Medicare Part D Compliance Consultant (Gov’t Programs)

Compliance Audit Security; Nashville (TN); Remote; USD 62,000 - 136,000; Full time

Job summary

HCSC is seeking a Government Programs Regulatory Compliance Specialist to evaluate Medicare regulatory requirements and CMS guidance across contracts and FDRs.

You will act as a subject matter expert, identify compliance risks, perform targeted monitoring, and partner with stakeholders to design and implement effective mitigations. Strong communication and analytical skills are essential.

Qualifications

• Bachelor’s degree and 3–6 years’ experience in health plans, regulatory compliance or risk management.
• Ability to communicate with internal business units and/or various external government agencies.
• Critical thinking, risk assessment, and mitigation.
• Verbal and written communication skills.
• Ability to work with minimal supervision.
• Organizational, analytical, and decision-making skills.
• PC proficiency to include Word, PowerPoint, and Excel.

Responsibilities

• Evaluate Medicare regulations and CMS guidance across contracts and FDRs.
• Identify, assess, and escalate compliance risks; monitor high-risk areas.
• Collaborate with stakeholders to develop and monitor mitigation strategies.

Skills

Regulatory compliance

Risk management

Communication

Critical thinking

Analytical skills

MS Office

Self-motivation

Education

Bachelor's degree

Tools

Microsoft Office

Job description

HCSC is seeking a Government Programs Regulatory Compliance Specialist to evaluate Medicare regulatory requirements and CMS guidance across contracts and FDRs.

You will act as a subject matter expert, identify compliance risks, perform targeted monitoring, and partner with stakeholders to design and implement effective mitigations. Strong communication and analytical skills are essential.