Remote CMS Compliance & QA Specialist (Contract)

Other

Pensacola (FL)

Hybrid

USD 55,000 - 75,000

Full time

5 days ago
Be an early applicant

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Job summary

The OPS CMS Compliance Specialist conducts onsite monitoring and validation surveys to ensure compliance with Centers for Medicare Medicaid Services requirements. The role involves interviewing individuals served, completing survey reports, coordinating remediation efforts with providers, and providing technical assistance.

This is a temporary, telework-eligible position based within the Agency for Persons with Disabilities.

Qualifications

  • Valid Driver's License or efficient means of transportation.
  • Experience with monitoring or quality assurance activities.
  • Proficient with Microsoft applications (Excel, Word, PowerPoint, SharePoint) and other software.
  • Ability to work under strict timelines and communicate effectively orally and in writing.
  • Ability to read and interpret applicable laws, rules, and regulations.

Responsibilities

  • Conduct onsite monitoring and validation surveys to ensure CMS requirements are met.
  • Interview individuals served to gather information for survey reports.
  • Complete survey reports with findings and recommendations.
  • Coordinate remediation efforts with providers and document actions taken.
  • Provide technical assistance to stakeholders as needed.

Skills

Driver's license
Monitoring
Quality assurance
Oral & written communication
Reading laws/regulations

Tools

Excel
Word
PowerPoint
SharePoint

Job description

The OPS CMS Compliance Specialist conducts onsite monitoring and validation surveys to ensure compliance with Centers for Medicare Medicaid Services requirements. The role involves interviewing individuals served, completing survey reports, coordinating remediation efforts with providers, and providing technical assistance.

This is a temporary, telework-eligible position based within the Agency for Persons with Disabilities.

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Remote CMS Compliance Specialist | Health Services
Remote CMS Compliance Specialist | Health Services

State of Florida • Pensacola (FL)

Remote
USD 28,000 - 40,000
OPS Cms Compliance Specialist - 67965504
OPS Cms Compliance Specialist - 67965504

Other • Pensacola (FL)

Hybrid
USD 55,000 - 75,000
Remote QA Specialist — Healthcare Compliance & CQI
Remote QA Specialist — Healthcare Compliance & CQI

The Columbus Organization • Town of Vermont (WI)

Remote
USD 51,000 - 63,000
Remote QA Specialist: CMS Compliance & Career Growth
Remote QA Specialist: CMS Compliance & Career Growth

North Haven Solutions • United States

Remote
USD 45,000 - 70,000
Apple equipment
Media stipend
Remote work
+4
Remote Compliance & QA Specialist (Healthcare/Behavioral Health)
Remote Compliance & QA Specialist (Healthcare/Behavioral Health)

Recover Medical Group • California

Remote
USD 80,000 - 120,000
Health Care Plan
Paid Time Off (Vacation, Sick & Public
Paid Time Off (Vacation, Sick & Public
Remote Claims Auditor: Compliance, QA & Process Impact
Remote Claims Auditor: Compliance, QA & Process Impact

SCAN • United States

Remote
USD 35,000 - 51,000
Remote work
Annual bonus program
Wellness program
+4
Remote Coding Compliance Auditor - 6 Month Contract
Remote Coding Compliance Auditor - 6 Month Contract

Pyramid Consulting • Chicago (IL)

Remote
USD 48,000 - 55,000
Health insurance
401(k) plan
Paid sick leave
Remote Health IT QA Engineer — CI/CD & Data Validation
Remote Health IT QA Engineer — CI/CD & Data Validation

CORMAC Corporation • Leesburg (VA)

Hybrid
USD 110,000 - 140,000
Medicare Non-Call QA Analyst | Quality & Compliance
Medicare Non-Call QA Analyst | Quality & Compliance

Convey Health Solutions • Florida

On-site
USD 50,000 - 70,000
Remote Senior Medicare Compliance Specialist
Remote Senior Medicare Compliance Specialist

Centene Corp. • Connecticut

Remote
USD 88,000 - 158,000
Health insurance
401K and stock purchase plans
Tuition reimbursement
+2