail-oriented Medicare Compliance Analyst to join their Compliance team. This role is crucial for ensuring adherence to Medicare regulations in claims processing and administrative services. You will be the subject matter expert, collaborating across departments, conducting audits, and managing reporting requirements. The position offers the opportunity to make a significant impact while working in a supportive environment that values compliance and operational excellence. If you have a passion for compliance and a commitment to quality, this is the perfect role for you.

Qualifications

• 2-3+ years of Medicare compliance experience required.
• CHC certification preferred or ability to obtain.

Responsibilities

• Lead implementation of Medicare compliance policies.
• Conduct audits and compliance reviews to identify improvements.

Skills

Medicare compliance

Analytical skills

Communication skills

Problem-solving

Time management

Education

High school diploma

Associate degree

Tools

Microsoft Office Suite

Job description

4 days ago Be among the first 25 applicants

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AppleOne Employment Services provided pay range

This range is provided by AppleOne Employment Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40,000.00/yr - $62,500.00/yr

Direct message the job poster from AppleOne Employment Services

Job Title: Medicare Compliance Analyst

Company: Third Party Insurance Company

Location: Remote in Florida

Salary range: $40,000-$62,500

About the Role:

Client is seeking a knowledgeable and detail-oriented Medicare Compliance Analyst to join our Compliance team. This role plays a key part in ensuring our organization’s claims processing and administrative services are fully compliant with Medicare regulations. You’ll act as the subject matter expert on Medicare compliance, collaborating across departments, conducting audits, managing reporting requirements, and supporting operational readiness.

Key Responsibilities:

• Lead implementation and oversight of Medicare compliance policies and procedures.
• Serve as internal expert on CMS regulations; advise cross-functional teams on compliance execution.
• Monitor changes in Medicare legislation and assess business impact; drive necessary policy changes.
• Oversee timely and accurate federal/state filings and CMS reporting.
• Conduct audits and compliance reviews to identify areas for improvement.
• Coordinate with IT and Claims teams to optimize reporting processes within claims systems.
• Support client onboarding/offboarding with focus on Medicare regulatory compliance.
• Provide guidance and documentation during client and regulatory audits.
• Develop and support corrective action plans based on audit findings.
• Deliver training and updates on compliance-related topics to internal teams.
• Communicate regulatory developments with key departments and stakeholders.

Qualifications:

• High school diploma required; associate degree or higher preferred.
• CHC (Certified in Healthcare Compliance) certification preferred or ability to obtain.
• 2–3+ years of Medicare compliance experience, including CMS Section 111 and RRE knowledge.
• TPA or insurance carrier experience is highly preferred.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
• Excellent written and verbal communication skills.
• Strong analytical, time management, and problem-solving abilities.
• Comfortable working independently and collaboratively in a remote or office environment.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  Insurance

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