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Medicare Compliance Officer: Medicare Part C & D

AdamsPlace

Murfreesboro · Tennessee · United States Full-time 2-5 1d ago

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.