IT Compliance Manager jobs in Clearwater, FL

We are partnered with the fastest growing health insurance marketplace, leveraging advanced technology and personalized service to simplify the enrollment process for ACA and Medicare enrollees. Backed by the industry's top carriers and investment partners, their passionate and innovative teams are dedicated to transforming the healthcare experience.

The Medicare Compliance Manager will play a pivotal role in ensuring the adherence of FMO activities to all regulatory and

compliance requirements. This position will report directly to the Director of Compliance and be responsible for overseeing the day-to-day compliance initiatives related to Medicare, managing

marketing materials, agent training, reporting, internal audits, assistance with external audits, and complaint management.

REWARDS

• Comprehensive Medical, Dental, and Vision coverage
• PTO and holiday pay
• 401(k) matching
• Advancement Opportunities
  
  

REQUIREMENTS

• Bachelor's degree in a relevant field (e.g., Healthcare Administration, Business Administration, or a related field).
• Minimum of 5 years of experience in Medicare compliance
• In-depth knowledge of CMS regulations and guidance pertaining to Medicare Advantage, Prescription Drug Plans, and other Medicare products.
• Strong understanding of the healthcare and insurance industries, including regulatory requirements and industry best practices
  
  

RESPONSIBILITIES

• Develop, implement, and manage Medicare compliance policies and procedures in alignment with CMS regulations and guidance
• Oversee the review, approval, and management of Medicare marketing materials and communications, ensuring compliance with all CMS regulations and guidance
• Develop and assist with the delivery of comprehensive Medicare compliance training to staff, agents, and other stakeholders
• Establish and maintain a robust Medicare compliance reporting framework, ensuring accurate and timely submission of required data to CMS and other regulatory bodies
• Oversee the management and timely resolution of consumer complaints, ensuring proper tracking, investigation, and corrective actions are taken as needed
• Serve as a subject matter expert on Medicare compliance, providing guidance and support to internal departments, including sales, marketing, customer service, and others
• Collaborate with the Quality Assurance and Medicare Sales teams to ensure consistent and cohesive compliance efforts across the organization
• Assist in the development and implementation of the company's overall compliance program, including risk assessments, audits, and monitoring activities
• Assist in internal Compliance investigations
  
  

Emerge is committed to being an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other protected characteristic. In compliance with the Job Application Fairness Act, we ensure a fair and equitable recruitment process and provide necessary and reasonable accommodations. We value diversity and encourage individuals from all backgrounds and experiences to apply