A
Medicare Compliance Officer: Medicare Part C & D
AdamsPlace
Murfreesboro · Tennessee · United States
Full-time
2-5
1d ago
64%
Good
Job description
[https://nhccare.com/wp-content/uploads/2025/02/NHC-Logo.png]
Job Title: Medicare Compliance Officer: Medicare Part C & D
Job Location: Murfreesboro, TN - Some travel required
Salary: Commensurate with experience
Job Description: National HealthCare Corporation seeks to hire a full-time
Medicare Compliance Officer to join the Compliance Team.
Responsibilities include, but are not limited to the following:
Under the direction of the Corporate Compliance Officer, Partner will:
* Ensure required elements identified within NHC’s Compliance Plan and the
Federal Government Sentencing Guidelines are implemented, monitored,
assessed, and adapted as needed for Medicare Parts C & D lines of service.
* Perform routine monitoring of federal and state issued documents to ensure
timely communication to designated NHC parties, revision to internal work
procedures, and/or implementation of new requirements with the assigned
Medicare Parts C & D service lines.
* Develop, review and revise as necessary required Compliance training and
education programs.
* Monitor and respond to reports received via the CTM, anonymous hotline, and
any other avenue in which complaints are received related to Medicare Parts C
& D service lines.
* Assist Corporate Compliance Officer & Operations in responding to allegations
of fraud, waste, and abuse as well as developing & overseeing necessary
corrective actions.
* Regularly review operational & clinical metric reports and participate in
regularly scheduled meetings with operations and related parties for
oversight of the Medicare Parts C & D lines of service.
* Provide compliance oversight of First Tier, Downstream, and Related Entities
(FDRs) who provide services to NHC Advantage and/or Network Pharmacy.
The ideal candidate will possess the following qualification:
* Associate’s or bachelor’s degree in healthcare field required.
* 2-3 years of experience in compliance related to Medicare Parts C & D.
* Certification in Healthcare Compliance (CHC) preferred.
Skills:
* Knowledge of industry standards for Medicare Parts C & D.
* Knowledge of regulatory standards for affected area of responsibility.
* Knowledge of continuous improvement and change management.
* Excellent written and verbal communication skills.
NHC HealthCare Home Office offers a competitive compensation package
for fulltime employment including health, dental, vision, life, disability
insurance, paid time off, 401 (k) with generous company match, stock options,
and more.
National HealthCare Corporation is recognized nationwide as an innovator in the
delivery of quality long-term care. Our goal is to provide a full range of
extended care services, designed to maximize the well-being and independence of
patients of all ages. We are dedicated to meeting patient needs through an
interdisciplinary approach combining compassionate care with cost-effective
health care services.
The NHC environment is one of encouragement and challenge ... innovation and
improvement ... teamwork and collaboration ... and honesty and integrity. All
NHC employees are committed as partners, not only to the health of our patients,
but to the well-being of the communities we serve.
If you are interested in working for a leader in senior care and share NHC's
values of honesty and integrity, please apply online or find out more about us
at nhccare.com/ [https://nhccare.com/]
We look forward to talking with you! NHC is an Equal Opportunity Employer.