Senior Compliance Administrator (Medicare Compliance)

Location: Remote-MO, with other remote locations in GA, VA, CT, FL, NY, TX, NC, IL, and KY; United States

Salary: $87,700–$157,800 per year

Company

hirify.global provides healthcare services focused on connecting people with the care they need and improving healthcare access and outcomes.

What you will do

• Execute the Medicare Compliance Program in alignment with CMS requirements and applicable federal and state regulations, supporting prevention, detection, and correction of noncompliance and fraud, waste, and abuse.
• Interpret regulatory and contractual requirements, conduct research and analysis, and provide actionable compliance guidance to business and compliance stakeholders.
• Coordinate regulatory communications, reports, attestations, filings, issue summaries, and disclosures with accurate and timely documentation.
• Identify and stratify compliance risks, perform root cause analysis, develop corrective action plans, and validate remediation.
• Support audits, monitoring, regulatory reviews, audit scope and testing strategies, and ongoing audit readiness.
• Review policies and processes, deliver compliance training, monitor regulatory developments, and collaborate with legal, audit, compliance, and operational partners on cross-functional improvements.

Requirements

• Bachelor’s degree in a related field such as healthcare administration, public health, or policy, or equivalent experience.
• 5+ years of experience in compliance, regulatory, operations, or risk management within a regulated industry such as healthcare, managed care, insurance, or the public sector.
• 4+ years of compliance advisory experience, including regulatory research, drafting compliance guidance, risk assessment, issue tracking, auditing or monitoring, and oversight of corrective action plans.
• 2+ years of experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible (DSNP) programs.
• Foundational knowledge of Medicare regulations, including CMS guidance and Parts C and D compliance expectations.
• Strong written and verbal communication skills.
• Strong analytical, organizational, and documentation skills with attention to detail.
• Ability to manage multiple assignments and meet deadlines in a fast-paced environment.

Nice to have

• Master’s degree or Juris Doctor.
• Certified in Healthcare Compliance (CHC).
• Familiarity with CMS audit protocols, program audits, or monitoring activities.
• Experience working in a matrixed or cross-functional environment.

Culture & Benefits

• Flexible remote, hybrid, field, or office work schedules.
• Health insurance, 401(k), and stock purchase plans.
• Tuition reimbursement, paid time off, and holidays.
• Equal opportunity workplace committed to diversity and consideration of qualified applicants in accordance with applicable laws.