Job Description

Remote Medicare Compliance Specialist

Shape the Standards That Safeguard Care

Can regulations become tools for clarity instead of complexity? That’s the thinking we embrace. As our Remote Medicare Compliance Specialist, you’ll champion ethical standards, drive regulatory alignment, and protect the integrity of care delivered to thousands of Medicare beneficiaries. If interpreting policy nuances excites you and you’re ready to raise the bar for accountability in healthcare, we invite you to work with us. This role is more than oversight—it’s about embedding clarity, fairness, and transparency into systems that affect real lives every day.

What You’ll Influence

Navigate Regulatory Landscapes with Precision

Medicare policy is constantly evolving, and you’ll be our in-house interpreter and strategist. From decoding CMS memos to transforming legislative shifts into internal workflows, your expertise will help leadership and frontline staff respond with confidence. You’ll proactively monitor regulatory updates, provide executive summaries, and collaborate with various teams to roll out updated compliance measures across departments.

Strengthen the Compliance Framework

Your analysis won’t just check boxes—it’ll shape operational change. Through comprehensive audits, risk assessments, and feedback loops, you’ll refine and improve policies, document control, and issue management. When you uncover gaps, you’ll initiate system-wide solutions that build integrity, not just avoid penalties. Your focus is on creating a structure that promotes trust while meeting all external requirements.

Educate with Purpose

We believe knowledge is a compliance multiplier. You’ll design engaging virtual trainings that go beyond slide decks. You’ll bring policies to life with use cases, contextual storytelling, and role-specific simulations. Whether you’re helping nurses understand billing restrictions or enabling IT teams to identify data privacy flags, your content will empower our workforce to act confidently and compliantly.

Collaborate to Protect the Mission

You won’t work in isolation. You’ll collaborate closely with internal stakeholders, including legal, operations, care coordination, and executive teams, to resolve issues, prevent risk, and continuously improve our regulatory posture. Your strategic insight will be crucial in planning rollouts, evaluating performance indicators, and ensuring accurate data capture across the board. When unforeseen challenges arise—from documentation errors to reporting discrepancies—you’ll lead the response with integrity and accountability.

Where and How You’ll Work

100% Remote, 100% Connected

You’ll work from anywhere in the U.S., but you’ll never feel distant. We’ve built a seamless remote ecosystem centered on open dialogue and fast feedback loops. Expect daily collaboration through Slack, Zoom, and shared dashboards, as well as real-time access to Medicare updates and decision support tools. You’ll also participate in virtual compliance summits and contribute to our online knowledge base of Medicare best practices.

Tools That Empower Precision

We equip our compliance teams with technology that enhances—not hinders—clarity and transparency. You’ll use SharePoint for controlled documentation, Power BI to track audit trends, Confluence for cross-team knowledge sharing, and Jira to manage compliance-driven initiatives. You’ll also leverage Medicare-specific platforms to review billing patterns, validate claims, and ensure reporting accuracy.

Qualifications That Set You Up to Succeed

Core Capabilities

You simplify complex regulatory language into practical guidance.
You’ve overseen virtual compliance audits with multi-department involvement.
You adapt your communication to fit your audience, from executives to frontline staff.
You champion proactive risk management and process optimization.

Experience That Moves the Needle

3+ years of hands-on experience in Medicare compliance, auditing, or healthcare policy
Deep familiarity with CMS guidelines, Medicare Advantage rules, and Part D standards
Practical application of HIPAA, OIG work plans, and state-specific healthcare laws
Bonus: Industry certifications such as CHC, CPC, or CRC

The Impact You’ll Make

Ensure Alignment: Your real-time monitoring and policy insights will help prevent compliance breaches before they occur.
Drive Integrity: Your leadership will model a values-first approach to regulation.
Scale Understanding: Through audits, guidance, and education, you’ll elevate regulatory fluency across the organization.
Build Trust: Regulatory bodies will recognize our organization as transparent, proactive, and compliant.
Influence Outcomes: Your recommendations will directly inform decision-making, vendor selection, and patient-facing policy.

Compensation and Support

This is a full-time remote opportunity with an annual salary of $80,000. You’ll receive comprehensive support, including:

Generous paid time off and floating holidays
Virtual learning stipends for certifications and webinars
Flexible scheduling that allows for deep focus work
Mental wellness days and peer support groups
Access to internal policy libraries and live compliance updates

Why This Role Matters Now

Healthcare is evolving at an unprecedented speed, and Medicare oversight is becoming increasingly vital. Gone are the days of reactive compliance—this role is about leading a preventive strategy. Your voice will help protect patient rights, uphold transparency in billing, and promote equitable access to care. Your clarity will empower decision-makers. Your standards will shape systems that affect thousands of lives.

In today’s complex landscape, Medicare compliance isn’t just about meeting minimum standards—it’s about setting new ones. You’ll play a vital part in ensuring that every policy implemented is not only accurate but also humane and purposeful. If you’re ready to serve as the ethical compass for remote operations, this is your opportunity to create meaningful change.

Let’s Build Something Purposeful Together

If you’re excited by nuance, passionate about impact, and ready to steer complex regulations into practical action, we’re prepared to meet you. Let’s bring clarity to care—from wherever you call home. Let’s turn healthcare compliance into a force for good.

Your insights will shape operations. Your voice will build trust. Your expertise will create clarity in a system that needs it. Let’s make compliance feel human—and deeply valuable.

Remote opportunity with global reach — applications are welcome from candidates in any country.