Rise Jobs & Careers icon Medicare Compliance Jobs

Browse 36 exciting jobs hiring in Medicare Compliance now. Check out companies hiring such as Humana, AdvisaCare, Peraton in Mobile, Plano, Philadelphia.

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Posted 3 hours ago

Humana is hiring a Contract Tools, Education, Processes Lead to manage and improve Medicare and Medicaid provider contract templates, ensuring compliance and streamlined provider contracting.

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AdvisaCare Hybrid No location specified
Posted 7 hours ago

AdvisaCare is hiring a Home Health Registered Nurse to deliver hospice-focused assessments, care coordination, and family education across the Manistee service area.

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Posted yesterday

Peraton's SafeGuard Services is hiring a remote Medicaid Fraud Auditor to conduct compliance audits, analyze healthcare claims data, and make findings and recovery recommendations for Medicaid program integrity.

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Posted 2 days ago

Silvur is hiring a part-time Fractional Controller to oversee accounting operations, payroll, and commission processing for a fast-moving fintech serving retirement and Medicare audiences.

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Lead government pricing advisory engagements and client relationships at IntegriChain, advising life sciences manufacturers on Medicaid, 340B, FSS, Medicare, and pricing compliance while growing the practice and mentoring delivery teams.

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myPlace Health Hybrid No location specified
Posted 4 days ago

Support and grow myPlace Health's broker network as a Broker Account Executive by training, certifying, and servicing brokers to increase PACE enrollment across the Los Angeles area.

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Tutera Senior Living & Health Care is hiring a Business Office Assistant in Carlinville to support billing, insurance claims, refunds, and resident financial records in a regulated long-term care setting.

CGS is hiring a Healthcare Fraud Investigator to analyze healthcare and financial data and develop high-quality case referrals in support of government litigation in Nashville, TN.

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Awesome Motive Hybrid Memorial Executive Office Building
Posted 10 days ago

Memorial Healthcare System seeks an experienced Director to lead and manage the systemwide 340B Drug Program, ensuring compliance, optimizing operations, and driving revenue integrity.

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AdvisaCare Hybrid No location specified
Posted 14 days ago

AdvisaCare Hospice is hiring a Home Health and Hospice RN to provide skilled, compassionate in-home care and clinical supervision for patients and families in the St. Ignace area.

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Posted 14 days ago

Per Diem Hospice Registered Nurse needed to provide compassionate clinical care, supervisory visits, and interdisciplinary coordination for patients receiving hospice services in the Mount Pleasant area.

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Synapticure is hiring a Licensing and Credentialing Specialist to manage payor enrollment, state licensure, and credentialing for a growing nationwide telehealth provider network.

Lead operations and project delivery for Navitus’ Medicare EGWP product, ensuring compliant, efficient processes and strong cross-functional partnership.

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Experienced healthcare fraud investigator sought to perform claims investigations, data mining, and prepare referrals to state and federal agencies for a national healthcare organization.

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Posted 21 days ago

Experienced or newly licensed Medicare agents are invited to join Silvur Insurance to deliver member-focused Medicare sales and service across credit union channels, with opportunities for growth and competitive compensation.

Lead payer compliance and reimbursement integrity for UChicago Medicine’s revenue cycle in a hybrid Director role based out of Burr Ridge, overseeing analytics, contract enforcement, and payer relationships.

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Emory Healthcare is hiring a Revenue Cycle Operations Supervisor to lead charge capture, coding, denial management, and staff performance across clinical specialties.

Ascendis Pharma is seeking a Director, Government Pricing to own U.S. government pricing operations, compliance, and strategic impact assessment to support revenue, forecasting, and cross-functional decision-making.

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Centene Hybrid Clayton - 7930 Clayton Rd (Corporate) (10404)
Posted 24 days ago

Lead Centene's Dual Eligible Special Needs Plan (D-SNP) compliance efforts to manage audits, regulatory obligations, state reporting, and corrective actions while advising business leaders and representing the organization with regulators.

Posted 25 days ago

Experienced procurement leader needed to drive strategic sourcing, vendor relationships, and operational purchasing for a medical supplies and equipment company while balancing cost, quality, and compliance.

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American Express is hiring a Hybrid Insurance Customer Care Representative in Phoenix to deliver administrative and reporting support for AAC claims operations while ensuring regulatory compliance and excellent customer service.

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Experienced hospice chaplain needed to provide pastoral/spiritual assessment, individualized spiritual care plans, bereavement support, and community-based home visits for patients and families.

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Posted 26 days ago

Experienced licensed therapist wanted to lead and grow MGA Homecare's therapy division in Pueblo by providing clinical leadership, compliance oversight, and staff development.

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Medical Insurance
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Support AMEX Assurance Claims operations in Phoenix by providing administrative, reporting, and compliance assistance in a hybrid role that helps ensure timely, accurate claims processing and regulatory reporting.

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Medical Insurance
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Child Care stipend
Employee Resource Groups
Learning & Development

American Express is hiring a Phoenix-based Insurance Customer Care Representative to provide administrative and operational support for claims adjudication and compliance in a hybrid work model.

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Medical Insurance
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Disability Insurance
Child Care stipend
Employee Resource Groups
Learning & Development

Provide administrative and operational support to AMEX Assurance claims teams in a hybrid Phoenix role focused on compliance, reporting, and efficient claims servicing.

Experienced healthcare finance leader needed to serve as CFO for Kit Carson County Memorial Hospital, providing financial strategy, operational oversight, and regulatory compliance for this rural Critical Access Hospital affiliate.

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Posted 28 days ago

Wellmark Blue Cross and Blue Shield seeks a Network Program Manager in Des Moines to lead network contracting and compliance initiatives for Medicare Advantage, QHP and provider network programs in a hybrid role.

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Allstate Hybrid USA - IL (Remote)
Posted 28 days ago

Allstate is hiring a versatile copywriter experienced in regulated industries who can blend technical accuracy with creative storytelling across brand, digital, and agent-facing channels.

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Medical Insurance
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Child Care stipend
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Learning & Development

Provide administrative and operational support to AMEX Assurance Co.'s claims and servicing teams in a hybrid Phoenix-based role focused on compliance, reporting and excellent customer service.

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AssistRx Hybrid No location specified
Posted 28 days ago

AssistRx is hiring a Compliance Specialist to help ensure regulatory compliance, manage document control processes, and support risk and privacy initiatives across the organization.

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Lead hospice clinical teams at Memorial Health System to improve patient outcomes, ensure compliance, and develop staff through clinical leadership and program management.

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Medical Insurance
Dental Insurance
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Life insurance
Disability Insurance
Child Care stipend
Employee Resource Groups
Learning & Development

Provide administrative and operational support to AMEX Assurance Co.'s claims and servicing teams from a hybrid Phoenix location, focusing on accuracy, compliance, and excellent customer service.

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Posted 29 days ago

CVS Health’s Aetna Medicare group is hiring a Senior Manager, Medicare Marketing to drive cross-channel, performance-based acquisition campaigns and optimize member growth.

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Inclusive & Diverse
Empathetic
Collaboration over Competition
Growth & Learning
Transparent & Candid
Medical Insurance
Dental Insurance
Mental Health Resources
Life insurance
Disability Insurance
Child Care stipend
Employee Resource Groups
Learning & Development

Provide administrative and operational support for AMEX Assurance Co.'s claims and servicing operations in a hybrid Phoenix-based role focused on compliance, reporting, and excellent customer service.

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Lead and operationalize risk adjustment and documentation strategies for myPlace Health’s PACE model, combining hands-on coding work with team leadership and process improvement to accurately capture participant complexity.

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