Medicare Plan & Compliance Coordinator

Mount Sinai Medical Center; Florida; On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

Job summary

Mount Sinai Medical Center seeks a Medicare Part D specialist to manage Eldercare Part D activities, reporting, and compliance. The role requires coordinating expenses, rebates, and regulatory reporting with outside partners and internal teams.

The position supports ongoing quality and fraud prevention programs, licensure tracking, and renewal processes, ensuring ongoing coverage and regulatory adherence across the eldercare program.

Qualifications

• Bachelor's degree preferred.
• Health Care Compliance certification highly preferred.

Responsibilities

• Act as the Medicare Part D point person at Eldercare.
• Maintain timely, accurate records of pharmacy-related expenses and bid documentation.
• Oversee PDE reporting and related compliance activities.
• Report drug rebates and manufacturer discounts accurately.
• Handle Part D reporting to third parties and Medicare.
• Support compliance, Fraud, Waste and Abuse programs and audits.
• Track licensures and renewal applications to ensure compliance.
• Coordinate insurance renewals and emergency management planning.
• Assist with enrollment, claims, network, and HR tasks as needed.
• Communicate progress and issues to management regularly.

Education

Bachelor's Degree

Health Care Compliance certification

Job description

Mount Sinai Medical Center seeks a Medicare Part D specialist to manage Eldercare Part D activities, reporting, and compliance. The role requires coordinating expenses, rebates, and regulatory reporting with outside partners and internal teams.

The position supports ongoing quality and fraud prevention programs, licensure tracking, and renewal processes, ensuring ongoing coverage and regulatory adherence across the eldercare program.