Job Description

About Us

At Medicare Giants, we are committed to delivering high-quality healthcare solutions within the Medicare Advantage program. Our mission is to ensure members receive exceptional care while maintaining the highest standards of regulatory compliance and operational integrity.

We believe compliance is not just a requirement—it’s a cornerstone of trust, accountability, and excellence. As we continue to grow, we are seeking a dedicated Compliance Officer to help safeguard our operations and support our commitment to ethical, compliant service.

Job Overview

The Compliance Officer plays a critical role in overseeing and maintaining compliance with federal and state regulations, Medicare Advantage requirements, and internal policies. This position is responsible for identifying risk, supporting operational teams, and ensuring adherence to regulatory standards that protect both our organization and the members we serve.

Key Responsibilities

• Develop, implement, and maintain compliance programs, policies, and procedures
• Monitor adherence to Medicare Advantage regulations and CMS guidelines
• Conduct regular compliance audits, monitoring, and risk assessments
• Provide compliance training and guidance to internal staff
• Serve as the primary point of contact for regulatory agencies and audits
• Investigate compliance concerns and recommend corrective actions
• Prepare and present compliance reports to senior leadership

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred)
• Minimum of 3 years of compliance experience, preferably in healthcare or Medicare Advantage
• Strong knowledge of Medicare Advantage regulations and compliance requirements
• Excellent analytical, problem-solving, and organizational skills
• Strong written and verbal communication abilities
• Ability to work independently while collaborating across teams

What We Offer

• Competitive salary and benefits package
• Opportunities for professional development and career growth
• A supportive, collaborative, and mission-driven work environment

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